Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Keystone Service Systems Inc.

Psychologist Intellectual & Developmental Disabilities

Newark, Delaware

NPI: 1568525640

Risk Tier

Elevated

Total Paid

$85.6M

$85,630,919

Total Claims

163K

Beneficiaries

10K

Avg Cost/Claim

$524.90

Statistical Fraud Flags (1)

Cost Outlier

Billing over 3× the national median for specific procedure codes.

Bills $610.99 per claim for T2025 (Waiver services, NOS; per 15 min), which is 4.9× the national median of $124.39.

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