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    OpenPayerNPI Medicare & MedicaidA Plus Adult Medical Day Care Center Corporation
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    A Plus Adult Medical Day Care Center Corporation — Billing Profile & Reimbursement Data

    NPI 1396164828 · Rockville, MD · Adult Day Care Clinic/Center

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    A Plus Adult Medical Day Care Center Corporation is a adult day care clinic/center provider located in Rockville, Maryland. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationA Plus Adult Medical Day Care Center Corporation
    Address50 W Gude Dr
    CityRockville
    StateMD
    ZIP20850
    TaxonomyAdult Day Care Clinic/Center
    NPI EnumeratedApril 13, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$30.1M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-only billing entity: there is no Medicare billing on file and reported lifetime Medicaid revenue is $30.1M. The absence of Medicare volume indicates its operational footprint and reimbursement exposure are concentrated entirely within Medicaid programs.

    Medicaid revenue is highly concentrated in a very small set of procedure codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. In particular, S5102 represents 76.2% of Medicaid revenue and W5102 represents 23.8%, so the provider’s financial performance is driven almost exclusively by these codes.

    The dominant service line is adult day care by code description: S5102 is listed as S5102 – Day care services, adult; per diem, which produced $23M in revenue and 261K claims at an $88 avg paid/claim. W5102 (107K claims, $67 avg paid/claim, $7.2M revenue) lacks an available description in the file but accounts for the remainder of revenue, indicating the operation bills primarily per-diem day-care–style services and closely related service lines.

    This provider is a major statewide volume participant for its top codes: S5102 ranks #4 of 139 providers in-state (98th percentile) and W5102 ranks #5 of 110 providers in-state (96th percentile). Those high ranks and percentiles characterize the provider as a top-volume adult day care center within Maryland rather than a modest participant.

    Operational scale is substantial for a single-site specialty: S5102 shows 261K claims at an $88 avg paid/claim producing $23M in revenue, while W5102 shows 107K claims at a $67 avg paid/claim producing $7.2M. The combination of very large claim counts and per-diem payment levels indicates consistent, recurring daily utilization rather than occasional episodic services.

    The provider has an established enrollment history, with an NPI enumerated on 2014-04-13 (~12 years ago). This tenure is consistent with a sustained presence in the Medicaid adult day care market and likely contributes to the high statewide volume for core codes.

    Both top codes are flagged as notably above typical state volume in the underlying data: S5102 is described as notably above typical state volume and sits in the 98th percentile, while W5102 is described the same and sits in the 96th percentile. Together, these labels and percentiles indicate the provider is a statistical high-volume outlier within Maryland for the adult day care services it bills.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5102Day care services, adult; per diem260,990$90$23M
    W5102N/A106,980$70$7.2M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5102Day care services, adult; per diem414036,150$90$5.3M
    W5102N/A511021,100$60$1.8M

    Nearby Providers

    Other providers in the same ZIP code as A Plus Adult Medical Day Care Center Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mep Health, LLCMDEmergency Medicine Physician$0$105.9M
    Montgomery County Public Schools ServicesMDCounselor$0$56.8M
    Pediatrix Medical Group Of The Mid-atlantic PCMDMaternal & Fetal Medicine Physician$0$28.4M
    Adult Day Health, Inc.MDAdult Day Care Clinic/Center$0$17M
    Jarher IncorporatedMDAdult Day Care Clinic/Center$0$12M
    Cornerstone Montgomery, Inc.MDCommunity/Behavioral Health Agency$0$11.6M
    Asthma & Allergy Center LLCMDAllergy & Immunology Physician$0$11.5M
    Montgomery Hospice IncMDCommunity Based Hospice Care Agency$0$10.3M
    Adventist Healthcare, Inc.MDGeneral Acute Care Hospital$0$9.7M
    Cirrus Dx, Inc.MDClinical Medical Laboratory$7.8M$906.9K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Maryland Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    A Plus Adult Medical Day Care Center Corporation — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland