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 Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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.

Access Adult Health Day Care Center (NPI 1164742482)

Field	Value
Entity Type	Organization
Organization	Access Adult Health Day Care Center
Address	908 Dupont Rd
City	Louisville
State	KY
ZIP	40207
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	June 9, 2010

Payer Source	Total Paid
Medicaid	$71M
Medicare	$0

Key Findings

ACCESS ADULT HEALTH DAY CARE CENTER is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $71M in total Medicaid revenue, indicating Medicaid is the primary and dominant payer for this entity's operations. This concentration of payer exposure means analysis and benchmarking should focus on Medicaid code-level activity and state-level competitive dynamics.

Revenue is extremely concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with S5108 alone representing $63.9M (90.0% of total Medicaid revenue). This concentration implies that a single service line is the principal revenue engine for the organization.

The provider's code mix signals an operational focus on caregiver training and adult day services rather than traditional clinical Medicare-style services: S5108 (home care training to home care client, per 15 minutes) and S5100 (day care services, adult; per 15 minutes) together drive the vast majority of billing, while S5170 (home delivered meals) is a small ancillary line. This profile is consistent with the listed taxonomy of Adult Day Care Clinic/Center but with an unusually large emphasis on home care training.

S5108 is both high-volume and high-paid per unit: the record shows 347.6K claims at an average paid/claim of $184, producing $63.9M in revenue. That combination of volume and per-claim reimbursement explains why S5108 accounts for 90.0% of the provider's Medicaid revenue and should be the focal point for any utilization, rate-sensitivity, or audit-risk assessments.

Competitively, ACCESS is a major in-state player on its top codes: it ranks #9 of 101 providers for S5108 (92th percentile; notably above typical state volume) and #4 of 102 providers for S5100 (97th percentile; notably above typical state volume). These rankings indicate the provider operates at scale relative to peers for both home care training and adult day care services in Kentucky.

Secondary services are minor contributors: S5170 (home delivered meals, per meal) accounts for $524.3K (0.7% of Medicaid revenue) with 35K claims at $15 avg paid/claim and ranks #12 of 56 providers in-state (80th percentile; typical, unremarkable volume). T1005 (respite care services) appears only as a trace line with 367 claims and $3.3K revenue, indicating respite is not a material revenue stream.

The provider has an established operating history, with NPI enumeration dated 2010-06-09 (~16 years ago), which supports interpreting current patterns as the result of sustained service focus rather than a short-term billing anomaly. That tenure gives context for both competitive positioning and potential operational capacity to deliver large volumes of time-based services.

From a business-risk and strategic perspective, the combination of single-payer dependence and extremely concentrated revenue in S5108 and S5100 creates both leverage and vulnerability: the organization benefits from scale in specialized adult day/home-care training services but would be sensitive to any Medicaid policy, reimbursement, or utilization changes affecting those specific codes. Analysts should prioritize monitoring state Medicaid rule changes and comparative rate movements for S5108 and S5100 when evaluating future revenue risk or opportunity.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5108	Home care training to home care client, per 15 minutes	347,550	$180	$63.9M
S5100	Day care services, adult; per 15 minutes	96,360	$70	$6.6M
S5170	Home delivered meals, including preparation; per meal	34,950	$20	$524.3K
T1005	Respite care services, up to 15 minutes	370	$10	$3.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Access Adult Health Day Care Center — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5108	Home care training to home care client, per 15 minutes	9	100	43,820	$140	$16.6M
S5100	Day care services, adult; per 15 minutes	4	100	16,270	$70	$1.9M
T1005	Respite care services, up to 15 minutes	68	80	2,880	$70	$799.2K
S5170	Home delivered meals, including preparation; per meal	12	60	5,170	$10	$342.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System Inc.	KY	General Acute Care Hospital	$0	$62.4M
Commonwealth Pain Associates, PLLC	KY	Interventional Pain Medicine Physician	$0	$42.2M
Access Adult Health Day Care Center	KY	Adult Day Care Clinic/Center	$0	$32.6M
Gould's Discount Medical LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$32.1M
Path Forward Of Kentucky Inc.	KY	Community/Behavioral Health Agency	$0	$22.1M
Tatyanas Case Management, LLC	KY	Adult Day Care Clinic/Center	$0	$14.2M
Center For Behavioral Health Kentucky LLC	KY	Methadone Clinic	$299.5K	$13.2M
Pediatric And Neonatal Specialists	KY	Pediatrics Physician	$0	$8.8M
Emergency Medical Associates, Psc	KY	Emergency Medicine Physician	$0	$8M
Hmr Acquisition, Lca	KY	Case Manager/Care Coordinator	$0	$7M

Access Adult Health Day Care Center — Billing Profile & Reimbursement Data

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Access Adult Health Day Care 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