Agency
State of Delaware
State of Delaware was paid $2.40M by Medicaid between Jan 2018 and May 2024, across 14 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 23% of everything it billed.
33Billing provider infoSTATE OF DELAWARE
WILMINGTON, DE 19801
WILMINGTON, DE 19801
33aNPI1750425625assigned 02/16/2007
33bProvider typeLocal Education Agency (LEA)
28Total paid$2.40M
24GClaims108,752
24DCodes billed14
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Local Education Agency (LEA) providers in Delaware
Rank by total paid#2 of 36
Median peer was paid$42K
This provider vs. median57×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 18,864 | $446K | |
| 2019 | 26,908 | $631K | |
| 2020 | 16,312 | $353K | |
| 2021 | 18,909 | $389K | |
| 2022 | 17,577 | $364K | |
| 2023 | 10,019 | $210K | |
| 2024incomplete | 163 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 23% | 22,231 | 7,443 | $554K |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | 19% | 24,721 | 7,649 | $459K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 11% | 7,751 | 2,482 | $266K |
| T2002 | Non-emergency transportation; per diem | 11% | 6,452 | 1,333 | $255K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 9.2% | 11,460 | 4,675 | $220K |
| 99173 | 8.0% | 10,284 | 9,927 | $191K | |
| S5190 | Wellness assessment, performed by non-physician | 6.3% | 8,534 | 8,370 | $152K |
| V5008 | Hearing screening | 5.9% | 8,645 | 7,523 | $141K |
| T1001 | Nursing assessment / evaluation | 3.0% | 4,181 | 3,879 | $73K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 2.6% | 4,052 | 1,637 | $63K |
| H0031 | Mental health assessment, by non-physician | <1% | 248 | 237 | $16K |
| 92523 | <1% | 119 | 93 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLOWERY, LILLIAN (SUPERINTENDENT)