LEESTMA MEDICAL CLINIC, INC
NPI: 1487986451
· DEMOTTE, IN 46310
· Family Medicine Physician
· NPI assigned 02/02/2010
$550.69
Total Medicaid Paid
Provider Details
| Authorized Official | LEESTMA, ERIC (PRESIDENT) |
| NPI Enumeration Date | 02/02/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
14 |
$0.00 |
| 2020 |
16 |
$0.00 |
| 2024 |
136 |
$550.69 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |