Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Rhode Island (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Generations Adult Day Health Center (NPI 1013062520)

Field	Value
Entity Type	Organization
Organization	Generations Adult Day Health Center
Address	1073 Mineral Spring Ave
City	North Providence
State	RI
ZIP	02904
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$16.3M
Medicare	$0

Key Findings

GENERATION S ADULT DAY HEALTH CENTER presents as a classic Adult Day Care Clinic/Center: its Medicaid billing is overwhelmingly for adult day services, with S5102 (Day care services, adult; per diem) showing 215.7K claims, $75 avg paid/claim and $16.2M revenue (99.1% of this provider's total Medicaid revenue). The presence of S5101 (per half day) at much lower volume (3.7K claims, $38 avg, $139.5K revenue) and a trace amount of T1016 (case management) reinforces that the operation is structured around full-day adult day services rather than short-session or care coordination programs. The code mix therefore indicates a service-line focused on sustained, per-diem adult day care delivery rather than diversified outpatient procedures or episodic billing.

Revenue concentration is extreme: the precomputed top-3 codes account for 100.0% of this provider's total Medicaid revenue, and a single code, S5102, alone contributes $16.2M (99.1%). That level of concentration means the provider’s Medicaid financial performance is highly dependent on continued reimbursement and utilization of this one per-diem adult day service. From a payer or contract-risk perspective, changes to coverage, rates, or eligibility for S5102 would materially affect the provider’s revenue base.

Payer mix is effectively single-payer Medicaid: the profile shows no Medicare billing on file while Medicaid revenue totals $16.3M. Because there is no Medicare footprint to offset or diversify revenue, the organization’s whole-billing profile should be viewed through a Medicaid lens for contract negotiations, utilization management, and network planning. Analysts should not expect Medicare-level service lines or national peer comparisons for this entity.

On competitive standing for its core service, the provider is a statewide leader: S5102 ranks #1 of 20 providers in-state and is described as notably above typical state volume for this code (100th percentile). That ranking and volume position the center as a dominant local provider of per-diem adult day services, likely capturing a meaningful share of Rhode Island’s full-day adult day market. This dominance supports leverage in local network discussions but also marks the provider as a focal point for state-level policy changes affecting S5102.

For half-day services, the provider has a modest but notable presence: S5101 shows 3.7K claims and $139.5K revenue, ranking #2 of 6 providers in-state (80th percentile). This suggests a secondary offering of shorter-duration adult day care, but at a scale that is small relative to the per-diem business and unlikely to materially alter overall revenue dynamics. Payers should treat S5101 activity as complementary rather than a primary revenue driver.

Case management activity is negligible: T1016 appears 57 times for $285 total revenue and ranks #152 of 180 providers in-state (16th percentile). This indicates minimal billed case-management services relative to peers and suggests that care coordination is not a major billed service line for the center. For payers, this implies limited opportunity to shift spend toward billed case-management interventions within this provider’s current operating model.

The provider has a long-tenure NPI (enumerated 2007-01-24, approximately 19 years ago), indicating an established presence in the market. That longevity likely contributed to the high S5102 volume and top-state ranking, but combined with the extreme revenue concentration (100.0% from top three codes), it also signals operational and payer-concentration risk: a stable, established provider with exposure to any policy or rate changes affecting the dominant per-diem adult day code.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	215,710	$80	$16.2M
S5101	Day care services, adult; per half day	3,670	$40	$139.5K
T1016	Case management, each 15 minutes	60	$10	$290

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

Claims Volume vs. Rhode Island Distribution

Generations Adult Day Health Center — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	1	20	24,390	$80	$4.1M
T1016	Case management, each 15 minutes	152	180	400	$20	$230.7K
S5101	Day care services, adult; per half day	2	10	2,250	$40	$96.6K

Nearby Providers

Other providers in the same ZIP code as Generations Adult Day Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Providence Center Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$170.9M
Re-focus Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$102.5M
Hopehealth Hospice & Palliative Care	RI	Community Based Hospice Care Agency	$0	$33.3M
Mas Medical Staffing	RI	Home Health Agency	$0	$24.5M
Prospect Chartercare Sjhsri, LLC	RI	General Acute Care Hospital	$0	$10.9M
Global Homecare And Staffing Inc	RI	Home Health Agency	$0	$8.3M
Emergency Care Services Of New England PC	RI	Emergency Medicine Physician	$0	$6.9M
State Of Rhode Island	RI	Clinical Medical Laboratory	$570	$6.4M
The Providence Center	RI	Community/Behavioral Health Agency	$0	$5.9M
St. Joseph Health Services Of Ri	RI	General Acute Care Hospital	$0	$5.9M

Generations Adult Day Health Center — Billing Profile & Reimbursement Data

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Generations Adult Day Health Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References