Managed care
Gilcrest Senior Wellness & Fitness
Gilcrest Senior Wellness & Fitness was paid $3.33M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is S5102, adult day care, billed per day — 73% of everything it billed.
33Billing provider infoGILCREST SENIOR WELLNESS & FITNESS
DOYLESTOWN, OH 44230
DOYLESTOWN, OH 44230
33aNPI1164686556assigned 07/15/2008
33bProvider typePreferred Provider Organization
28Total paid$3.33M
24GClaims59,851
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Ohio
Rank by total paid#1 of 5
Median peer was paid$204K
This provider vs. median16×
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.
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 | 12,438 | $774K | |
| 2019 | 13,811 | $851K | |
| 2020 | 4,425 | $253K | |
| 2021 | 8,589 | $414K | |
| 2022 | 6,942 | $387K | |
| 2023 | 6,853 | $44K | |
| 2024incomplete | 6,793 | $606K |
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 | 73% | 36,763 | 3,516 | $2.41M |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 21% | 14,489 | 2,572 | $694K |
| A0080 | Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest | 3.8% | 4,016 | 365 | $126K |
| S5101 | Day care services, adult; per half day | 1.2% | 1,238 | 484 | $39K |
| A0130 | Non-emergency transportation: wheelchair van | <1% | 1,115 | 257 | $27K |
| S0209 | Wheelchair van, mileage, per mile | <1% | 1,115 | 257 | $15K |
| T2001 | Non-emergency transportation; patient attendant/escort | <1% | 1,115 | 257 | $12K |
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 officialSAEGER, ANNETTE (OWNER)