Medicaid Provider Spending

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

ROSECRANCE INC

NPI: 1699106468 · ROCKFORD, IL 61101 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 12/04/2013

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

95% of spending on code H0005 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official EATON, PHIL controls 11+ related entities in our dataset. Read more

$3.54M
Total Medicaid Paid
59,706
Total Claims
6,999
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialEATON, PHIL (CEO/PRESIDENT)
NPI Enumeration Date12/04/2013

Related Entities

Other providers sharing the same authorized official: EATON, PHIL

ProviderCityStateTotal Paid
ROSECRANCE INC CHAMPAIGN IL $13.06M
ROSECRANCE INC MCHENRY IL $5.63M
ROSECRANCE INC CRYSTAL LAKE IL $5.08M
ROSECRANCE INC CHAMPAIGN IL $1.70M
ROSECRANCE INC CRYSTAL LAKE IL $1.44M
ROSECRANCE INC CHAMPAIGN IL $1.26M
ROSECRANCE INC CHAMPAIGN IL $737K
ROSECRANCE, INC. FRANKFORT IL $490K
ROSECRANCE INC LA GRANGE IL $164K
ROSECRANCE INC ROCKFORD IL $11K
ROSECRANCE INC CHAMPAIGN IL $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,620 $211K
2019 11,524 $517K
2020 11,083 $419K
2021 11,539 $682K
2022 9,634 $715K
2023 7,126 $627K
2024 4,180 $365K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0005 Alcohol and/or drug services; group counseling by a clinician 56,429 4,842 $3.36M
H0004 Behavioral health counseling and therapy, per 15 minutes 3,149 2,126 $168K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 128 31 $12K