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QUALITY MANAGEMENT ASSOCIATES - DELAWARE, INC.
QUALITY MANAGEMENT ASSOCIATES - DELAWARE, INC.
NPI: 1356612857
· PALMYRA, NJ 08065
· Child Intellectual and/or Developmental Disabilities Respite Care
· NPI assigned 01/16/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T2025 with only 2 total codes billed. Highly concentrated billing profile.
$20.84M
Total Medicaid Paid
Provider Details
| Authorized Official | CONLEY, SEAN (CFO) |
| NPI Enumeration Date | 01/16/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,956 |
$2.00M |
| 2019 |
7,322 |
$2.26M |
| 2020 |
6,996 |
$2.77M |
| 2021 |
6,575 |
$2.83M |
| 2022 |
6,024 |
$3.52M |
| 2023 |
5,455 |
$3.77M |
| 2024 |
5,236 |
$3.69M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2025 |
Waiver services; not otherwise specified (nos) |
36,405 |
1,385 |
$20.52M |
| G0175 |
Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present |
6,159 |
2,203 |
$322K |