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    OpenPayerNPI Medicare & MedicaidCreative Community Service, Inc.
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    Creative Community Service, Inc. — Billing Profile & Reimbursement Data

    NPI 1891820130 · Norcross, GA · Community/Behavioral Health Agency

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    Creative Community Service, Inc. is a community/behavioral health agency provider located in Norcross, Georgia. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCreative Community Service, Inc.
    Address4487 Park Dr
    CityNorcross
    StateGA
    ZIP30093
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedFebruary 23, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$13.5M
    Medicare$0

    Key Findings

    CREATIVE COMMUNITY SERVICE, INC. is effectively a single-payer Medicaid provider: it has no Medicare billing on file and its entire reported lifetime revenue is $13.5M from Medicaid, indicating operations are focused almost exclusively on Medicaid-covered services. This payer concentration suggests its client population and service contracts are concentrated in state Medicaid programs rather than Medicare markets.

    Medicaid revenue is highly concentrated in a single code: T2017 accounts for $13.2M of the provider's Medicaid revenue, representing 97.6% of its total Medicaid revenue. That level of concentration indicates the organization’s core operation is residential habilitation services (T2017 – Habilitation, residential, waiver) delivered in 15-minute units rather than a diversified set of Medicaid billable services.

    The second Medicaid code, T2028 (Specialized supply, not otherwise specified, waiver), contributes $326.5K or 2.4% of Medicaid revenue, confirming that supplies or supplemental waiver items are a minor adjunct to the provider’s primary habilitation business rather than a parallel revenue stream. The two-code mix (T2017 plus T2028) together account for 100.0% of reported Medicaid revenue, underscoring narrow service-line focus.

    On competitive standing within Georgia for the leading Medicaid code, CREATIVE COMMUNITY SERVICE ranks #6 of 9 providers for T2017 and sits at the 38th percentile, which positions it as a modest participant for residential habilitation relative to in-state peers. The available percentile and rank suggest the provider operates at an unremarkable volume for this code rather than being a market leader or an outlier in utilization.

    The provider’s volume of claims for T2017 is substantial in absolute terms—15.4K claims with an average paid per claim of $853—indicating sustained, recurring delivery of residential habilitation units. Those claim and unit metrics, combined with the per-claim average, imply capacity to serve a multi-client residential habilitation caseload over time rather than one-off services.

    The NPI was enumerated on 2007-02-23 (approximately 19 years ago), indicating a long tenure in the Medicaid marketplace; this longevity supports institutional experience in administering waiver and residential habilitation services and may reflect established provider relationships with state Medicaid agencies.

    Given the absence of Medicare activity, the provider’s strategic exposure is concentrated in state Medicaid policy and waiver program changes; any shifts in Medicaid waiver eligibility, unit definitions, or reimbursement for T2017 would materially affect the organization’s revenue. Analysts should treat Medicaid reimbursement trends for T2017 as the primary financial risk and performance lever for this entity.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2017Habilitation, residential, waiver; 15 minutes15,440$850$13.2M
    T2028Specialized supply, not otherwise specified, waiver2,190$150$326.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Georgia median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2017Habilitation, residential, waiver; 15 minutes61018,160$180$18.4M
    T2028Specialized supply, not otherwise specified, waiver9202,190$210$854K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ebenezer Healthcare Services, Inc.GAIn Home Supportive Care Agency$0$11.2M
    Norcross Pediatric Clinic IncGAPediatrics Physician$0$5.8M
    Clinic For Education, Treatment And Prevention Of Addiction, Inc.GACommunity/Behavioral Health Agency$0$1.4M
    Shah InayatGAInternal Medicine Physician$11K$875.3K
    Georgia Laboratory Management LLCGAClinical Medical Laboratory$397.2K$0
    Metro Treatment Of Georgia, LPGAMethadone Clinic$0$248.1K
    William MillerGAProfessional Counselor$0$241K
    Sherian SharomiGAClinical Social Worker$99.8K$0
    Pruitthealth Diagnostic Services, Inc.GAClinical Medical Laboratory$82.1K$9.6K
    Marianne AltaresGASpeech-Language Pathologist$68K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Georgia Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Creative Community Service, Inc. — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia