Addiction Recovery Care LLC
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $856K (2022) to $23.5M (2023) — a 2644% swing with $22.6M absolute change.
New Entrant
Started billing recently but already receiving millions in Medicaid payments.
First appeared in 2022-08 and has already billed $24.7M, averaging $1.2M/month across 21 months.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 2644% from 2022 to 2023.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
New Entrant
New Entrant means this provider began billing Medicaid recently but is already receiving millions of dollars in payments. While some new providers legitimately grow fast (e.g., large group practices), this pattern is also common in fraud schemes that set up shell companies to bill aggressively before shutting down.
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Substance Abuse Rehabilitation Facility Peers
Total spending distribution among 20 providers in this specialty
This provider's total spending of $24.7M is at the 25th percentile among 20 Substance Abuse Rehabilitation Facility providers.
Total Paid
$24.7M
$24,681,526
Total Claims
105K
Beneficiaries
27K
3.9 claims/patient
Avg Cost/Claim
$235
🔍 Analysis
Provider Overview
Addiction Recovery Care LLC is a Substance Abuse Rehabilitation Facility provider based in Owingsville, KY. From the 2018–2024 period, this provider received $24.7M in Medicaid payments across 105K claims.
Why This Matters
At $24.7M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
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