Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ROSECRANCE

NPI: 1063891646 · CHICAGO, IL 60613 · Community/Behavioral Health Agency · NPI assigned 05/28/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

91% of spending on code H0005 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official EATON, PHILIP controls 12+ related entities in our dataset. Read more

$1.42M
Total Medicaid Paid
18,103
Total Claims
3,101
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEATON, PHILIP (CEO / PRESIDENT)
NPI Enumeration Date05/28/2015

Related Entities

Other providers sharing the same authorized official: EATON, PHILIP

ProviderCityStateTotal Paid
ROSECRANCE INC ROCKFORD IL $43.44M
ROSECRANCE INC ROCKFORD IL $4.96M
ROSECRANCE INC ROCKFORD IL $3.43M
ROSECRANCE, INC. ROCKFORD IL $2.80M
ROSECRANCE, INC. CRYSTAL LAKE IL $1.85M
ROSECRANCE, INC. BELVIDERE IL $621K
ROSECRANCE, INC. MCHENRY IL $495K
ROSECRANCE, INC. NORTHBROOK IL $121K
ROSECRANCE INC ROCKFORD IL $72K
ROSECRANCE INC ROCKFORD IL $65K
ROSECRANCE, INC. ROCKFORD IL $28K
ROSECRANCE INC ROCKFORD IL $21K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 166 $9K
2019 1,459 $91K
2020 2,515 $110K
2021 3,176 $178K
2022 3,162 $253K
2023 3,551 $353K
2024 4,074 $422K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0005 Alcohol and/or drug services; group counseling by a clinician 16,559 2,254 $1.29M
H0004 Behavioral health counseling and therapy, per 15 minutes 1,494 835 $120K
80305 50 12 $419.42