Spravato Medicare market dashboard
In 2024, Medicare Part B fee-for-service paid $13,675,772 for esketamine administration across 14,346 sessions, 1,550 patients and 76 billing providers in 19 states, +61% against 2023. The top ten providers hold 39% of national dollars. Built from the CMS Part B public use file, HCPCS codes G2082 and G2083.
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Change shown against 2023.
Medicare paid
Part B fee-for-service, esketamine administration
Sessions billed
G2082 + G2083 services
Providers billing
Across 19 states
Paid per session
Average Medicare payment
Sessions per patient
Weighted national average
Top 10 provider share
Share of national dollars
Medicare dollars by state
Top 12 states by esketamine payment in 2024.
State league table
| State | Providers | Patients | Sessions | Medicare paid | vs 2023 | Per provider | % of national |
|---|---|---|---|---|---|---|---|
| California | 21 | 429 | 2,605 | $3.0M | +42% | $142k | 21.8% |
| New Jersey | 4 | 144 | 1,746 | $1.7M | +61% | $421k | 12.3% |
| Texas | 7 | 113 | 1,778 | $1.6M | +46% | $229k | 11.7% |
| Michigan | 3 | 56 | 1,625 | $1.5M | +20% | $505k | 11.1% |
| Massachusetts | 8 | 188 | 1,364 | $1.4M | +355% | $176k | 10.3% |
| New York | 10 | 178 | 1,128 | $1.2M | +282% | $117k | 8.6% |
| Iowa | 8 | 144 | 1,003 | $797k | +179% | $100k | 5.8% |
| Florida | 2 | 64 | 541 | $475k | +48% | $237k | 3.5% |
| Kansas | 2 | 42 | 727 | $426k | +29% | $213k | 3.1% |
| Washington | 1 | 31 | 317 | $301k | +142% | $301k | 2.2% |
| Nevada | 1 | 35 | 285 | $258k | +18% | $258k | 1.9% |
| Pennsylvania | 2 | 23 | 264 | $247k | new | $123k | 1.8% |
| Georgia | 1 | 16 | 242 | $206k | +46% | $206k | 1.5% |
| Maryland | 1 | 26 | 190 | $198k | new | $198k | 1.5% |
| Wisconsin | 1 | 16 | 192 | $174k | new | $174k | 1.3% |
| Delaware | 1 | 11 | 143 | $134k | new | $134k | 1.0% |
| Minnesota | 1 | 11 | 89 | $73k | new | $73k | 0.5% |
| South Dakota | 1 | 12 | 28 | $22k | new | $22k | 0.2% |
| Connecticut | 1 | 11 | 79 | $2k | -64% | $2k | 0.0% |
Who is billing
Medicare dollars by billing provider type, 2024.
Psychiatry
52 providers
$10.2M
74% of national
Family Practice
2 providers
$1.4M
11% of national
Emergency Medicine
8 providers
$756k
6% of national
Certified Registered Nurse Anesthetist (CRNA)
5 providers
$603k
4% of national
Nurse Practitioner
7 providers
$390k
3% of national
Anesthesiology
1 provider
$215k
2% of national
Physician Assistant
1 provider
$81k
1% of national
Questions about this data
How big is the Medicare Spravato market?
Across Medicare Part B fee-for-service, providers billed roughly $13.7 million of esketamine in 2024, up from about $8.5 million in 2023 — a 61% increase driven mostly by more clinics entering the market rather than heavier dosing per patient.
Which states have the most Spravato billing?
The state league table on this page ranks every state by Medicare dollars, sessions, providers and dollars per provider, with the change against the prior year. Billing is highly concentrated: a handful of states account for most of the national spend.
How concentrated is the market?
We show the share of national Medicare dollars held by the top ten billing providers. A high top-ten share means a small number of clinics drive most of the reimbursement, which matters if you are planning territory coverage or a market entry.
What data is behind this dashboard?
The CMS Medicare Physician & Other Practitioners by Provider and Service public use file, filtered to HCPCS codes G2082 and G2083 (esketamine administration) and aggregated by rendering NPI, then rolled up by state and provider type.
What is not included?
Medicare Advantage, Medicaid and commercial payers are not in the file, and CMS suppresses any provider-code combination with fewer than 11 patients. Treat these figures as the fee-for-service floor of the market, not the whole market.
Is it free to use?
Yes — no account needed, and the state table exports to CSV. RepVector uses this plus sixty other public sources to rank markets and build target lists for behavioral health teams.
Source: CMS Medicare Physician & Other Practitioners — by Provider and Service, HCPCS G2082 and G2083, aggregated by rendering NPI. Medicare fee-for-service only: Medicare Advantage, Medicaid and commercial payers are excluded, and CMS suppresses provider-code combinations with fewer than 11 patients. Figures are a floor, not the full market.
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