Medicaid Provider Spending

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

ADULT DAY HEALTH, INC.

NPI: 1326609157 · SOMERSET, KY 42503 · Case Management Agency · NPI assigned 06/24/2019

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

Authorized official MARTIN, GINA controls 11+ related entities in our dataset. Read more

$8.87M
Total Medicaid Paid
75,895
Total Claims
12,646
Beneficiaries
5
Codes Billed
2020-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTIN, GINA (LEGAL COUNSEL)
Parent OrganizationADULT DAY HEALTH, INC.
NPI Enumeration Date06/24/2019

Related Entities

Other providers sharing the same authorized official: MARTIN, GINA

ProviderCityStateTotal Paid
ADULT DAY HEALTH, INC. BRIGHTON MA $17.13M
ADULT DAY HEALTH, INC. WEST SPRINGFIELD MA $11.53M
ADULT DAY HEALTH, INC. WHITLEY CITY KY $6.85M
ADULT DAY HEALTH, INC. LIBERTY KY $6.19M
ADULT DAY HEALTH, INC. STANFORD KY $4.95M
ADULT DAY HEALTH, INC. BURKESVILLE KY $4.30M
ADULT DAY HEALTH, INC. GREENSBURG KY $3.82M
ADULT DAY HEALTH, INC. GLASGOW KY $3.44M
ADULT DAY HEALTH, INC. HOLYOKE MA $2.67M
ADULT DAY HEALTH, INC. ALLSTON MA $239K
ADULT DAY HEALTH, INC. BROCKTON MA $166K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 6,834 $446K
2021 11,494 $897K
2022 15,845 $1.71M
2023 19,520 $2.72M
2024 22,202 $3.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5108 Home care training to home care client, per 15 minutes 47,320 4,072 $6.59M
S5100 Day care services, adult; per 15 minutes 19,416 1,587 $1.41M
T1016 Case management, each 15 minutes 5,752 5,658 $707K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 1,545 1,237 $145K
S5170 Home delivered meals, including preparation; per meal 1,862 92 $22K