Creative Consulting Services, INC.

Creative Consulting Services, INC. was paid $2.75M by Medicaid between Jan 2018 and May 2023, across 3 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 98% of everything it billed.

33Billing provider infoCREATIVE CONSULTING SERVICES, INC.
AVENEL, NJ 07001

33aNPI1124107545assigned 11/05/2006

33bProvider typeClinical Social Worker

28Total paid$2.75M

24GClaims15,366

24DCodes billed3

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Clinical Social Worker providers in New Jersey

Rank by total paid#11 of 103

Median peer was paid$209K

This provider vs. median13×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration98% of spending on code H0036 with only 3 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	98%	14,906	4,982	$2.71M
H2014	Skills training and development, per 15 minutes	1.2%	428	158	$32K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	<1%	32	32	$11K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMELENDEZ, EDWIN (PRESIDENT)

Same official

Other billing entities under MELENDEZ, EDWIN

Full network →

Provider	Location	Paid
Social Success Services, INC.	Jersey City, NJ	$675K
Edwin M. Melendez, MD PA	Tampa, FL	$279.57

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.