Medicare provider payments and utilization data for Delaware (DE)
Delaware received $3.8B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Internal Medicine, accounting for $33.1M in payments across 350 providers.
In 2023, 4.6K providers were actively billing Medicare in Delaware.
Annual Medicare spending grew 31% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $331.5M | 7.3M | 3.4K | — |
| 2015 | $359.4M | 7.8M | 3.6K | +8.4% |
| 2016 | $364.8M | 8.1M | 3.7K | +1.5% |
| 2017 | $366.4M | 8.8M | 3.8K | +0.4% |
| 2018 | $380.0M | 9.6M | 4.0K | +3.7% |
| 2019 | $400.1M | 10.1M | 4.1K | +5.3% |
| 2020 | $361.7M | 9.3M | 4.1K | -9.6% |
| 2021 | $427.3M | 11.0M | 4.3K | +18.1% |
| 2022 | $419.6M | 11.6M | 4.4K | -1.8% |
| 2023 | $434.2M | 11.8M | 4.6K | +3.5% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $46.5M | 555.4K | 1.8K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $24.5M | 417.0K | 1.8K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $11.9M | 35.5K | 57 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $10.3M | 169.1K | 728 |
| J9271 | Injection, pembrolizumab, 1 mg | $9.9M | 230.0K | 10 |
| 97530 | Therapy procedure using functional activities | $9.0M | 355.7K | 462 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $8.8M | 14.9K | 54 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $8.5M | 484.4K | 503 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $8.4M | 71.1K | 485 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $7.7M | 82.6K | 498 |
| J0897 | Injection, denosumab, 1 mg | $7.6M | 415.1K | 57 |
| 99285 | Emergency department visit with high level of medical decision making | $7.4M | 52.6K | 224 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $6.3M | 51.0K | 569 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $6.2M | 54.9K | 953 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $5.5M | 260.7K | 445 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $5.3M | 39.1K | 503 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $5.2M | 71.6K | 120 |
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | $4.1M | 1.1M | 11 |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | $3.9M | 117.0K | 9 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | $3.5M | 48.5K | 668 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Internal Medicine | $33.1M | 350 | $94.5K |
| Physical Therapist in Private Practice | $28.1M | 462 | $60.9K |
| Cardiology | $28.1M | 72 | $390.0K |
| Family Practice | $28.1M | 282 | $99.6K |
| Ambulatory Surgical Center | $25.5M | 21 | $1.2M |
| Nurse Practitioner | $24.2M | 670 | $36.1K |
| Ophthalmology | $19.1M | 40 | $478.1K |
| Hematology-Oncology | $17.2M | 24 | $717.6K |
| Diagnostic Radiology | $16.5M | 100 | $164.9K |
| Rheumatology | $15.2M | 13 | $1.2M |
| Ambulance Service Provider | $14.8M | 60 | $247.2K |
| Physician Assistant | $14.8M | 416 | $35.6K |
| Orthopedic Surgery | $13.8M | 62 | $221.8K |
| Dermatology | $11.6M | 21 | $554.6K |
| Emergency Medicine | $10.1M | 161 | $62.8K |
| Nephrology | $8.5M | 38 | $223.6K |
| Urology | $7.8M | 27 | $287.5K |
| Physical Medicine and Rehabilitation | $7.0M | 35 | $200.8K |
| Podiatry | $7.0M | 59 | $118.6K |
| Mass Immunizer Roster Biller | $6.9M | 82 | $84.0K |
| Optometry | $6.1M | 112 | $54.8K |
| Centralized Flu | $4.5M | 46 | $96.9K |
| Gastroenterology | $4.3M | 38 | $114.1K |
| Clinical Laboratory | $4.2M | 6 | $702.5K |
| Neurology | $4.2M | 58 | $71.7K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.