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.

Active Day Ky, Inc. (NPI 1558400978)

Field	Value
Entity Type	Organization
Organization	Active Day Ky, Inc.
Address	3403 Breckenridge Ln
City	Louisville
State	KY
ZIP	40220
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	February 5, 2007

Payer Source	Total Paid
Medicaid	$75.7M
Medicare	$0

Key Findings

ACTIVE DAY KY, INC. is an Adult Day Care Clinic/Center based in LOUISVILLE, KY with an NPI enumerated on 2007-02-05 (~19 years ago). The entity reports $75.7M in lifetime Medicaid revenue and has no Medicare billing on file, indicating a long-tenured, Medicaid-focused operation rather than a dual-payer mix.

This provider is effectively single-payer at scale: there is no Medicare revenue on file, while Medicaid accounts for the provider’s entire recorded lifetime billing ($75.7M). Analysts should treat Medicaid reimbursement policy and state program changes as the primary financial drivers for this organization.

Revenue concentration is extreme: the precomputed top three Medicaid codes (S5108, S5100, T1016) account for 99.3% of the provider’s total Medicaid revenue. In particular, S5108 alone generates $67.6M (89.3% of this provider's total Medicaid revenue), demonstrating that most of the business is driven by a single service line.

The service mix implied by the top codes supports an operational model combining home-focused training and center-based day services: S5108 (home care training to home care client, per 15 minutes) is the dominant revenue driver, while S5100 (day care services, adult; per 15 minutes) and T1016 (case management, each 15 minutes) provide the remaining bulk of billed services. This pattern suggests the provider operates both client-facing day programs and intensive home training/case management tied to Medicaid home- and community-based services.

ACTIVE DAY KY’s standing on its primary code is strong in-state: S5108 ranks #4 of 101 providers and sits in the 97th percentile, described as notably above typical state volume for this code. That rank positions the provider as a major, specialized supplier of the home care training service within Kentucky.

For the secondary codes, the provider performs at high but not exceptional levels: S5100 ranks #12 of 102 providers (89th percentile; typical, unremarkable volume for this code) and T1016 ranks #6 of 63 providers (92th percentile; typical, unremarkable volume for this code). These placements indicate solid participation in day care and case management lines without the same domination seen in S5108.

Several ancillary codes appear but contribute minimal revenue, highlighting a narrow revenue base: T1999 ($384K), 97530 ($78.9K), S5170 ($25.4K), 97535 ($17.2K) and others together represent a very small share relative to the top three. Notably, S5165 (home modifications) is ranked #1 of 2 providers in-state (100th percentile; typical, unremarkable volume for this code) but only accounts for $14.3K, indicating a local niche presence rather than a material revenue stream.

The extreme dependence on S5108 (89.3% of Medicaid revenue) creates concentrated exposure to changes in reimbursement rates, prior authorization policies, or program eligibility affecting that code; however, the provider’s ~19-year tenure and high in-state rank on that service suggest an established operational capacity to deliver it. Analysts should prioritize monitoring S5108 utilization trends and state policy developments when evaluating this provider’s future revenue trajectory.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5108	Home care training to home care client, per 15 minutes	519,900	$130	$67.6M
S5100	Day care services, adult; per 15 minutes	63,690	$70	$4.5M
T1016	Case management, each 15 minutes	27,240	$120	$3.1M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1,320	$290	$384K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,140	$70	$78.9K
S5170	Home delivered meals, including preparation; per meal	500	$50	$25.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	280	$60	$17.2K
S5165	Home modifications; per service	60	$220	$14.3K

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

Active Day Ky, Inc. — 2 of 8 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

8 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	4	100	43,820	$140	$16.6M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	201	310	830	$120	$3.7M
S5100	Day care services, adult; per 15 minutes	12	100	16,270	$70	$1.9M
T1016	Case management, each 15 minutes	6	60	3,410	$120	$970.5K
S5170	Home delivered meals, including preparation; per meal	49	60	5,170	$10	$342.6K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	19	40	1,370	$160	$315.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	316	540	1,500	$50	$235.7K
S5165	Home modifications; per service	1	10	50	$270	$13.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinical Associates, LLC	KY	Anatomic Pathology & Clinical Pathology Physician	$1.8M	$60.7M
D&s Residential Services, LP	KY	Developmental Disabilities Clinic/Center	$0	$17.5M
Newcare Of Louisville, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.3M
Heartfelt Solutions, PLLC	KY	Behavior Analyst	$0	$13.2M
Advanced Ent And Allergy PLLC	KY	Otolaryngology Physician	$0	$12.8M
Brighter Day Neurotherapy	KY	Developmentally Disabled Services Day Training Agency	$0	$5M
Capacity Care,inc	KY	Multi-Specialty Clinic/Center	$0	$3.6M
Andrea Burch	KY	Dermatopathology Physician	$406.2K	$0
Swati Daftary	KY	Physical Medicine & Rehabilitation Physician	$288.1K	$0
Mohammad Haider	KY	Ophthalmology Physician	$251.2K	$2.4K

Active Day Ky, Inc. — Billing Profile & Reimbursement Data

Sign up for Active Day Ky, Inc. — Billing Profile & Reimbursement Data policy alerts

Active Day Ky, Inc. — Billing Profile & Reimbursement Data

Sign up for Active Day Ky, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References