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
Provider Details
| Authorized Official | MELENDEZ, EDWIN (PRESIDENT) |
| NPI Enumeration Date | 11/05/2006 |
Related Entities
Other providers sharing the same authorized official: MELENDEZ, EDWIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total 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 |