Medicaid Provider Spending

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

ACE MEDICAL SERVICES INC

NPI: 1528180759 · WORCESTER, MA 01608 · Case Management Registered Nurse · NPI assigned 04/06/2007

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

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

$2.40M
Total Medicaid Paid
57,089
Total Claims
7,554
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialREDD-GARCELON, SUSAN (VP QUALITY IMPROVEMENT)
Parent OrganizationADULT DAY HEALTH, INC.
NPI Enumeration Date04/06/2007

Related Entities

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

ProviderCityStateTotal 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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,329 $283K
2019 14,008 $527K
2020 12,307 $498K
2021 8,157 $342K
2022 5,101 $214K
2023 6,855 $359K
2024 2,332 $176K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 23,167 2,769 $896K
S5130 Homemaker service, nos; per 15 minutes 19,721 3,678 $853K
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 10,263 314 $543K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 2,242 317 $106K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 144 42 $864.26
Q5001 Hospice or home health care provided in patient's home/residence 1,552 434 $0.00