RENAISSANCE ADHC, LLC
NPI: 1831590355
· PROVIDENCE, RI 02905
· Adult Day Care Clinic/Center
· NPI assigned 09/16/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code S5102 with only 3 total codes billed. Highly concentrated billing profile.
$7.39M
Total Medicaid Paid
8,602
Beneficiary Records
Provider Details
| Authorized Official | FRANCISCO, ERNY (VICE-PRESIDENT) |
| NPI Enumeration Date | 09/16/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
23,077 |
$1.29M |
| 2019 |
23,919 |
$1.35M |
| 2020 |
4,755 |
$446K |
| 2021 |
5,387 |
$607K |
| 2022 |
7,212 |
$949K |
| 2023 |
9,340 |
$1.25M |
| 2024 |
11,435 |
$1.49M |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
82,351 |
7,518 |
$7.31M |
| S5101 |
Day care services, adult; per half day |
2,676 |
1,002 |
$79K |
| T1016 |
Case management, each 15 minutes |
98 |
82 |
$335.00 |