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

Why is the Medicaid comparison limited to New York 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. New York (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.

Queens Social Adult Day Care Inc (NPI 1942703574)

Field	Value
Entity Type	Organization
Organization	Queens Social Adult Day Care Inc
Address	14841 Hillside Ave
City	Jamaica
State	NY
ZIP	11435
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	March 9, 2018

Payer Source	Total Paid
Medicaid	$20.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5105	Day care services, center-based; services not included in program fee, per diem	294,710	$60	$16.8M
S9977	Meals, per diem, not otherwise specified	173,830	$20	$3.5M
T2003	Non-emergency transportation; encounter/trip	10,300	$30	$309.1K
S5102	Day care services, adult; per diem	950	$100	$95.2K
A0100	Non-emergency transportation; taxi	1,520	$30	$38K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Queens Social Adult Day Care Inc — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5105	Day care services, center-based; services not included in program fee, per diem	6	400	30,410	$70	$3.6M
S5102	Day care services, adult; per diem	323	360	11,920	$90	$2.4M
A0100	Non-emergency transportation; taxi	366	530	3,870	$30	$616.9K
T2003	Non-emergency transportation; encounter/trip	159	340	8,850	$20	$570.4K
S9977	Meals, per diem, not otherwise specified	1	140	9,830	$20	$297.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Damian Family Care Centers, Inc.	NY	Federally Qualified Health Center (FQHC)	$0	$28.1M
Ayodele Atolagbe	NY	Student in an Organized Health Care Education/Training Program	$351.2K	$339.7K
Matthew Tavroff	NY	Foot Surgery Podiatrist	$527.3K	$90
Samuel Ottong	NY	Family Medicine Physician	$83.8K	$292K
Geoffrey Epstein	NY	Podiatrist	$324.4K	$28.4K
Robert Pyo	NY	Interventional Cardiology Physician	$197.9K	$0

Queens Social Adult Day Care Inc — Billing Profile & Reimbursement Data

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Queens Social Adult Day Care 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