Keystone Service Systems Inc.
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $610.99 per claim for T2025 (Waiver services, NOS; per 15 min), which is 4.9× the national median of $124.39.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Psychologist Intellectual & Developmental Disabilities Peers
Total spending distribution among 6 providers in this specialty
This provider's total spending of $85.6M is at the below 25th percentile among 6 Psychologist Intellectual & Developmental Disabilities providers.
Total Paid
$85.6M
$85,630,919
Total Claims
163K
Beneficiaries
10K
16.8 claims/patient
Avg Cost/Claim
$525
🔍 Analysis
Provider Overview
Keystone Service Systems Inc. is a Psychologist Intellectual & Developmental Disabilities provider based in Newark, DE. From the 2018–2024 period, this provider received $85.6M in Medicaid payments across 163K claims.
Why This Matters
At $85.6M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
Other Top Providers in Delaware
View all →Similar Providers
Other top providers in Psychologist Intellectual & Developmental Disabilities