Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

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
42,564
Total Claims
3,588
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCONLEY, SEAN (CFO)
NPI Enumeration Date01/16/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal 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