Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LEESTMA MEDICAL CLINIC, INC

NPI: 1487986451 · DEMOTTE, IN 46310 · Family Medicine Physician · NPI assigned 02/02/2010

$550.69
Total Medicaid Paid
166
Total Claims
126
Beneficiaries
2
Codes Billed
2018-11
First Month
2024-07
Last Month

Provider Details

Authorized OfficialLEESTMA, ERIC (PRESIDENT)
NPI Enumeration Date02/02/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $0.00
2020 16 $0.00
2024 136 $550.69

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 145 113 $550.69
1036F 21 13 $0.00