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

Why is the Medicaid comparison limited to California 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. California (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 Solutions For Autism, Inc. (NPI 1851672554)

Field	Value
Entity Type	Organization
Organization	Creative Solutions For Autism, Inc.
Address	3186 Airway Ave Ste A
City	Costa Mesa
State	CA
ZIP	92626
Taxonomy	Behavior Analyst
NPI Enumerated	September 8, 2011

Payer Source	Total Paid
Medicaid	$25.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	138,820	$120	$16.1M
H0032	Mental health service plan development by non-physician	37,780	$140	$5.3M
H0046	Mental health services, not otherwise specified	13,100	$110	$1.5M
S5110	Home care training, family; per 15 minutes	7,100	$110	$745.1K
H2012	Behavioral health day treatment, per hour	3,420	$190	$636.7K
S5111	Home care training, family; per session	7,500	$70	$539.7K
H0031	Mental health assessment, by non-physician	3,280	$150	$505.1K
H2014	Skills training and development, per 15 minutes	1,150	$70	$74.8K
G9012	Other specified case management service not elsewhere classified	370	$180	$68.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Creative Solutions For Autism, Inc. — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	17	660	4,750	$140	$3.1M
H0032	Mental health service plan development by non-physician	30	980	1,080	$160	$1.5M
H2012	Behavioral health day treatment, per hour	53	110	3,310	$160	$1.3M
G9012	Other specified case management service not elsewhere classified	496	720	1,110	$110	$651.3K
H0046	Mental health services, not otherwise specified	17	140	1,570	$130	$598.9K
H0031	Mental health assessment, by non-physician	61	360	330	$180	$492.6K
H2014	Skills training and development, per 15 minutes	58	140	790	$120	$395.1K
S5111	Home care training, family; per session	22	270	650	$70	$190.1K
S5110	Home care training, family; per 15 minutes	17	240	400	$80	$152.1K

Nearby Providers

Other providers in the same ZIP code as Creative Solutions For Autism, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Diagnostics LLC	CA	Clinical Medical Laboratory	$3.9M	$272.2K
Mary Redden	CA	Family Nurse Practitioner	$2.1M	$0
Us Lab, Inc	CA	Clinical Medical Laboratory	$945K	$167.3K
Katherine Yi	CA	Family Nurse Practitioner	$219K	$0
Emilio Villavicencio	CA	Occupational Therapist	$145.6K	$0
Daniel Quon	CA	Optometrist	$95.4K	$0
Robert Bota	CA	Psychiatry Physician	$92.8K	$0
Dang Tran	CA	Occupational Therapist	$81.4K	$0
Iman Guirgis	CA	Family Medicine Physician	$2.6K	$0

Creative Solutions For Autism, Inc. — Billing Profile & Reimbursement Data

Sign up for Creative Solutions For Autism, Inc. — Billing Profile & Reimbursement Data policy alerts

Creative Solutions For Autism, Inc. — Billing Profile & Reimbursement Data

Sign up for Creative Solutions For Autism, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References