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

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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 1588011837)

Field	Value
Entity Type	Organization
Organization	Adult Day Health, Inc.
Address	583 Centre St
City	Brockton
State	MA
ZIP	02302
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	May 17, 2016

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

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
S5102	Day care services, adult; per diem	71,110	$80	$5.5M
T2003	Non-emergency transportation; encounter/trip	110,810	$30	$2.8M
S5101	Day care services, adult; per half day	8,150	$40	$334.2K
S5100	Day care services, adult; per 15 minutes	2,490	$50	$117K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Adult Day Health, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	62	340	25,780	$110	$4.1M
S5100	Day care services, adult; per 15 minutes	89	190	2,000	$230	$3.1M
T2003	Non-emergency transportation; encounter/trip	61	250	40,490	$30	$2.2M
S5101	Day care services, adult; per half day	73	270	4,060	$60	$401.4K

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
Commonwealth Of Massachusetts-dmh	MA	Community/Behavioral Health Agency	$0	$208.3M
Brockton Hospital, Inc.	MA	General Acute Care Hospital	$0	$160.8M
Beyond Independent Living LLC	MA	Foster Care Agency	$0	$29.2M
Commonwealth Of Massachusetts-dmh	MA	Case Management Agency	$0	$7.4M
Hathaway Road Dental, PC	MA	General Practice Dentistry	$0	$6.1M
Apothecare Pharmacy LLC	MA	Long Term Care Pharmacy	$14.8K	$1.2M
Shields Signature Imaging, LLC	MA	Mobile Radiology Clinic/Center	$755K	$490.3K
Charles King	MA	Podiatrist	$219.8K	$263.7K
Maulshree Gupta	MA	Family Medicine Physician	$105.4K	$134.2K
Alex Teixeira	MA	Gastroenterology Physician	$170.3K	$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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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References