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

Why is the Medicaid comparison limited to Illinois 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. Illinois (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.

Rosecrance, Inc. (NPI 1669752275)

Field	Value
Entity Type	Organization
Organization	Rosecrance, Inc.
Address	8616 Northern Ave
City	Rockford
State	IL
ZIP	61107
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 26, 2011

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2011	Crisis intervention service, per 15 minutes	12,080	$150	$1.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	22,110	$80	$1.7M
S9484	Crisis intervention mental health services, per hour	4,510	$200	$883.2K
H2000	Comprehensive multidisciplinary evaluation	4,080	$130	$525.7K
H2015	Comprehensive community support services, per 15 minutes	5,900	$80	$478.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1,050	$340	$358.1K
H0031	Mental health assessment, by non-physician	1,810	$130	$236.5K
H0032	Mental health service plan development by non-physician	1,540	$70	$112.6K
T1016	Case management, each 15 minutes	3,620	$30	$97.7K
H2010	Comprehensive medication services, per 15 minutes	10	$60	$730

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Rosecrance, Inc. — 3 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	183	430	3,260	$80	$1.3M
S9484	Crisis intervention mental health services, per hour	25	80	1,600	$260	$972.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	101	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	22	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	140	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	159	470	1,830	$60	$475.9K
H2010	Comprehensive medication services, per 15 minutes	249	250	690	$30	$145.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	3	50	230	$340	$119.5K
H0031	Mental health assessment, by non-physician	8	220	190	$90	$33.7K
H0032	Mental health service plan development by non-physician	9	220	190	$60	$20.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rosecrance, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rosecrance Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$43.5M
Rosecrance Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.1M
Rosecrance Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.6M
Rosecrance Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.1M
Rosecrance Inc	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$4.9M
Rosecrance Inc	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.5M
Rosecrance Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Rosecrance, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3M

Nearby Providers

Other providers in the same ZIP code as Rosecrance, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$16.4M
Marc Wasserman	IL	Dentist	$0	$3.3M
Susan Fowell	IL	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Andrew Jun	IL	Otolaryngology Physician	$2.3M	$0
Rockford Orthopedic Surgery Center, LLC	IL	Ambulatory Surgical Clinic/Center	$1.2M	$0
Rockford Gastroenterology Associates, Ltd.	IL	Ambulatory Surgical Clinic/Center	$956.2K	$264K
Featherstone Partnership LP	IL	Ambulatory Surgical Clinic/Center	$946.2K	$0
Thomas Dahlberg	IL	Pain Medicine (Anesthesiology) Physician	$692.1K	$0
Jack Kotlarz	IL	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$455.2K	$0
Charles Sweeney	IL	Nephrology Physician	$297.6K	$157.4K

Rosecrance, Inc. — Billing Profile & Reimbursement Data

Sign up for Rosecrance, Inc. — Billing Profile & Reimbursement Data policy alerts

Rosecrance, Inc. — Billing Profile & Reimbursement Data

Sign up for Rosecrance, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References