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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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 Therapy (NPI 1285093906)

Field	Value
Entity Type	Organization
Organization	First Step Therapy
Address	47 Aa-stoney Ground
City	Frederiksted
State	VI
ZIP	00840
Taxonomy	Rehabilitation Hospital
NPI Enumerated	February 23, 2016

Payer Source	Total Paid
Medicaid	$757.8K
Medicare	$0

Key Findings

FIRST STEP THERAPY is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $757.8K in total Medicaid revenue, indicating its clinical and business footprint is concentrated in the Medicaid population rather than split across Medicare and Medicaid. The absence of Medicare billing suggests the facility’s services and patient mix are focused on populations more commonly covered by Medicaid (e.g., pediatrics, developmental or rehabilitative services).

Revenue is highly concentrated in a very small number of codes: the top three Medicaid codes account for 99.1% of this provider's total Medicaid revenue. In particular, 92507 drives the majority of revenue at $581.1K (76.7% of Medicaid revenue), with 97533 contributing $151.2K (20.0%) and 97530 contributing $19K (2.5%). This concentration means the provider’s financial performance is directly tied to reimbursement and utilization patterns for a handful of services.

Clinical mix and service-line implication: the dominant codes (92507, 97533, 97530) point to a rehabilitation hospital model emphasizing speech-language pathology and occupational/therapeutic activity interventions. 92507 (direct treatment for communication and hearing difficulties) and 92523 (speech–language evaluation) indicate a strong SLP presence, while 97533 (sensory integrative techniques) and 97530 (therapeutic activities) reflect occupational therapy services often used for developmental, autism-related, or brain-injury populations. Together these codes suggest the facility specializes in hands-on rehabilitative therapy rather than procedural or medical-surgical services.

Competitive standing by code in-state is mixed: for 97533 the provider ranks #1 of 2 in-state (100th percentile), signaling it is the top in-state biller for sensory integrative therapy even though the activity level is described as typical/unremarkable. For 92507 it ranks #2 of 3 (50th percentile), indicating a mid-level position among in-state peers for speech treatment sessions. For 97530 it ranks #6 of 7 (17th percentile), showing modest utilization of therapeutic-activity codes relative to other state providers.

Volume and rank language note—statistical context: each of the top codes is labeled in the dataset as “typical, unremarkable volume” despite differing rank positions. Analysts should interpret these ranks as relative standing within a small in-state peer group rather than as extreme outlier activity; the dataset reports typical volumes even for the code where this provider is the top in-state biller.

Operational risk and payer sensitivity: because $581.1K (76.7%) of Medicaid revenue comes from a single code (92507) and the top three codes together represent 99.1% of Medicaid revenue, the provider is financially sensitive to changes in Medicaid policy, coverage, or unit reimbursement for those specific therapy services. Any significant shifts in Medicaid utilization management or rate-setting for speech and occupational therapy could disproportionately impact this provider.

Tenure and market presence: the provider’s NPI was enumerated on 2016-02-23 (~10 years ago), indicating it has an established operational history in the market; combined with the code mix, this suggests a sustained focus on rehabilitative therapy services over that period. Analysts evaluating contracting or competitive dynamics should treat FIRST STEP THERAPY as an established, niche rehabilitation provider with a decade of Medicaid billing history.

Service breadth beyond the top codes appears limited in the Medicaid dataset: outside the three revenue-driving codes, remaining services (for example 92523 at $6.5K, 0.9% of Medicaid revenue, ranked #2 of 2 in-state at the 0th percentile) are marginal contributors. This narrow payer-service footprint implies limited diversification across procedure types, reinforcing the provider’s specialization but also its exposure to service-specific demand changes.

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
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…	7,360	$80	$581.1K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	710	$210	$151.2K
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.	190	$100	$19K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	30	$240	$6.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. U.S. Virgin Islands Distribution

First Step Therapy — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. U.S. Virgin Islands median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	2	10	7,360	$80	$474.9K
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.	6	10	520	$100	$237.1K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	1	10	420	$220	$91.7K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	2	10	110	$240	$25K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederiksted Health Care, Inc.	VI	Federally Qualified Health Center (FQHC)	$0	$24.3M
Rachel's Place	VI	Clinical Social Worker	$0	$222.1K
Hercare Inc	VI	Obstetrics & Gynecology Physician	$0	$182.9K
Kamaria Alexander	VI	Physician Assistant	$21.7K	$0
Luis Frias Mendoza	VI	Neurology Physician	$19K	$1.7K
Jozette Matthews	VI	Family Nurse Practitioner	$13.9K	$0
Shavell Karel	VI	Obstetrics & Gynecology Physician	$4.1K	$0
Shelley Timmons	VI	Physical Therapist	$2.1K	$0
Neighborhood Pharmacy LLC	VI	Community/Retail Pharmacy	$1.6K	$0

First Step Therapy — Billing Profile & Reimbursement Data

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First Step Therapy — 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