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.

Elmwood Adult Day Health Care Center (NPI 1437382280)

Field	Value
Entity Type	Organization
Organization	Elmwood Adult Day Health Care Center
Address	209 Elmwood Ave
City	Providence
State	RI
ZIP	02907
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	August 27, 2009

Payer Source	Total Paid
Medicaid	$13.8M
Medicare	$0

Key Findings

ELMWOOD ADULT DAY HEALTH CARE CENTER operates as an adult day care clinic/center focused on providing per diem adult day services: S5102 (Day care services, adult; per diem) accounts for $13.7M and 99.5% of this provider's total Medicaid revenue, indicating the operation is centered on full-day adult day care rather than ancillary clinical services. The remaining Medicaid activity is minimal by comparison, so the business model appears concentrated on delivering and billing standardized per diem adult day services.

Revenue concentration is extremely high and single-service driven: the top 3 Medicaid codes together account for 100.0% of the provider's Medicaid revenue, with S5102 alone representing $13.7M (99.5% of Medicaid revenue). This indicates near-total dependence on the per diem adult day service code for Medicaid income and limited diversification into other Medicaid-billable services.

This provider is effectively single-payer at scale: there is no Medicare billing on file while total Medicaid revenue is $13.8M, so Medicaid is the sole recorded revenue source and drives the provider’s scale and payer exposure. Analysts should treat ELMWOOD as a Medicaid-focused adult day services operator rather than a mixed Medicare/Medicaid provider.

Competitive standing in-state for the primary service is strong: S5102 ranks #2 of 20 providers in Rhode Island and sits in the 95th percentile for state volume, described as notably above typical state volume for this code. That rank and percentile indicate ELMWOOD is a major statewide provider of per diem adult day services and a leading competitor in this service line.

Secondary codes show modest, complementary activity: S5101 (per half day) generated $58.2K (0.4% of Medicaid revenue) and ranks #4 of 6 providers in-state (40th percentile), while T1016 (case management, each 15 minutes) produced $14.4K (0.1% of Medicaid revenue) and ranks #67 of 180 providers in-state (63th percentile). These volumes are small and unremarkable compared with S5102, signaling limited half-day or case-management business relative to full-day care.

Tenure and market presence are notable: the NPI was enumerated on 2009-08-27 (~17 years ago), indicating a long-standing presence in the Rhode Island market which aligns with its high S5102 volume and top-tier in-state ranking. This longevity supports continuity of service delivery and market-recognition for adult day services.

Statistical characterization of activity underscores an operational outlier on the primary service: S5102 is described as notably above typical state volume, reinforcing that ELMWOOD is an above-typical-volume outlier in providing per diem adult day care within Rhode Island. By contrast, its other Medicaid codes are classified as typical or unremarkable, confirming the provider’s concentrated specialization.

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	210,450	$70	$13.7M
S5101	Day care services, adult; per half day	1,820	$30	$58.2K
T1016	Case management, each 15 minutes	1,600	$10	$14.4K

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

Elmwood Adult Day Health Care Center — 0 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	2	20	24,390	$80	$4.1M
T1016	Case management, each 15 minutes	67	180	400	$20	$230.7K
S5101	Day care services, adult; per half day	4	10	2,250	$40	$96.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Independence Health Services, LLC	RI	Home Health Agency	$0	$40.4M
Haigh Ventures, Inc	RI	Home Health Agency	$0	$28.9M
Abraham Home Care Provider LLC	RI	In Home Supportive Care Agency	$0	$11.7M
Jammat Housing And Community Development Corporation	RI	Mental Illness Community Based Residential Treatment Facility	$0	$8.7M
Saint Elizabeth Assisted Living, L.P.	RI	Assisted Living Facility	$0	$5M
Raising Hope, Inc	RI	Home Health Agency	$0	$4.9M
Susan Hart	RI	Addiction Medicine (Internal Medicine) Physician	$0	$3.9M
Victa LLC	RI	Addiction Medicine (Internal Medicine) Physician	$57.6K	$3.7M
Providence Physical Therapy Associates, Inc.	RI	Physical Therapy Clinic/Center	$0	$3.4M
Aids Care Ocean State, Inc.	RI	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$3.4M

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

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Elmwood Adult Day Health 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