The Nemours Foundation
Clinic/Center, Developmental Disabilities
Wilmington, Delaware
NPI: 1366594699
Risk Tier
Elevated
Total Paid
$172.1M
$172,062,055
Total Claims
2.9M
Beneficiaries
2.2M
Avg Cost/Claim
$60.30
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 874% from 2018 to 2019.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 16.0x in 2019-09 — a statistically significant structural change in billing behavior was detected.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024