Delaware Medicaid Spending
Delaware's Medicaid program paid $661.9M across 3 providers from 2018–2024. 10 providers in Delaware are flagged on our risk watchlist. The top procedure code is S5130 (Homemaker service, NOS; per 15 min) at $174.0M.
Total Spending
$661.9M
Total Claims
4.8M
Top Providers
3
Beneficiaries
2.7M
Flagged Providers
10
on risk watchlist
Avg Per Provider
$220.6M
across 3 providers
Yearly Spending Trend
Top Providers in Delaware
Easter Seals Delaware & Marylands Eastern Shore INC
Psychologist Intellectual & Developmental Disabil · New Castle
$315.9M
1.2M claims
Chimes Metro Inc.
Psychologist Intellectual & Developmental Disabil · Newark
$174.0M
823K claims
The Nemours Foundation
Clinic/Center, Developmental Disabilities · Wilmington
$172.1M
2.9M claims
Flagged Providers in Delaware
Easter Seals Delaware & Marylands Eastern Shore INC
$315.9M
3 flags
The Nemours Foundation
$172.1M
1 flag
Mosaic
$113.9M
1 flag
Chimes Metro Inc.
$113.1M
1 flag
Community Systems Inc.
$96.7M
1 flag
Jevs Human Services
$84.4M
1 flag
Keystone Service Systems Inc.
$77.8M
1 flag
National Mentor Healthcare LLC
$58.1M
1 flag
Banyan Delaware LLC
$30.8M
1 flag
Above Expectations LLC
$13.0M
1 flag
Spending by Top Procedures
Top Procedures in Delaware
| Code | Total Paid |
|---|---|
| S5130 Homemaker service, NOS; per 15 min | $174.0M |
| T2025 Waiver services, NOS; per 15 min | $113.1M |
| T1019 Personal care services, per 15 min | $69.2M |
| T2020 Day habilitation, waiver; per diem | $36.9M |
| T2016 Habilitation, residential, waiver; per diem | $27.5M |
| T2040 Financial management, self-directed; per month | $24.6M |
| 99213 Office/outpatient visit, est. patient, low-mod complexity | $13.6M |
| 99472 Subsequent pediatric critical care, per day, age 2-5 | $11.6M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $9.6M |
| 99283 Emergency dept visit, moderate complexity | $9.4M |
| T2019 Habilitation, prevocational, waiver; per 15 min | $8.0M |
| T2014 Habilitation, prevocational, waiver, per hour | $7.7M |
| 99284 Emergency dept visit, high complexity | $7.3M |
| 99233 Subsequent hospital care, per day, high complexity | $6.4M |
| 99392 Preventive medicine, established patient, age 1-4 | $6.1M |