ADULT DAY HEALTH, INC.
NPI: 1235586587
· MALDEN, MA 02148
· Adult Day Care Clinic/Center
· NPI assigned 05/17/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official REDD-GARCELON, SUSAN controls 14+ related entities in our dataset. Read more
$8.87M
Total Medicaid Paid
Provider Details
| Authorized Official | REDD-GARCELON, SUSAN (VP QUALITY IMPROVEMENT) |
| Parent Organization | ADULT DAY HEALTH, INC. |
| NPI Enumeration Date | 05/17/2016 |
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. |
WEST SPRINGFIELD |
MA |
$9.11M |
| 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 |
|---|
| 2018 |
34,623 |
$1.12M |
| 2019 |
44,829 |
$1.58M |
| 2020 |
22,887 |
$1.13M |
| 2021 |
23,041 |
$1.17M |
| 2022 |
28,138 |
$1.28M |
| 2023 |
25,581 |
$1.39M |
| 2024 |
18,329 |
$1.19M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
78,173 |
4,928 |
$5.65M |
| T2003 |
Non-emergency transportation; encounter/trip |
107,018 |
4,399 |
$2.69M |
| S5101 |
Day care services, adult; per half day |
8,804 |
1,281 |
$367K |
| S5100 |
Day care services, adult; per 15 minutes |
3,433 |
969 |
$161K |