Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Decatur › NPI 1164496865
Physician

Leon, Edward

Leon, Edward was paid $660K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 58% of everything it billed.

33Billing provider infoLEON, EDWARD
DECATUR, IL 62526
33aNPI1164496865assigned 02/17/2006
28Total paid$660K
24GClaims9,980
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#67 of 1,980
Median peer was paid$150K
This provider vs. median4.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20181,090$46K
20191,878$82K
20201,645$95K
20211,431$116K
20221,461$119K
20231,691$130K
2024incomplete784$71K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 58% 4,826 4,454 $385K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 32% 3,524 3,293 $211K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.8% 1,503 1,410 $51K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.9% 127 121 $13K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.