Medicaid Provider Spending

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

CREATIVE CONSULTING SERVICES, INC.

NPI: 1124107545 · AVENEL, NJ 07001 · Clinical Social Worker · NPI assigned 11/05/2006

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

98% of spending on code H0036 with only 3 total codes billed. Highly concentrated billing profile.

$2.75M
Total Medicaid Paid
15,366
Total Claims
5,172
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialMELENDEZ, EDWIN (PRESIDENT)
NPI Enumeration Date11/05/2006

Related Entities

Other providers sharing the same authorized official: MELENDEZ, EDWIN

ProviderCityStateTotal Paid
SOCIAL SUCCESS SERVICES, INC. JERSEY CITY NJ $675K
EDWIN M. MELENDEZ, MD PA TAMPA FL $279.57

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,140 $806K
2019 3,249 $641K
2020 3,360 $515K
2021 2,747 $455K
2022 1,665 $292K
2023 205 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 14,906 4,982 $2.71M
H2014 Skills training and development, per 15 minutes 428 158 $32K
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 32 32 $11K