Delaware
#44 in Medicaid spending (0.36% of national total)
Total Spending
$3.97B
Total Claims
61.6M
Providers
1,864
Avg Cost/Claim
$64
Data Coverage Note: Delaware has 91% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 9% of enrollees). Actual total Medicaid spending in Delaware is significantly higher than shown.
Enrollment (Latest)
244K
Managed Care
91%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$2,612
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
EASTER SEALS DELAWARE & MARYLANDS EASTERN SHORE, INC Behavior Analyst | $315.9M |
CHIMES METRO, INC. Psychologist | $174.0M |
THE NEMOURS FOUNDATION Clinic/Center | $172.1M |
MOSAIC Psychologist | $118.5M |
NATIONAL MENTOR HEALTHCARE, LLC Psychologist | $108.7M |
THE NEMOURS FOUNDATION Chronic Disease Hospital | $104.0M |
CHRISTIANA CARE HEALTH SERVICES, INC. General Acute Care Hospital | $99.2M |
COMMUNITY SYSTEMS, INC. Psychologist | $96.7M |
RESOURCES FOR HUMAN DEVELOPMENT INC. Psychologist | $86.0M |
KEYSTONE SERVICE SYSTEMS, INC. Psychologist | $85.6M |
JEVS HUMAN SERVICES Psychologist | $84.4M |
BAYHEALTH MEDICAL CENTER, INC. General Acute Care Hospital | $79.3M |
BAYADA HOME HEALTH CARE, INC. Home Health | $61.1M |
BAYADA HOME HEALTH CARE, INC. Home Health | $56.8M |
INTERIM HEALTHCARE OF DELAWARE LLC Home Health | $51.8M |
CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES, INC. Social Worker | $44.2M |
ST. FRANCIS HOSPITAL INC. General Acute Care Hospital | $43.3M |
BAYHEALTH MEDICAL CENTER, INC. Clinic/Center | $39.5M |
ALWAYS BEST CARE OF DELAWARE Home Health | $38.0M |
CONEXIO CARE, INC. Psychologist | $37.9M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| S5130 | Homaker service nos per 15m | $530.8M |
| T2025 | Waiver service, nos | $508.0M |
| T2016 | Habil res waiver per diem | $204.5M |
| S9124 | Nursing care, in the home; b | $177.2M |
| 99214 | Office o/p est mod 30 min | $118.1M |
| 99213 | Office o/p est low 20 min | $100.3M |
| S5125 | Attendant care service /15m | $99.6M |
| 99283 | Emergency dept visit low mdm | $88.2M |
| S9123 | Nursing care in home rn | $75.5M |
| T2020 | Day habil waiver per diem | $69.8M |
| T1019 | Personal care ser per 15 min | $69.2M |
| 99284 | Emergency dept visit mod mdm | $65.9M |
| H0040 | Assert comm tx pgm per diem | $53.2M |
| 90837 | Psytx w pt 60 minutes | $49.2M |
| 99285 | Emergency dept visit hi mdm | $45.0M |
| H0020 | Alcohol and/or drug services | $44.6M |
| G0467 | Fqhc visit, estab pt | $44.0M |
| H0036 | Comm psy face-face per 15min | $42.2M |
| T2040 | Financial mgt waiver/15min | $33.1M |
| D2392 | Post 2 srfc resinbased cmpst | $33.0M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Psychologist | $913.0M | 55 |
| Clinic/Center | $668.7M | 236 |
| Home Health | $455.9M | 34 |
| Behavior Analyst | $318.5M | 4 |
| Dentist | $253.5M | 194 |
| General Acute Care Hospital | $251.1M | 4 |
| Chronic Disease Hospital | $104.0M | 1 |
| Family Medicine | $89.3M | 104 |
| Internal Medicine | $83.2M | 138 |
| In Home Supportive Care | $66.3M | 15 |
| Counselor | $59.7M | 103 |
| Emergency Medicine | $56.3M | 26 |
| Social Worker | $55.8M | 73 |
| Pediatrics | $45.6M | 45 |
| Case Management | $45.6M | 11 |
| Technician | $41.3M | 3 |
| Clinical Medical Laboratory | $34.9M | 11 |
| Specialist | $31.3M | 27 |
| Anesthesiology | $28.1M | 14 |
| Local Education Agency (LEA) | $26.9M | 36 |