Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › DC › Washington › NPI 1376193797
Behavioral

Creative Pathways, INC

Creative Pathways, INC was paid $1.70M by Medicaid between Nov 2023 and Dec 2024, across 16 billing codes. Its largest line is H2014, Skills training and development, per 15 minutes — 68% of everything it billed.

33Billing provider infoCREATIVE PATHWAYS, INC
WASHINGTON, DC 20019
33aNPI1376193797assigned 09/17/2019
28Total paid$1.70M
24GClaims15,507
24DCodes billed16
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in District of Columbia

Rank by total paid#5 of 9
Median peer was paid$1.70M
This provider vs. median1.0×

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.

Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
2023250$19K
2024incomplete15,257$1.68M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2014 Skills training and development, per 15 minutes 68% 11,253 2,698 $1.16M
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 12% 1,267 619 $202K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 11% 1,329 579 $181K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 2.9% 369 317 $49K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1.7% 186 166 $28K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 226 109 $16K
90792 Psychiatric diagnostic evaluation with medical services <1% 74 70 $12K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 62 55 $12K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 149 120 $10K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 66 48 $9K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) <1% 87 67 $7K
90853 Group psychotherapy (other than of a multiple-family group) <1% 108 49 $7K
4 more codes
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 104 $6K
99408 <1% 52 $3K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood <1% 154 $1K
99402 0% 21 $0.00

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 officialMONROE, JOHN (CEO)
Same official

Other billing entities under MONROE, JOHN

Full network →
ProviderLocationPaid
Contemporary Family Services, INC.Shreveport, LA$2.59M
Healthy Life Family Medicine, PLCGoodyear, AZ$1.08M
Palisades Counseling, LLCRed Lodge, MT$3K

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