Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

4TH Generation Adult Day Center LLC

4TH Generation Adult Day Center LLC was paid $2.39M by Medicaid between Nov 2022 and Dec 2024, across 2 billing codes. Its largest line is S5150, respite care, billed per 15 minutes — 63% of everything it billed.

33Billing provider info4TH GENERATION ADULT DAY CENTER LLC
SAINT LOUIS, MO 63147
33aNPI1851010938assigned 08/23/2022
28Total paid$2.39M
24GClaims18,544
24DCodes billed2
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers

Next to other Adult Day Care Clinic/Center providers in Missouri

Rank by total paid#27 of 104
Median peer was paid$951K
This provider vs. median2.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20221,039$122K
20236,304$1.31M
2024incomplete11,201$960K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5150 Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes 63% 7,443 422 $1.51M
S5100 Day care services, adult; per 15 minutes 37% 11,101 645 $884K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialTAYLOR, NACOLE (EXECUTIVE DIRECTOR)
Same official

Other billing entities under TAYLOR, NACOLE

Full network →
ProviderLocationPaid
4TH Generation Home Care Services LLCSaint Louis, MO$1.86M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.