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.

Golden Years Adult Day Care (NPI 1396110052)

Field	Value
Entity Type	Organization
Organization	Golden Years Adult Day Care
Address	770 Industrial Dr
City	Edmonton
State	KY
ZIP	42129
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	December 7, 2015

Payer Source	Total Paid
Medicaid	$53.1M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and $53.1M in lifetime Medicaid revenue, so its operational footprint is effectively single‑payer Medicaid rather than split between Medicare and Medicaid. Analysts should treat this entity as Medicaid-centric when assessing payer exposure and competitive positioning.

Revenue is extremely concentrated in a single service line: the precomputed top three Medicaid codes account for 99.8% of this provider's total Medicaid revenue, with one code alone representing the vast majority of receipts. That concentration indicates the facility’s Medicaid business is driven by a narrow set of billable services rather than a broad mix.

S5108 is the dominant revenue driver: 240.4K claims, $210 avg paid/claim, $50.5M revenue (95.1% of this provider's total Medicaid revenue) — this service alone supplies the bulk of Medicaid receipts. Despite that dominance internally, the provider’s activity on S5108 ranks #18 of 101 providers in-state (83th percentile; typical, unremarkable volume for this code), meaning its S5108 volumes are upper‑tier but not an extreme outlier among Kentucky peers.

S5100 and T1016 are secondary but much smaller contributors: S5100 generated 21.5K claims, $66 avg paid/claim, $1.4M revenue (2.7% of this provider's total Medicaid revenue) and ranks #41 of 102 providers in-state (60th percentile; typical, unremarkable volume for this code), while T1016 produced 8.8K claims, $124 avg paid/claim, $1.1M revenue (2.1% of this provider's total Medicaid revenue) and ranks #13 of 63 providers in-state (81th percentile; typical, unremarkable volume for this code). These figures show limited Medicaid revenue diversification beyond the top code.

The specific code mix (S5108: home care training to home care client per 15 minutes; S5100: day care services, adult per 15 minutes; T1016: case management each 15 minutes) indicates a hybrid operating model focused on home care training services with supporting adult day‑care and case‑management offerings. This pattern suggests the center bills intensively for hands‑on, time‑based training services rather than a broad suite of facility or therapy codes.

Ancillary services are minimal in scale: S5170 (home delivered meals, including preparation; per meal) contributed $90.9K (0.2% of Medicaid revenue) with 368 claims and ranks #50 of 56 providers in-state (11th percentile; typical, unremarkable volume for this code). Meal delivery and similar ancillary lines do not materially move the revenue needle for this provider.

From a competitive standpoint, the provider is a meaningful but not dominant player statewide for its principal code set: the S5108 rank (#18 of 101) places it above most peers but not among the very top sellers, while T1016’s #13 of 63 ranking is similarly upper‑quartile. Overall, the provider should be considered a solid regional participant in home care training services rather than an outlier market leader.

The provider’s NPI was enumerated on 2015-12-07 (~11 years ago), indicating roughly a decade of claim activity to build this Medicaid revenue base; that tenure is sufficient to establish stable billing patterns but also means much of the lifetime revenue is tied to long‑standing code usage rather than recent diversification. Given the 99.8% concentration in the top three codes, any policy, coverage, or rate changes affecting those services could materially affect reported Medicaid revenue.

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	240,440	$210	$50.5M
S5100	Day care services, adult; per 15 minutes	21,550	$70	$1.4M
T1016	Case management, each 15 minutes	8,830	$120	$1.1M
S5170	Home delivered meals, including preparation; per meal	370	$250	$90.9K

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

Golden Years Adult Day Care — 0 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	18	100	43,820	$140	$16.6M
S5100	Day care services, adult; per 15 minutes	41	100	16,270	$70	$1.9M
T1016	Case management, each 15 minutes	13	60	3,410	$120	$970.5K
S5170	Home delivered meals, including preparation; per meal	50	60	5,170	$10	$342.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shuffett's Adult Day Care, Inc.	KY	Adult Day Care Clinic/Center	$0	$13.8M

Golden Years Adult Day Care — Billing Profile & Reimbursement Data

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Golden Years Adult Day Care — 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