Medicaid Provider Spending

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

ADULT DAY HEALTH, INC.

NPI: 1881095461 · DORCHESTER, MA 02124 · Adult Day Care Clinic/Center · NPI assigned 09/15/2014

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

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

$11.45M
Total Medicaid Paid
259,402
Total Claims
13,340
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREDD-GARCELON, SUSAN (VP QUALITY IMPROVEMENT)
Parent OrganizationADULT DAY HEALTH INC.
NPI Enumeration Date09/15/2014

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. 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 59,069 $2.01M
2019 54,214 $1.93M
2020 26,731 $1.30M
2021 27,464 $1.35M
2022 33,217 $1.46M
2023 31,252 $1.66M
2024 27,455 $1.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Day care services, adult; per diem 100,912 6,021 $7.36M
T2003 Non-emergency transportation; encounter/trip 150,012 5,672 $3.71M
S5101 Day care services, adult; per half day 5,995 736 $250K
S5100 Day care services, adult; per 15 minutes 2,483 911 $120K