Generations Adult Day Health Center

Generations Adult Day Health Center was paid $16.42M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is S5102, adult day care, billed per day — 99% of everything it billed.

33Billing provider infoGENERATIONS ADULT DAY HEALTH CENTER
NORTH PROVIDENCE, RI 02904

33aNPI1013062520assigned 01/24/2007

33bProvider typeAdult Day Care Clinic/Center

28Total paid$16.42M

24GClaims219,439

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Adult Day Care Clinic/Center providers in Rhode Island

Rank by total paid#1 of 16

Median peer was paid$2.02M

This provider vs. median8.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code S5102 with only 3 total codes billed. Highly concentrated billing profile.

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	37,317	$2.47M
2019	35,144	$2.48M
2020	12,284	$963K
2021	24,182	$1.94M
2022	32,021	$2.61M
2023	39,603	$2.95M
2024incomplete	38,888	$2.99M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5102	Adult day care, billed per dayDay care services, adult; per diem	99%	215,712	14,750	$16.28M
S5101	Day care services, adult; per half day	<1%	3,670	1,659	$138K
T1016	Case management, each 15 minutes	<1%	57	30	$265.00

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 officialGESUALDI, ROCCO (PRESIDENT)