THE MINNESOTA KETAMINE AND WELLNESS INSTITUTE PA
NPI: 1003408857
· MAPLE GROVE, MN 55369
· 261QI0500X
$1.49M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
8,065 |
$285K |
| 2023 |
14,307 |
$740K |
| 2024 |
9,272 |
$464K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
4,897 |
1,361 |
$596K |
| 99417 |
Prolong home eval add 15m |
4,310 |
1,200 |
$368K |
| 96365 |
|
4,725 |
1,318 |
$222K |
| A4222 |
Infusion supplies with pump |
4,609 |
1,284 |
$222K |
| 36000 |
|
3,426 |
991 |
$60K |
| 93041 |
|
2,100 |
642 |
$9K |
| 96127 |
|
874 |
312 |
$4K |
| A4216 |
Sterile water/saline, 10 ml |
3,576 |
1,042 |
$4K |
| 90837 |
|
23 |
13 |
$3K |
| 99214 |
|
17 |
15 |
$2K |
| 90833 |
|
16 |
14 |
$799.93 |
| J2405 |
Ondansetron hcl injection |
1,366 |
385 |
$68.94 |
| 94761 |
|
1,250 |
339 |
$34.65 |
| J3475 |
Inj magnesium sulfate |
455 |
142 |
$4.08 |