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QUALITY MANAGEMENT ASSOCIATES - DELAWARE, INC.

Psychologist, Intellectual & Developmental Disabilities·PALMYRA, NJ·NPI: 1356612857Share
Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 98% of $20.8M billed through just 2 codes

Total Paid

$20.8M

$20,844,996

Total Claims

43K

Beneficiaries

3,588

11.9 claims/patient

Avg Cost/Claim

$490

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+13%
2019
$2.3M
+22%
2020
$2.8M
+2%
2021
$2.8M
+24%
2022
$3.5M
+7%
2023
$3.8M
-2%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T2025 (Waiver services, NOS; per 15 min)) accounts for 98% of total spending.

T2025Top 25%

Waiver services, NOS; per 15 min

$20.5M

36K claims · 98.5%

Your Cost: $563.73/claim|Median: $124.39
4.5× median
G0175Normal range

$322K

6,159 claims · 1.5%

Your Cost: $52.34/claim|Median: $51.98
1.0× median