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 Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona 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. Arizona (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 Networks, L.L.C. (NPI 1215021019)

Field	Value
Entity Type	Organization
Organization	Creative Networks, L.L.C.
Address	950 W Behrend Dr Ste 1
City	Phoenix
State	AZ
ZIP	85027
Taxonomy	Case Management Agency
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$159.4M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and its lifetime Medicaid revenue totals $159.4M, indicating that all measurable fee-for-service activity in the dataset is concentrated in Medicaid rather than Medicare. The absence of Medicare activity means analysts should treat this entity as a Medicaid-focused case management/home- and community-based services supplier rather than a mixed-payer provider.

Revenue is extremely concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes by revenue account for 99.2% of this provider's total Medicaid revenue. That level of concentration makes the provider economically dependent on a few reimbursed services and sensitive to rate changes, policy edits, or utilization-management actions affecting those specific codes.

The code mix and descriptions identify CREATIVE NETWORKS, L.L.C. as a large-scale home- and community-based services/case management operator: the dominant code is S5125 (Attendant care services; per 15 minutes) and the other top codes are habilitation residential waiver (T2017) and unskilled respite care (S5150). These codes together point to hands-on, long-duration personal-care and residential habilitation services rather than episodic clinical procedures, implying operations built around high-volume caregiver shifts and recurring visits.

S5125 is the single largest revenue driver: 1.3M claims at $102 avg paid/claim producing $129.8M in revenue, which the dataset reports as 81.4% of this provider's total Medicaid revenue; the provider ranks #5 of 223 in-state and sits at the 98th percentile, described as notably above typical state volume. This combination of very high claim count and top-state ranking indicates the provider is a major participant in attendant care within the state and that S5125 constitutes the backbone of its Medicaid business.

T2017 and S5150 together make up meaningful secondary revenue streams but show different competitive signals: T2017 (209.3K claims, $70 avg paid/claim, $14.7M revenue; 9.2% of total) ranks #6 of 63 (92th percentile; typical, unremarkable volume), while S5150 (189.8K claims, $72 avg paid/claim, $13.7M revenue; 8.6% of total) ranks #5 of 192 (98th percentile; notably above typical state volume). In practice, T2017 represents a steady habilitation/residential waiver business at typical in-state volumes, whereas S5150 shows another high-state-volume service line that reinforces the provider’s strength in respite and caregiver-support services.

State-level competitive positioning is asymmetric: the firm is a top-tier player for attendant care and respite (98th percentile rankings for S5125 and S5150), implying regional dominance for those service types, but it is only a typical-volume participant for habilitation/residential waiver services (92th percentile for T2017). Analysts should interpret the provider as a major Medicaid market competitor in personal-care/respite segments while somewhat less differentiated on waiver habilitation services.

The provider’s NPI was enumerated on 2006-10-03 (~20 years ago), indicating long-standing operational tenure in the market. That longevity aligns with the large cumulative claim volumes for attendant care and suggests established provider relationships and operational capacity to deliver high-frequency home- and community-based services.

Several minor codes collectively represent only a trivial share of revenue but show the breadth of offerings: S5151 (per diem unskilled respite) generated $688.6K (0.4% of total) with 2.3K claims and ranks #9 of 44 (81th percentile; typical), and S5130 (homemaker service; per 15 minutes) generated $603.9K (0.4% of total) with 9.6K claims and ranks #3 of 14 (85th percentile; typical). These low-revenue, programmatic lines confirm supplementary per-diem and homemaker services are part of the operating mix but do not materially change the provider’s heavy dependence on the top three codes.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	1,272,120	$100	$129.8M
T2017	Habilitation, residential, waiver; 15 minutes	209,320	$70	$14.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	189,810	$70	$13.7M
S5151	Unskilled respite care, not hospice; per diem	2,280	$300	$688.6K
S5130	Homemaker service, nos; per 15 minutes	9,590	$60	$603.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Creative Networks, L.L.C. — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	5	220	24,500	$120	$15.5M
T2017	Habilitation, residential, waiver; 15 minutes	6	60	32,290	$90	$9M
S5150	Unskilled respite care, not hospice; per 15 minutes	5	190	5,090	$100	$2.9M
S5151	Unskilled respite care, not hospice; per diem	9	40	980	$260	$401.3K
S5130	Homemaker service, nos; per 15 minutes	3	10	3,750	$80	$379.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rescare Arizona, Inc.	AZ	Intellectual Disabilities Intermediate Care Facility	$0	$99.3M
Honorhealth	AZ	General Acute Care Hospital	$0	$65.7M
Sonoran Sky Community Services, Inc.	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$38.9M
United Cerebral Palsy Association Of Central Arizona	AZ	Developmentally Disabled Services Day Training Agency	$0	$31.1M
Tp Deer Valley Operations, LLC	AZ	Assisted Living Facility	$0	$18.8M
Kci Usa, Inc.	AZ	Durable Medical Equipment & Medical Supplies	$0	$15.9M
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$14.1M
North Valley Pediatric Therapy, LLC	AZ	Multi-Specialty Clinic/Center	$0	$11.1M
Loop 101 Emergency Physicians LLC	AZ	Emergency Medicine Physician	$0	$9.1M
Uhs Of Phoenix, LLC	AZ	Psychiatric Hospital	$0	$7.3M

Creative Networks, L.L.C. — Billing Profile & Reimbursement Data

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Creative Networks, L.L.C. — 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