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

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

Adult Day Health, Inc. (NPI 1497293351)

Field	Value
Entity Type	Organization
Organization	Adult Day Health, Inc.
Address	8 Metropolitan Ct Ste 4
City	Gaithersburg
State	MD
ZIP	20878
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	February 10, 2017

Payer Source	Total Paid
Medicaid	$30.5M
Medicare	$0

Key Findings

ADULT DAY HEALTH, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the organization reports $30.5M in lifetime Medicaid revenue, indicating its service model and reimbursement footprint are concentrated entirely in the Medicaid market. The absence of Medicare activity suggests the clinic’s population and services are targeted to Medicaid-eligible adults rather than Medicare beneficiaries.

The provider’s revenue is highly concentrated in just two Medicaid procedure codes: S5102 accounts for $22.4M (73.4% of total Medicaid revenue) and W5102 accounts for $8.1M (26.6% of total Medicaid revenue), and the precomputed top-3 codes together represent 100.0% of its Medicaid revenue. This concentration implies the organization’s operations are narrowly focused on day care services billed per diem and a closely related companion code, making its financial performance highly sensitive to reimbursement changes for those specific codes.

The code mix — dominated by S5102 (Day care services, adult; per diem) and W5102 — identifies ADULT DAY HEALTH, INC. as an adult day care clinic/center providing routine per-diem adult day care services rather than episodic clinical procedures. High per-diem volumes point to a facility-based, recurring-attendance model (regular daily care sessions) rather than occasional or diagnostic services.

On competitive standing within Maryland, the provider is a major in-state participant for its two top codes: S5102 ranks #6 of 139 providers in-state (96th percentile), indicating substantially higher-than-typical state volume for adult day care per-diem billing, and W5102 ranks #2 of 110 providers in-state (99th percentile), described as an extreme outlier and substantially above typical state volume. These rankings signal that the clinic is one of the largest Medicaid billers in Maryland for both of its principal service lines.

The raw utilization volumes underline scale: S5102 shows 254.4K claims and W5102 shows 126.6K claims, which together generate the provider’s full reported Medicaid revenue. Such large claim counts for per-diem adult day services suggest a consistently high census or widespread repeated service use by enrollees, reinforcing the center’s operational focus on sustained, routine care delivery.

The provider’s tenure is notable: its NPI was enumerated on 2017-02-10 (~9 years ago), indicating roughly a decade of documented activity under the current NPI. This multi-year presence, combined with concentrated high-volume billing for core adult day care codes, suggests an established program with sustained demand in the Maryland Medicaid market.

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 Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	254,390	$90	$22.4M
W5102	N/A	126,550	$60	$8.1M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Adult Day Health, Inc. — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	6	140	36,150	$90	$5.3M
W5102	N/A	2	110	21,100	$60	$1.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montgomery County Maryland Government	MD	Ambulance	$10.8M	$9.8M
Adventist Physician Services, Inc.	MD	Physical Medicine & Rehabilitation Physician	$0	$9.2M
Jessa Medical Supply, Inc.	MD	Durable Medical Equipment & Medical Supplies	$0	$7.7M
Geoffrey Martin	MD	Radiation Oncology Physician	$962.9K	$0
Pankaj Lal	MD	Specialist	$876.8K	$0
Anu Gupta	MD	Specialist	$658.8K	$0
Stuart Snyder	MD	Podiatrist	$529.3K	$0
Ginette Ndingue	MD	Family Nurse Practitioner	$447.7K	$0
Grady Kaiser	MD	General Practice Physician	$228.1K	$0
Danielle Johnson	MD	Family Nurse Practitioner	$190.6K	$0

Adult Day Health, Inc. — Billing Profile & Reimbursement Data

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Adult Day Health, Inc. — 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