Compared to Case Management Peers
Total spending distribution among 137 providers in this specialty
This provider's total spending of $159.7M is at the 50th percentile among 137 Case Management providers.
Total Paid
$159.7M
$159,682,965
Total Claims
1.7M
Beneficiaries
89K
18.9 claims/patient
Avg Cost/Claim
$95
#654 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Creative Networks, L.l.c. is a Case Management provider based in Phoenix, AZ. From the 2018–2024 period, this provider received $159.7M in Medicaid payments across 1.7M claims.
Important Context
- ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.
Why This Matters
This provider received $159.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,960 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 81% of total spending.
$130.1M
1.3M claims
$102.24
$82.34
Attendant care services, per 15 min
$130.1M
1.3M claims · 81.5%
$14.7M
209K claims
$70.37
$137.32
Habilitation, residential, waiver; 15 min
$14.7M
209K claims · 9.2%
$13.6M
190K claims
$71.67
$84.46
Unskilled respite care, per 15 min
$13.6M
190K claims · 8.5%
$688K
2K claims
$301.58
$249.18
Unskilled respite care, per diem
$688K
2K claims · 0.4%
$600K
10K claims
$62.57
$48.76
Homemaker service, NOS; per 15 min
$600K
10K claims · 0.4%
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