Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OUR FAMILY CIRCLE

NPI: 1225321847 · SPRINGFIELD, MA 01104 · Case Manager/Care Coordinator · NPI assigned 05/17/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official REDD-GARCELON, SUSAN controls 14+ related entities in our dataset. Read more

$15.20M
Total Medicaid Paid
353,499
Total Claims
21,258
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREDD-GARCELON, SUSAN (VICE PRESIDENT/QUALITY IMPROVEMENT)
Parent OrganizationADULT DAY HEALTH INC
NPI Enumeration Date05/17/2011

Related Entities

Other providers sharing the same authorized official: REDD-GARCELON, SUSAN

ProviderCityStateTotal Paid
ADULT DAY HEALTH, INC. ROCKVILLE MD $17.01M
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. WEST SPRINGFIELD MA $9.11M
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

YearClaimsTotal Paid
2018 81,968 $2.75M
2019 89,815 $2.69M
2020 45,536 $2.02M
2021 32,519 $1.58M
2022 36,601 $1.84M
2023 37,718 $2.24M
2024 29,342 $2.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Day care services, adult; per diem 122,784 7,850 $8.85M
T2003 Non-emergency transportation; encounter/trip 183,088 7,771 $3.97M
S5100 Day care services, adult; per 15 minutes 31,816 2,699 $1.71M
S5101 Day care services, adult; per half day 15,811 2,938 $667K