Medicaid Provider Spending

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

ADULT DAY HEALTH, INC.

NPI: 1639544919 · WORCESTER, MA 01610 · Adult Day Care Clinic/Center · NPI assigned 12/11/2015

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

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

$10.01M
Total Medicaid Paid
205,269
Total Claims
15,455
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREDD-GARCELON, SUSAN (VP QI)
NPI Enumeration Date12/11/2015

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. 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 47,347 $1.75M
2019 41,019 $1.60M
2020 20,360 $1.07M
2021 18,647 $972K
2022 25,140 $1.21M
2023 27,070 $1.63M
2024 25,686 $1.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Day care services, adult; per diem 78,100 6,035 $6.30M
T2003 Non-emergency transportation; encounter/trip 110,456 5,667 $2.92M
S5100 Day care services, adult; per 15 minutes 10,295 2,192 $502K
S5101 Day care services, adult; per half day 6,418 1,561 $288K