Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › CORALVILLE › CORRIDOR KETAMINE LLC

CORRIDOR KETAMINE LLC

NPI: 1356099154 · CORALVILLE, IA 52241 · 363LF0000X

$979K
Total Medicaid Paid
2,642
Total Claims
1,351
Beneficiaries
3
Codes Billed
2023-07
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 776 $250K
2024 1,866 $729K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0013 Esketamine, nasal spray 797 414 $799K
99417 Prolong home eval add 15m 848 442 $102K
99215 Prolong outpt/office vis 997 495 $78K