KETAMINE WEST LLC
NPI: 1477287290
· GRAND JUNCTION, CO 81506
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 07/16/2022
$1.73M
Total Medicaid Paid
Provider Details
| Authorized Official | REILLY, STRYDER (OWNER/OPERATOR) |
| NPI Enumeration Date | 07/16/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
161 |
$15K |
| 2023 |
5,970 |
$451K |
| 2024 |
14,141 |
$1.27M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,785 |
1,223 |
$111K |
| 99205 |
Prolong outpt/office vis |
48 |
47 |
$9K |