Adult Day Health, INC.
Adult Day Health, INC. was paid $5.57M by Medicaid between Apr 2020 and Dec 2024, across 5 billing codes. Its largest line is S5108, Home care training to home care client, per 15 minutes — 65% of everything it billed.
MIDDLESBORO, KY 40965
Next to other Case Management Agency providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 6,229 | $409K | |
| 2021 | 10,639 | $756K | |
| 2022 | 12,563 | $1.26M | |
| 2023 | 12,841 | $1.54M | |
| 2024incomplete | 13,723 | $1.59M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5108 | Home care training to home care client, per 15 minutes | 65% | 30,910 | 2,862 | $3.61M |
| S5100 | Day care services, adult; per 15 minutes | 15% | 13,061 | 987 | $828K |
| T1016 | Case management, each 15 minutes | 15% | 6,652 | 6,533 | $819K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 5.4% | 3,994 | 2,936 | $303K |
| S5170 | Home delivered meals, including preparation; per meal | <1% | 1,378 | 81 | $10K |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.