Medicaid Provider Spending

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

ADULT DAY HEALTH, INC.

NPI: 1851827091 · PATERSON, NJ 07513 · Adult Day Care Clinic/Center · NPI assigned 05/09/2017

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code S5102 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$12.87M
Total Medicaid Paid
159,118
Total Claims
9,423
Beneficiaries
1
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 Date05/09/2017

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. 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
ACE MEDICAL SERVICES INC WORCESTER MA $2.40M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,431 $2.39M
2019 28,487 $2.22M
2020 23,005 $1.78M
2021 21,547 $1.78M
2022 20,267 $1.67M
2023 18,801 $1.60M
2024 16,580 $1.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Day care services, adult; per diem 159,118 9,423 $12.87M