Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Changes Rehabilitation LLC.

Changes Rehabilitation LLC. was paid $9.38M by Medicaid between Feb 2021 and Dec 2024, across 3 billing codes. Its largest line is H0011, Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) — 94% of everything it billed.

33Billing provider infoCHANGES REHABILITATION LLC.
FULTON, KY 42041
33aNPI1568945749assigned 09/13/2018
28Total paid$9.38M
24GClaims38,334
24DCodes billed3
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Kentucky

Rank by total paid#8 of 28
Median peer was paid$2.73M
This provider vs. median3.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration94% of spending on code H0011 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20219,318$1.45M
202210,114$2.68M
20239,738$2.71M
2024incomplete9,164$2.54M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) 94% 34,649 2,580 $8.83M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 3.9% 2,813 243 $366K
H2034 Alcohol and/or drug abuse halfway house services, per diem 2.0% 872 105 $186K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialJANKOWSKI, SHIRLEY (PROGRAM DIRECTOR)