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

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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 Care Resorces (NPI 1598801938)

Field	Value
Entity Type	Organization
Organization	Creative Care Resorces
Address	14985 Glazier Ave
City	Apple Valley
State	MN
ZIP	55124
Taxonomy	Counselor
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$39.2M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-only biller: there is no Medicare billing on file and total reported Medicaid revenue is $39.2M, indicating the provider’s entire documented payer footprint in the dataset is concentrated in Medicaid. Analysts should treat this entity as a single-payer (Medicaid) operation for comparisons and network modeling.

Revenue is highly concentrated in a very small set of per-diem, residential/day-service codes: S5140 accounts for $20.3M (51.7% of Medicaid revenue), T2016 accounts for $16.7M (42.6%), and S5102 accounts for $1.9M (4.8%); the precomputed top-3 share is 99.1% of this provider’s total Medicaid revenue. This concentration indicates that nearly all Medicaid income is driven by a narrow set of service lines rather than a diversified procedure mix.

The code mix points to a business model focused on adult residential and supportive services: S5140 (Foster care, adult; per diem) and T2016 (Habilitation, residential, waiver; per diem) dominate revenue, with S5102 (Day care services, adult; per diem) providing a smaller day-program revenue stream; H0045 (Respite care services, not in the home, per diem) appears only as a minor line item. These codes collectively suggest the provider runs foster care placements, residential habilitation/waiver services, and some adult day-care/respite capacity rather than outpatient or medical-surgical services.

Relative to in-state peers this provider is a modest participant on its largest lines rather than a dominant operator: S5140 ranks #35 of 59 (41th percentile) and is described as typical, unremarkable volume; T2016 ranks #21 of 34 (39th percentile) and is also typical, unremarkable volume; S5102 ranks #20 of 38 (49th percentile) and likewise occupies a middle-range position. These ranks imply the provider has meaningful scale in these service lines but does not sit among the top-tier statewide billers for any of its principal codes.

H0045 is a very small revenue contributor at $339.1K (0.9% of Medicaid revenue) and is ranked #5 of 5 (0th percentile) with typical, unremarkable volume, indicating limited participation in non-home respite services relative to the few peers that bill this code. This suggests respite services are not a strategic or material revenue driver for the organization despite being present in the billing mix.

The provider has a long tenure in the NPI registry (enumerated 2007-01-30, ~19 years ago), which, combined with $39.2M in Medicaid lifetime revenue, points to an established operator in the state Medicaid market with sustained billing activity concentrated in residential and day habilitation services. Tenure supports assessments of operational stability when evaluating contract or network opportunities.

From a risk/opportunity perspective, the revenue profile shows concentration risk around per-diem residential services: a single code, S5140, generates 51.7% of Medicaid revenue and the second-largest code, T2016, contributes 42.6%, leaving little revenue diversity outside these per-diem service lines. For payers and competitive analysts, that concentration highlights areas where reimbursement policy changes or waiver adjustments could materially affect this provider’s fiscal position and where targeted contractual arrangements might be most impactful.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5140	Foster care, adult; per diem	25,150	$810	$20.3M
T2016	Habilitation, residential, waiver; per diem	31,280	$530	$16.7M
S5102	Day care services, adult; per diem	10,290	$180	$1.9M
H0045	Respite care services, not in the home, per diem	820	$410	$339.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Creative Care Resorces — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	35	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	21	30	84,870	$240	$23.9M
S5102	Day care services, adult; per diem	20	40	10,700	$80	$1M
H0045	Respite care services, not in the home, per diem	5	10	1,620	$270	$609.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Minnesota Community Services, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$131.2M
Ind School Dist 196	MN	Local Education Agency (LEA)	$0	$15.2M
Transit Trip, LLC	MN	Non-emergency Medical Transport (VAN)	$0	$8.4M
Empowering Health LLC	MN	Home Health Agency	$0	$5.7M
Apple Valley Villa Apartments	MN	Assisted Living Facility	$0	$4.3M
Kyle Heffernan	MN	Chiropractor	$43.5K	$27.2K
Brian Weitz	MN	Family Medicine Physician	$67.2K	$0
Naiyroui Zargarian	MN	Nurse Practitioner	$31.5K	$0
Deborah Haqq	MN	Advanced Practice Midwife	$21.5K	$0
Phong Le	MN	Physician Assistant	$15.8K	$0

Creative Care Resorces — Billing Profile & Reimbursement Data

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Creative Care Resorces — 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