Providers

SWEDISHAMERICAN HOSPITAL

NPI 1255439774, organization, Rockford, IL, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00106, ranked 106 nationally.
  • Medicaid dollars per patient on code G0299 ($1021 per patient-month) sit in the top 5% of every provider billing that code.
score 69 of 100, rank 813, $157K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameSWEDISHAMERICAN HOSPITAL (also SWEDISHAMERICAN HOME HEALTH CARE)
TypeOrganization
StatusActive
NPI issuedSeptember 20, 2006, last updated February 6, 2015
Practice location2550 CHARLES ST, Rockford, IL 61108-1673, 779-696-7550
Authorized officialANN GANTZER (Vice President of Patient Services)
Specialties
Home Health (251E00000X, primary, license 1003169 IL)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
G0299Direct skilled nursing by RN in home health or hospice each 15 min$1.8M67%$1K$151 (top 5% from $742)97th percentile
G0151PT in home health or hospice setting each 15 min$885K33%$704$203 (top 5% from $565)97th percentile
G0152OT in home health or hospice setting each 15 min$20K1%$192$182 (top 5% from $529)54th percentile

In this area

13 providers in Winnebago County, IL carry an indicator in the public record, with $4.8M at stake between them. The most common is part of a provider network, on 6 of them, followed by more hours than a day holds on 6. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1MERCYHEALTH VISITING NURSES ASSOCIATION, INC.
Machesney Park, IL, ranked 327
$5K
  • Listed on the Medicare revocation list since August 25, 2022.
  • Medicaid still paid claims in 1 later month, $4,896 in total.
3FAIR OAKS REHABILITATION AND HEALTH CARE CENTER, LLC
South Beloit, IL, ranked 3192
$0
  • Part of provider network D1-00105, ranked 105 nationally.
3PRESENCE LIFE CONNECTIONS
Rockford, IL, ranked 3537
$0
  • Part of provider network D1-00106, ranked 106 nationally.
3EAST BANK CENTER LLC
Loves Park, IL, ranked 4010
$0
  • Part of provider network D1-00108, ranked 108 nationally.
3MEDINA NURSING CENTER, INC
Durand, IL, ranked 4528
$0
  • Part of provider network D1-00095, ranked 95 nationally.
3ALPINE FIRESIDE HEALTH CENTER LTD
Rockford, IL, ranked 5800
$0
  • Part of provider network D1-00095, ranked 95 nationally.
3MO CHARA HOSPICE LLC
Cherry Valley, IL, ranked 6933
$0
  • Part of provider network D1-00073, ranked 73 nationally.
4ELAINA PARLAPANIS
Rockford, IL, ranked 7710
$1.8M
  • Hours beyond a day in 23 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
All 13 in IL

Recent enforcement in IL

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJChargedJun 23, 2026
United States Attorney Andrew S. Boutros Announces Charges Against Two Chicago-Area Defendants as Part of Department of Justice’s National Healthcare Fraud Takedown
Two Chicago-area defendants were charged, one for selling Medicare beneficiary information and providing fake AI-generated consent recordings so laboratories could bill Medicare for over-the-counter Covid-19 test kits that were never requested or provided, and the other for directing the creation of fake medical records and billing Illinois Medicaid for behavioral health counseling and therapy services that were never provided, including for deceased beneficiaries.
DOJConvictedJun 18, 2026
Suburban Chicago Chiropractor Convicted of Healthcare Fraud
A chiropractor submitted fraudulent claims to Blue Cross Blue Shield of Illinois for health care services that were not actually provided and submitted false patient medical records when the insurer attempted to audit the claims.
DOJSentencedJun 10, 2026
Jacksonville Chiropractor Sentenced to a Year in Prison for Healthcare Fraud and Related Offenses
Rondeau submitted more than 2,000 fraudulent claims to health insurance companies and convinced clients to sign false documents after learning he was under investigation.
DOJCivil settlementMay 8, 2026
Three Affiliated Skilled Nursing Facilities to Pay $300,000 to Resolve False Claims Act Allegations Related to Medically Unnecessary Rehabilitation Services
Three affiliated skilled nursing facilities billed Medicare between Jan. 1, 2014, and Sept. 30, 2019, for physical therapy, occupational therapy, and speech pathology services provided to patients for longer than medically necessary and without regard for patients' individual medical needs, resulting in claims based on inflated RUG levels.
DOJIndictedFeb 12, 2026
Two Foreign Nationals Indicted in Chicago as Part of $10 Million Health Care Fraud Scheme
The indictment alleges the defendants used nominee-owned laboratories and durable medical equipment providers to submit fraudulent claims to Medicare and private health care benefit programs for items and services that were not provided, and laundered and transferred proceeds to Pakistan.

Referral packet

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