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

Why is the Medicaid comparison limited to Arkansas 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. Arkansas (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.

First Step Arkansas, LLC (NPI 1164957080)

Field	Value
Entity Type	Organization
Organization	First Step Arkansas, LLC
Address	3100 Apache Dr
City	Jonesboro
State	AR
ZIP	72401
Taxonomy	Early Intervention Provider Agency
NPI Enumerated	April 28, 2017

Payer Source	Total Paid
Medicaid	$23.8M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: it reports no Medicare billing on file and $23.8M in lifetime Medicaid revenue, indicating that its business is concentrated entirely in the Medicaid market rather than split across Medicare and Medicaid. This concentration shapes market exposure and contracting considerations for payers evaluating pediatric or early intervention networks.

Revenue is highly concentrated in a very small number of service lines: the top three Medicaid codes (T1015, 92507, 97530) account for 85.4% of this provider's total Medicaid revenue. Those codes individually represent $12.7M (T1015), $4.5M (92507), and $3.1M (97530), and together drive the vast majority of billings and should be the primary focus for rates, prior authorization, and utilization management.

The code mix aligns with an early intervention, clinic-based therapy operation: T1015 (clinic visit/encounter) is the single largest revenue source, while 92507 (speech/language therapy) and 97530 (therapeutic activities to improve functional performance) are the next largest. The presence of high-volume therapy codes and a dominant clinic-encounter code suggests the provider operates multi-disciplinary outpatient or community-based pediatric therapy clinics rather than hospital or traditional physician office settings.

State-level competitive standing is strong for the provider's top services: T1015 ranks #19 of 532 providers in-state (97th percentile; notably above typical state volume), 92507 ranks #24 of 567 (96th percentile; notably above typical state volume), and 97530 ranks #22 of 581 (96th percentile; notably above typical state volume). These percentiles indicate the provider is a major Medicaid vendor in Arkansas for clinic encounters, speech therapy, and functional therapeutic activities, and therefore may be a key competitor or partner for payers managing pediatric therapy networks.

Beyond the top three, 97110 (therapeutic exercise) is also a meaningful revenue contributor with $2.9M (12.2% of Medicaid revenue), 57K claims, and a #10 rank of 499 providers in-state (98th percentile; notably above typical state volume). This high-volume therapeutic exercise activity reinforces that the provider delivers substantial hands-on rehabilitation services and broad therapy capacity.

There are signs of niche leadership in some specialized codes despite small dollar impact: T1024 (evaluation and treatment by an integrated, specialty team) reports $3.8K and ranks #1 of 15 providers in-state (100th percentile; notably above typical state volume). While the revenue is modest, the top rank suggests the provider is one of the few in-state sources billing for coordinated specialty team encounters, which could matter for complex-case management.

Operational and billing nuances are visible in telehealth reporting: Q3014 (telehealth originating site facility fee) shows 122 claims with a $0 avg paid/claim and $0 revenue. This pattern may reflect participation in telehealth workflows without separate originating-site reimbursement in Medicaid, or a reporting/payment coding quirk that payers should investigate when reconciling telehealth access and reimbursement.

The provider has been enumerated since 2017-04-28 (~9 years ago), giving it time to scale Medicaid operations and capture high volumes in a few service lines. That tenure combined with heavy dependence on a small set of codes (top 3 = 85.4% of revenue) creates both a stable market position in pediatric therapies and a concentration risk if Medicaid policy or rates change for those specific codes.

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	211,050	$60	$12.7M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	63,000	$70	$4.5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	54,950	$60	$3.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	56,970	$50	$2.9M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	7,400	$30	$236.9K
97532	N/A	7,510	$30	$187.7K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	670	$90	$61.3K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	200	$140	$27.8K
99367	A physician joins a medical team in a meeting to discuss a treatment plan for a patient who requires attention from more than one medical specialty.	1,130	$20	$22.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	140	$100	$13.9K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

First Step Arkansas, LLC — 5 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	19	530	4,960	$70	$2.6M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	24	570	2,470	$70	$801.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	22	580	3,620	$60	$712.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	10	500	3,410	$60	$523.5K
97532	N/A	16	60	5,070	$30	$189.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	15	70	4,530	$30	$172.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,637	1,740	550	$30	$88.8K
T1027	Family training and counseling for child development, per 15 minutes	27	90	250	$40	$51.2K
96112	The provider administers various standardized tests to diagnose developmental problems in children. He interprets the results and prepares a report. Report this code for the first hour of test…	17	90	90	$80	$36.8K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	21	60	100	$80	$31.2K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as First Step Arkansas, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Focus, Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$41.3M
St Bernards Hospital Inc	AR	General Acute Care Hospital	$0	$35.4M
Nea Therapy Providers, LLC	AR	Physical Therapist	$0	$26.9M
Communication Made Easy Inc	AR	Speech-Language Pathologist	$0	$17.8M
Baptist Memorial Hospital-jonesboro Inc	AR	General Acute Care Hospital	$0	$17M
The Logan Centers, Inc.	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.5M
Arisa Health, Inc.	AR	Community/Behavioral Health Agency	$0	$15.6M
Kidsplace Learning Center Dba Kidspot	AR	Speech-Language Pathologist	$0	$14.1M
Miracle Kids Success Academy North	AR	Rehabilitation Clinic/Center	$0	$14M
Delta Medical Group Inc	AR	Durable Medical Equipment & Medical Supplies	$0	$13.4M

First Step Arkansas, LLC — Billing Profile & Reimbursement Data

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First Step Arkansas, LLC — 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