Medicaid Provider Spending

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

NPI: 1972145381 · SPARKS GLENCOE, MD 21152 · Infusion Therapy Clinic/Center · NPI assigned 10/17/2019

$8K
Total Medicaid Paid
52
Total Claims
24
Beneficiaries
2
Codes Billed
2024-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMITIC, IVANA (GROUP OWNER)
NPI Enumeration Date10/17/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 52 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 26 12 $5K
90836 26 12 $3K