ADULT DAY HEALTH, INC.
NPI: 1154968451
· WEST SPRINGFIELD, MA 01089
· Adult Day Care Clinic/Center
· NPI assigned 12/05/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official REDD-GARCELON, SUSAN controls 14+ related entities in our dataset. Read more
$9.11M
Total Medicaid Paid
Provider Details
| Authorized Official | REDD-GARCELON, SUSAN (VP QUALITY IMPROVEMENT) |
| Parent Organization | ADULT DAY HEALTH, INC. |
| NPI Enumeration Date | 12/05/2019 |
Related Entities
Other providers sharing the same authorized official: REDD-GARCELON, SUSAN
| Provider | City | State | Total Paid |
|---|
| ADULT DAY HEALTH, INC. |
ROCKVILLE |
MD |
$17.01M |
| OUR FAMILY CIRCLE |
SPRINGFIELD |
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 INC |
WORCESTER |
MA |
$2.40M |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
4,896 |
$94K |
| 2020 |
41,575 |
$1.76M |
| 2021 |
32,632 |
$1.64M |
| 2022 |
40,437 |
$1.96M |
| 2023 |
38,575 |
$2.43M |
| 2024 |
17,033 |
$1.23M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
76,291 |
5,239 |
$6.02M |
| T2003 |
Non-emergency transportation; encounter/trip |
76,671 |
3,955 |
$2.12M |
| S5101 |
Day care services, adult; per half day |
18,628 |
3,226 |
$782K |
| S5100 |
Day care services, adult; per 15 minutes |
3,558 |
357 |
$181K |