Clinic
Baltimore Ketamine Clinic
Baltimore Ketamine Clinic was paid $8K by Medicaid between Oct 2024 and Oct 2024, across 2 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 65% of everything it billed.
33Billing provider infoBALTIMORE KETAMINE CLINIC
SPARKS GLENCOE, MD 21152
SPARKS GLENCOE, MD 21152
33aNPI1972145381assigned 10/17/2019
33bProvider typeInfusion Therapy Clinic/Center
28Total paid$8K
24GClaims52
24DCodes billed2
24AFirst – last monthOct 2024 – Oct 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 52 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 65% | 26 | 12 | $5K |
| 90836 | 35% | 26 | 12 | $3K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMITIC, IVANA (GROUP OWNER)