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.

Ccacc Adult Day Healthcare Center (NPI 1730337304)

Field	Value
Entity Type	Organization
Organization	Ccacc Adult Day Healthcare Center
Address	9366 Gaither Rd
City	Gaithersburg
State	MD
ZIP	20877
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	September 8, 2008

Payer Source	Total Paid
Medicaid	$38.4M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file and all recorded federal billing is Medicaid-based, with total Medicaid revenue of $38.4M. The absence of Medicare activity makes the organization highly dependent on Medicaid policy, reimbursement schedules, and enrollment dynamics for its revenue sustainability.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with S5102 accounting for 72.2% and W5102 accounting for 27.8%. Such concentration means a very small set of service lines drives the entire reported Medicaid footprint for this entity.

The provider’s taxonomy as an Adult Day Care Clinic/Center aligns with the dominant code S5102 (S5102 – Day care services, adult; per diem), indicating the operation is primarily a per-diem adult day care service. W5102 is a large contributor as well but is listed without a description; its material share of revenue suggests it is functionally tied to the same adult day services delivery model or related support services.

Claim-level volume underlines the operational scale: S5102 shows 318.5K claims at $87 avg paid/claim yielding $27.7M, while W5102 shows 166.6K claims at $64 avg paid/claim yielding $10.7M. Those claim counts and average paid amounts indicate sustained, high-frequency per-diem billing consistent with large daily attendance or a multi-site/day-slot model rather than one-off episodic services.

State-level competitive standing is dominant for these codes: S5102 ranks #2 of 139 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code) and W5102 ranks #1 of 110 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). These rankings show the provider is a major, high-volume operator in Maryland for adult day care–related billing.

The organization is long-tenured in the Medicare/Medicaid ecosystem, with its NPI enumerated on 2008-09-08 (~18 years ago), which supports the interpretation of an established operational presence and sustained Medicaid engagement over time.

Concentration and payer mix imply material operational and policy sensitivity: because $38.4M in revenue is concentrated in two Medicaid codes, rate changes, prior authorization shifts, or program redesigns affecting S5102 or W5102 would likely have an outsized impact on cash flow and utilization. Analysts should prioritize monitoring state Medicaid rulemaking and reimbursement updates for adult day services.

Compared with in-state peers, this provider’s volumes are extreme outliers for the top codes, suggesting both potential scale advantages (e.g., standardized processes, purchasing power) and increased exposure to state-level audit or policy focus tied to high-volume per-diem billing patterns. For competitive analysis, the provider should be treated as a primary market participant for adult day services in Maryland rather than a marginal competitor.

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	318,520	$90	$27.7M
W5102	N/A	166,620	$60	$10.7M

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

Ccacc Adult Day Healthcare Center — 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	2	140	36,150	$90	$5.3M
W5102	N/A	1	110	21,100	$60	$1.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genedx LLC	MD	Clinical Medical Laboratory	$4.7M	$215.3M
Advanced Behavioral Health, Inc	MD	Child & Adolescent Psychiatry Physician	$0	$28.7M
Family Services, Inc	MD	Rehabilitation Clinic/Center	$0	$23.5M
Evergreen Adult Medical Day Care	MD	Adult Day Care Clinic/Center	$0	$21.3M
Montgomery Adult Day Care, Inc.	MD	Adult Day Care Clinic/Center	$0	$21M
Family Services, Inc	MD	Child & Adolescent Psychiatry Physician	$0	$16.7M
Loving Care, LLC	MD	Adult Day Care Clinic/Center	$0	$15.5M
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$11.7M
Advanced Behavioral Health, Inc.	MD	Mental Health Counselor	$0	$4.7M
Community Support Services, Inc.	MD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.3M

Ccacc Adult Day Healthcare Center — Billing Profile & Reimbursement Data

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Ccacc Adult Day Healthcare 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