Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Adult Day Health, INC.

Adult Day Health, INC. was paid $9.11M by Medicaid between Dec 2019 and Dec 2024, across 4 billing codes. Its largest line is S5102, adult day care, billed per day — 66% of everything it billed.

33Billing provider infoADULT DAY HEALTH, INC.
WEST SPRINGFIELD, MA 01089
33aNPI1154968451assigned 12/05/2019
28Total paid$9.11M
24GClaims175,148
24DCodes billed4
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Adult Day Care Clinic/Center providers in Massachusetts

Rank by total paid#48 of 149
Median peer was paid$4.26M
This provider vs. median2.1×

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.

Entity ProliferationAuthorized official REDD-GARCELON, SUSAN controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20194,896$94K
202041,575$1.76M
202132,632$1.64M
202240,437$1.96M
202338,575$2.43M
2024incomplete17,033$1.23M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5102 Adult day care, billed per dayDay care services, adult; per diem 66% 76,291 5,239 $6.02M
T2003 Non-emergency transportation, per tripNon-emergency transportation; encounter/trip 23% 76,671 3,955 $2.12M
S5101 Day care services, adult; per half day 8.6% 18,628 3,226 $782K
S5100 Day care services, adult; per 15 minutes 2.0% 3,558 357 $181K

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 officialREDD-GARCELON, SUSAN (VP QUALITY IMPROVEMENT)
Parent organizationADULT DAY HEALTH, INC.
Same official

Other billing entities under REDD-GARCELON, SUSAN

Full network →
ProviderLocationPaid
Adult Day Health, INC.Rockville, MD$17.01M
Our Family CircleSpringfield, MA$15.20M
Adult Day Health, INC.Marlborough, MA$12.91M
Adult Day Health, INC.Paterson, NJ$12.87M
Adult Day Health, INC.Lawrence, MA$12.78M
Adult Day Health, INC.Columbia, MD$12.53M
Adult Day Health, INC.Columbia, MD$12.31M
Adult Day Health, INC.Dorchester, MA$11.45M
Adult Day Health, INC.Worcester, MA$10.01M
Adult Day Health, INC.Malden, MA$8.87M
Adult Day Health, INC.Foxborough, MA$8.79M
Adult Day Health, INC.Brockton, MA$6.35M
Adult Day Health, INC.Middlesboro, KY$5.57M
Ace Medical Services INCWorcester, MA$2.40M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.