Medicaid Provider Spending

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

KETAMINE WEST LLC

NPI: 1477287290 · GRAND JUNCTION, CO 81506 · 261QM0801X

$1.73M
Total Medicaid Paid
20,272
Total Claims
6,639
Beneficiaries
7
Codes Billed
2022-11
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 161 $15K
2023 5,970 $451K
2024 14,141 $1.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99417 Prolong home eval add 15m 3,689 1,211 $711K
99215 Prolong outpt/office vis 3,471 1,103 $482K
99153 Mod sedat endo service >5yrs 2,814 933 $190K
99152 2,818 933 $119K
96127 3,647 1,189 $114K
96372 3,785 1,223 $111K
99205 Prolong outpt/office vis 48 47 $9K