Spravato Medicare Outliers
Medicare pays roughly $900 to $1,300 for every Spravato (esketamine) session. The FDA label allows about 34 sessions per patient in a year when dosing is tapered, and 56 is the absolute ceiling for never tapering anyone. This report ranks every Medicare provider billing the two esketamine codes by sessions per patient — so the outliers are visible at a glance.
Built from the CMS Medicare Physician & Other Practitioners dataset (codes G2082 and G2083), aggregated by rendering NPI. Free to browse and export, no account required.
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The 2024 report — Medicare Part B fee-for-service
G2082 + G2083, by rendering NPI, ranked worst-first
Looking at the market rather than single providers? See national and state Spravato Medicare spend, or how compliance risk scores changed year on year.
Providers billing Spravato
76
Total sessions
14,346
Est. Medicare paid
$13.7M
Avg sessions per patient
9.3
label tapered ≈34 · weekly ceiling 56
$ above the weekly ceiling
0.0%
Sessions per patient — distribution across providers
Reference lines at 34 (label tapered), 56 (weekly ceiling) and 70 (twice-weekly maintenance).
| NPI | Name | City | Provider type | Flags | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992975841 | James Rush | Amarillo | TX | Psychiatry | 20 | 652 | 24 · Low | 32.6–32.6 | 100% | $583k | |
| 1780644880 | Lynne Lyons | West Bloomfield | MI | Psychiatry | 30 | 914 | 23 · Low | 30.5–30.5 | 100% | $852k | |
| 1114080231 | David Boguslavsky | Bridgewater | NJ | Family Practice | 39 | 1,214 | 23 · Low | 20.6–31.1 | 94% | $1.2M | Non-psych type |
| 1922195999 | Kalappurackal Joseph | Troy | MI | Psychiatry | 11 | 319 | 22 · Low | 29.0–29.0 | 100% | $298k | |
| 1700233152 | Andrew Leblanc | Ann Arbor | MI | Psychiatry | 15 | 392 | 20 · Low | 26.1–26.1 | 100% | $365k | |
| 1407856651 | Melissa Rademacher | West Des Moines | IA | Certified Registered Nurse Anesthetist (CRNA) | 28 | 538 | 18 · Low | 13.8–19.2 | 87% | $436k | Non-psych type |
| 1487754974 | Mohamad Bahnassi | Worcester | MA | Psychiatry | 12 | 255 | 16 · Low | 21.3–21.3 | 100% | $221k | |
| 1053475939 | Horacio Capote | Amherst | NY | Psychiatry | 17 | 347 | 15 · Low | 20.4–20.4 | 100% | $314k | |
| 1871974584 | Brian Boyle | Brookline | MA | Psychiatry | 14 | 269 | 14 · Low | 19.2–19.2 | 100% | $302k | |
| 1194787200 | Satish Narayan | Plano | TX | Psychiatry | 11 | 210 | 14 · Low | 19.1–19.1 | 100% | $195k | |
| 1487616272 | Marty Bennett | Addison | TX | Psychiatry | 24 | 454 | 14 · Low | 18.9–18.9 | 100% | $406k | |
| 1720284250 | Trever Krehbiel | Wichita | KS | Psychiatry | 26 | 490 | 14 · Low | 18.8–18.8 | 100% | $420k | |
| 1891043832 | Francisco Dofeliz | Reno | NV | Family Practice | 20 | 285 | 14 · Low | 8.1–14.3 | 89% | $258k | Non-psych type |
| 1588808901 | Remigiusz Drozd | Santa Barbara | CA | Emergency Medicine | 18 | 143 | 14 · Low | 7.9–7.9 | 100% | $159k | Non-psych type |
| 1346251550 | Paul Corey | San Diego | CA | Anesthesiology | 27 | 195 | 13 · Low | 7.2–7.2 | 100% | $215k | Non-psych type |
| 1497169171 | Leyda Hu | Mount Vernon | NY | Emergency Medicine | 26 | 188 | 13 · Low | 7.2–7.2 | 100% | $212k | Non-psych type |
| 1629178116 | Linda Varela | Newark | NJ | Emergency Medicine | 17 | 97 | 12 · Low | 5.7–5.7 | 100% | $107k | Non-psych type |
| 1336147339 | Mark Hilliard | West Des Moines | IA | Certified Registered Nurse Anesthetist (CRNA) | 21 | 113 | 12 · Low | 5.4–5.4 | 100% | $95k | Non-psych type |
| 1962727966 | Benjamin Yudkoff | Newton | MA | Psychiatry | 15 | 228 | 11 · Low | 15.2–15.2 | 100% | $258k | |
| 1205028149 | Jonathan Beatty | Philadelphia | PA | Psychiatry | 11 | 166 | 11 · Low | 15.1–15.1 | 100% | $166k | |
| 1881771004 | Michael Banov | Marietta | GA | Psychiatry | 16 | 242 | 11 · Low | 15.1–15.1 | 100% | $206k | |
| 1730541426 | Tyler Kjorvestad | Kansas City | KS | Psychiatry | 16 | 237 | 11 · Low | 14.8–14.8 | 100% | $6k | |
| 1871578906 | Jaimee O'connor | Staten Island | NY | Emergency Medicine | 13 | 53 | 11 · Low | 4.1–4.1 | 100% | $60k | Non-psych type |
| 1982994034 | Yoojin Na | White Plains | NY | Emergency Medicine | 12 | 41 | 11 · Low | 3.4–3.4 | 100% | $49k | Non-psych type |
| 1972577005 | Sandeep Gupta | Wilmington | DE | Psychiatry | 11 | 143 | 10 · Low | 13.0–13.0 | 100% | $134k | |
| 1538322946 | Rhonda Forest | Bronx | NY | Emergency Medicine | 12 | 39 | 10 · Low | 3.3–3.3 | 100% | $43k | Non-psych type |
| 1124026042 | Mindy Gingery | Ankeny | IA | Certified Registered Nurse Anesthetist (CRNA) | 17 | 47 | 10 · Low | 2.8–2.8 | 100% | $39k | Non-psych type |
| 1487724662 | Cheryl Malina | New Rochelle | NY | Emergency Medicine | 27 | 76 | 10 · Low | 2.8–2.8 | 100% | $90k | Non-psych type |
| 1619232113 | Nathan Johnston | San Antonio | TX | Psychiatry | 22 | 278 | 9 · Low | 12.6–12.6 | 100% | $248k | |
| 1942388657 | Stephen Ramondino | Monterey | CA | Psychiatry | 15 | 187 | 9 · Low | 12.5–12.5 | 100% | $204k | |
| 1245393651 | Thomas Andrews | Redding | CA | Psychiatry | 16 | 358 | 9 · Low | 12.3–22.4 | 93% | $328k | |
| 1437463619 | Brendon Nacewicz | Madison | WI | Psychiatry | 16 | 192 | 9 · Low | 12.0–12.0 | 100% | $174k | |
| 1710129002 | Haviva Malina | Bronx | NY | Emergency Medicine | 17 | 32 | 9 · Low | 1.9–1.9 | 100% | $35k | Non-psych type |
| 1073836607 | Melissa Snyder | Des Moines | IA | Certified Registered Nurse Anesthetist (CRNA) | 15 | 23 | 9 · Low | 1.5–1.5 | 100% | $19k | Non-psych type |
| 1750770327 | Trent Sassman | Iowa City | IA | Certified Registered Nurse Anesthetist (CRNA) | 11 | 17 | 9 · Low | 1.5–1.5 | 100% | $15k | Non-psych type |
| 1073771598 | Kaila Compton | San Francisco | CA | Psychiatry | 32 | 348 | 8 · Low | 10.9–10.9 | 100% | $459k | |
| 1194834424 | Arjun Reyes | Moorpark | CA | Psychiatry | 11 | 114 | 8 · Low | 10.4–10.4 | 100% | $126k | |
| 1932284460 | Kris Peterson | Lakewood | WA | Psychiatry | 19 | 317 | 8 · Low | 10.2–16.7 | 94% | $301k | |
| 1932276425 | William Upshaw | Tampa | FL | Psychiatry | 14 | 142 | 8 · Low | 10.1–10.1 | 100% | $125k | |
| 1932393204 | Michelle Root | Iowa City | IA | Nurse Practitioner | 13 | 129 | 7 · Low | 9.9–9.9 | 100% | $95k | |
| 1710924469 | Jeffrey Doshier | Pittsfield | MA | Psychiatry | 11 | 104 | 7 · Low | 9.5–9.5 | 100% | $104k | |
| 1851317101 | Robert Freele | Dallas | TX | Psychiatry | 11 | 102 | 7 · Low | 9.3–9.3 | 100% | $99k | |
| 1831535053 | Aaron Siani | Los Angeles | CA | Psychiatry | 25 | 224 | 7 · Low | 9.0–9.0 | 100% | $248k | |
| 1174074074 | Anna Hereth | Oakmont | PA | Physician Assistant | 12 | 98 | 6 · Low | 8.2–8.2 | 100% | $81k | |
| 1699971200 | David Wolff | Eatontown | NJ | Psychiatry | 22 | 311 | 6 · Low | 8.2–14.1 | 90% | $265k | |
| 1184493355 | Kelsey Johnson | Vadnais Heights | MN | Nurse Practitioner | 11 | 89 | 6 · Low | 8.1–8.1 | 100% | $73k | |
| 1932312840 | Ivan Cichowicz | Boca Raton | FL | Psychiatry | 28 | 399 | 6 · Low | 8.0–14.3 | 77% | $349k | |
| 1013082452 | Rena Ferguson | Port Jefferson | NY | Psychiatry | 15 | 214 | 6 · Low | 7.9–14.3 | 72% | $217k | |
| 1588144588 | Amir Etesam | North Bethesda | MD | Psychiatry | 13 | 190 | 5 · Low | 7.3–14.6 | 76% | $198k | |
| 1740717560 | Sina Nikayin | Westport | CT | Psychiatry | 11 | 79 | 5 · Low | 7.2–7.2 | 100% | $2k |
Source: CMS Medicare Physician & Other Practitioners by Provider and Service. Medicare fee-for-service only — excludes Medicare Advantage and Part D. NPIs with fewer than 11 beneficiaries per code are suppressed by CMS. Sessions per patient is a calendar-year ratio; partial-year patients lower it. The ratio is shown as a range because CMS counts beneficiaries per code, so a patient on both 56mg and 84mg is counted twice in the upper bound. Thresholds derived from the FDA label: induction 2×/wk × 4 wks, weeks 5–8 1×/wk, week 9+ every 1–2 weeks. A clean number here is not proof of a clean practice — it is a screening signal, not an audit finding.
What the flags mean
Every flag is computed from the public CMS file — nothing is inferred from a second source. See real examples of every flag.
- 2x/wk maintenance
- More than 70 sessions per patient — only possible if most of the panel stays on twice-weekly dosing all year.
- Above weekly ceiling
- More than 56 sessions per patient — above the ceiling for never tapering anyone.
- Possibly above ceiling
- May exceed 56 depending on how patients on both doses are counted.
- Not tapered
- Above the label-adherent ~34, below the weekly ceiling of 56.
- Same-day duplicates
- Billed more than once for the same patient on the same day.
- Non-psych type
- Billing provider type is not a psychiatrist, psych NP, PA or similar.
- Org NPI
- Billed under a group NPI, so the ratio may blend several prescribers.
Frequently asked questions
What is Spravato and how much does Medicare pay for it?
Spravato (esketamine nasal spray) is an FDA-approved treatment for treatment-resistant depression. Under Medicare Part B, clinics buy the drug and bill per session — roughly $900 to $1,300 of Medicare payment per session depending on the dose.
What does sessions per patient mean?
Total Spravato sessions a provider billed in a calendar year, divided by the number of Medicare patients they treated. A provider following the FDA label — twice weekly for a month, weekly for a month, then every one to two weeks — lands near 34 sessions per patient. A provider that never tapers anyone caps out around 56.
Why are some providers flagged?
Anything above 56 sessions per patient is impossible under the label without keeping patients on twice-weekly dosing all year, which is the profile federal auditors look for. We also flag providers whose billing type is not a psychiatric specialty, providers billing more sessions than patient-days (same-day duplicates), and group NPIs where the ratio blends several prescribers.
Does this cover all Spravato billing in the US?
No. It covers Medicare fee-for-service only — Medicare Advantage (more than half of beneficiaries) and pharmacy-benefit dispensing are not in the file. CMS also suppresses any provider-code combination with fewer than 11 patients.
Where does the data come from?
CMS publishes the Medicare Physician & Other Practitioners by Provider and Service dataset. We read the rows for the two Spravato codes, G2082 (up to 56mg) and G2083 (over 56mg), and aggregate them by rendering NPI — the same public file anyone can download.
Is this free?
Yes. The report is free and requires no account. RepVector builds on the same public data — plus sixty other sources — to rank markets and build target lists for behavioral health teams.
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