Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maine for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maine only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maine (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Creative Works (NPI 1205962883)

Field	Value
Entity Type	Organization
Organization	Creative Works
Address	10 Speirs St
City	Westbrook
State	ME
ZIP	04092
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 26, 2007

Payer Source	Total Paid
Medicaid	$144.1M
Medicare	$0

Key Findings

CREATIVE WORKS is effectively a Medicaid-focused provider with no Medicare billing on file; all reported lifetime revenue is Medicaid-based at $144.1M, indicating its operations and reimbursement exposure are concentrated in state waiver and long-term support programs rather than Medicare beneficiary services.

Revenue concentration is very high: the top three Medicaid codes (T2016, S5140, T2021) together account for 94.7% of the provider's total Medicaid revenue. This heavy reliance on a small set of waiver and per-diem services means financial performance will be sensitive to rate changes or policy shifts affecting those specific program lines.

The code mix (T2016 Habilitation residential waiver per diem, S5140 Foster care adult per diem, and T2021 Day habilitation waiver per 15 minutes) indicates CREATIVE WORKS operates primarily as a residential and day habilitation provider for developmentally disabled populations, combining congregate/residential habilitation with day programs and foster/adult care placements. This aligns with its taxonomy as a Developmentally Disabled Services Day Training Agency.

Competitive standing by code is generally middle-of-pack in-state: for T2016 the provider ranks #26 of 75 (66th percentile), for T2021 it ranks #29 of 72 (61st percentile), and for S5140 it ranks #19 of 31 (40th percentile). These placements suggest CREATIVE WORKS is a typical, unremarkable-volume provider for its largest revenue-driving services rather than a statewide dominant provider.

There are some high-percentile pockets: the provider ranks #1 of 5 for T2035 (utility services to support medical equipment and assistive technology, waiver), placing it at the 100th percentile for that code. While T2035 represents only $106.9K (0.1% of Medicaid revenue), this suggests a local specialty or unique contractual position for assistive-technology utility services relative to in-state peers.

Operational detail: unit-payment patterns show high average paid per claim on the largest codes — T2016 has $6541 avg paid/claim and S5140 has $3419 avg paid/claim — reflecting that per-diem residential and foster/adult care arrangements are high-dollar transactions compared with time-based habilitation codes. This payment profile reinforces the provider’s exposure to per-diem reimbursement structures.

Tenure is long: the NPI was enumerated on 2007-02-26 (~19 years ago), indicating an established presence in the market and likely sustained contracts with state Medicaid programs over many years. That longevity supports the plausibility of stable relationships in residential and day habilitation services.

Smaller ancillary services are present but immaterial to total revenue: codes such as G9012 (case management), T2017 (habilitative 15-minute units), H2023 (supported employment), and T1016 (case management 15 minutes) together comprise small shares (each listed at 2.7% or less, with several at 0.1%), indicating CREATIVE WORKS’ core business is not centered on case management or supported employment despite offering those services.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	13,500	$6,540	$88.3M
S5140	Foster care, adult; per diem	8,150	$3,420	$27.9M
T2021	Day habilitation, waiver; per 15 minutes	20,080	$1,010	$20.4M
T2017	Habilitation, residential, waiver; 15 minutes	15,290	$250	$3.8M
G9012	Other specified case management service not elsewhere classified	39,450	$80	$3.2M
H2023	Supported employment, per 15 minutes	3,020	$70	$214.6K
T1016	Case management, each 15 minutes	2,900	$60	$182.6K
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	2,810	$40	$106.9K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.

Claims Volume vs. Maine Distribution

Creative Works — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	26	80	7,300	$1,670	$30.8M
S5140	Foster care, adult; per diem	19	30	9,310	$530	$13.6M
T2021	Day habilitation, waiver; per 15 minutes	29	70	13,340	$200	$5.1M
G9012	Other specified case management service not elsewhere classified	21	50	25,820	$80	$3M
T2017	Habilitation, residential, waiver; 15 minutes	10	30	8,960	$260	$3M
T1016	Case management, each 15 minutes	7	10	20,670	$40	$1.3M
H2023	Supported employment, per 15 minutes	9	20	2,330	$160	$673K
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	1	10	1,790	$40	$72.8K

Nearby Providers

Other providers in the same ZIP code as Creative Works, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Woodfords Family Services	ME	Community/Behavioral Health Agency	$0	$101.5M
Safe Residential Care, LLC	ME	Physical Disabilities Residential Treatment Facility	$0	$94.6M
3rivers, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$78.6M
Woodfords Family Services	ME	Community/Behavioral Health Agency	$0	$46.3M
Alliance Case Management	ME	Case Management Agency	$0	$17.8M
Woodfords Family Services	ME	In Home Supportive Care Agency	$0	$11.3M
Woodfords Family Services	ME	Case Management Agency	$0	$9.4M
Mas Medical Staffing Corporation	ME	Home Health Agency	$0	$8.1M
Maine Community Homecare	ME	In Home Supportive Care Agency	$0	$8.1M
Cap Quality Care, Inc.	ME	Methadone Clinic	$202.6K	$7.1M

Creative Works — Billing Profile & Reimbursement Data

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Creative Works — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References