Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

LESHEA M BUTTKE

Allopathic & Osteopathic Physicians Family Medicine

NPI
1477118958
CMS profile
11339631
Location
MILBANK, SD

General Payments · PY2024–2025

$190.52

  • Reported across 12 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$146.46

9 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $146.46 9

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
PFIZER INC. $52.43 3
Novo Nordisk AS $29.95 2
Amgen Inc. $19.98 1
ABBVIE INC. $15.86 1
Actelion Pharmaceuticals US, Inc. $14.65 1
Exact Sciences Corporation $13.59 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2024 $44.06 3
PY2025 $146.46 9

Payment records · PY2025 (9)

Sorted by paying entity, then date · as published by CMS

Program year 2025 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $15.86 07/22/2025 Food and Beverage Undisputed 06/30/2026 1201590885 CMS
Actelion Pharmaceuticals US, Inc. $14.65 08/19/2025 Food and Beverage Undisputed 06/30/2026 1174288804 CMS
Amgen Inc. $19.98 11/19/2025 Food and Beverage Undisputed 06/30/2026 1228629516 CMS
Exact Sciences Corporation $13.59 01/15/2025 Food and Beverage Undisputed 06/30/2026 1235419003 CMS
Novo Nordisk Inc $15.59 05/14/2025 Food and Beverage Undisputed 06/30/2026 1188362520 CMS
Novo Nordisk Inc $14.36 09/30/2025 Food and Beverage Undisputed 06/30/2026 1188580796 CMS
PFIZER INC. $20.33 02/23/2025 Food and Beverage Undisputed 06/30/2026 1228914724 CMS
PFIZER INC. $17.91 08/19/2025 Food and Beverage Undisputed 06/30/2026 1229769561 CMS
PFIZER INC. $14.19 11/05/2025 Food and Beverage Undisputed 06/30/2026 1230675835 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2024, 2025
Source files
Dataset page · Bulk file · PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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