ADULT DAY HEALTH, INC.
NPI: 1912567637
· MIDDLESBORO, KY 40965
· Case Management Agency
· NPI assigned 06/14/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official REDD-GARCELON, SUSAN controls 14+ related entities in our dataset. Read more
$5.57M
Total Medicaid Paid
Provider Details
| Authorized Official | REDD-GARCELON, SUSAN (VP OF QUALITY IMPROVEMENT) |
| Parent Organization | ADULT DAY HEALTH, INC. |
| NPI Enumeration Date | 06/14/2019 |
Related Entities
Other providers sharing the same authorized official: REDD-GARCELON, SUSAN
| Provider | City | State | Total 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. |
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 |
| ACE MEDICAL SERVICES INC |
WORCESTER |
MA |
$2.40M |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
6,229 |
$409K |
| 2021 |
10,639 |
$756K |
| 2022 |
12,563 |
$1.26M |
| 2023 |
12,841 |
$1.54M |
| 2024 |
13,723 |
$1.59M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5108 |
Home care training to home care client, per 15 minutes |
30,910 |
2,862 |
$3.61M |
| S5100 |
Day care services, adult; per 15 minutes |
13,061 |
987 |
$828K |
| T1016 |
Case management, each 15 minutes |
6,652 |
6,533 |
$819K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
3,994 |
2,936 |
$303K |
| S5170 |
Home delivered meals, including preparation; per meal |
1,378 |
81 |
$10K |