Special Services Hub
Manage Spravato, TMS, and IV Ketamine referrals, enrollments, supply tracking, and session monitoring.
Dashboard
Faisal Rafiq MDDEA: FR4024422NPI: 1334238NYS: 271401
0
Total Enrolled
0
Pending Referrals
0
Spravato
0
TMS
0
IV Ketamine
Services
Spravato
Esketamine nasal spray · REMS · Insurance only
0 enrolled
TMS
Transcranial Magnetic Stimulation · 36-session course
0 enrolled
IV Ketamine
Ketamine infusion · Weight-based dosing
0 enrolled
Recent Referrals
0 pending
New Referral
PatientServiceSourcePaymentStatusDate
New Referral
PatientServiceSourceInsurance / AuthPaymentStatusActions
Insurance OnlyREMS RequiredBP: Baseline / 40min / 2hr / Discharge

Patients must be enrolled with REMS ID and prior authorization before check-in. Each visit: PHQ-9, pre-dose BP, 2-hour monitored session. Connected to Spravato Log Book.

Enrolled Patients
0
PatientDOBREMS IDPrior AuthSessionsPHQ-9Status
Insurance + Prior AuthPrivate Pay: $200/sessionCap: $50 (Medicare FREE)36-session course

Standard 36-session course with weekly PHQ-9. Each session requires a cap ($50, free for Medicare). Prior auth for insurance, or $200/session private pay.

Active Courses
0
PatientPaymentPrior AuthSessionProgressPHQ-9Cap
Insurance + Prior AuthPrivate Pay: $400/sessionWeight-based dosing · Vitals monitoring

Weight-based dosing (0.5mg/kg), vitals monitoring every 15 minutes, dissociation assessment, session documentation. Insurance + prior auth or $400/session private pay.

Enrolled Patients
0
PatientPaymentAuthWeightDoseSessionsStatus

Spravato Medication Log Book — Tracks dose allocation (56mg/84mg), lot numbers, expiration dates, and patient dispensing history for REMS compliance.

Spravato Inventory
Lot #DoseQtyReceivedExpirationUsedRemainingStatus

No supply records yet

TMS Cap Inventory
Lot #TypeQtyReceivedExpirationUsedRemainingStatus

No cap records yet

Ketamine Vial Inventory
Lot #ConcentrationSizeQtyReceivedExpirationUsedRemainingStatus

No vial records yet

Integrations
Spravato Log Book
Sync medication dispensing, lot tracking, and dose records
Connected
Firebase Realtime DB
psychvisit-6e52b-default-rtdb.firebaseio.com
Active
Slack Notifications
Alerts for new referrals, elevated BP, completed treatments
Connected
Square Payments
Process co-pays, cap fees, and private pay charges
Not Connected
Pricing
Spravato
Insurance only — REMS program
Insurance Only
TMS — Sessions
Insurance + prior auth, or private pay
$200 / session (PP)
TMS — Caps
Per-cap charge. Free for Medicare.
$50 / cap (Medicare: FREE)
IV Ketamine
Insurance + prior auth, or private pay
$400 / session (PP)
Provider Credentials
Provider
Faisal Rafiq MD
DEA
FR4024422
NPI
1334238
NYS License
271401
Firebase Paths
referrals/
All service referrals + status tracking
spravato_patients/
Spravato enrolled patients + REMS IDs
tms_patients/
TMS enrolled patients + course data
ketamine_patients/
IV Ketamine patients + weight/dosing
spravato_supply/ · tms_supply/ · ketamine_supply/
Inventory tracking per service