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

Why is the Medicaid comparison limited to Utah 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. Utah (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 House (NPI 1376550566)

Field	Value
Entity Type	Organization
Organization	First Step House
Address	411 Grant St
City	Salt Lake City
State	UT
ZIP	84116
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicaid	$46.1M
Medicare	$0

Key Findings

FIRST STEP HOUSE operates squarely as a substance-use treatment provider: the Medicaid code mix is dominated by residential and community-based substance-abuse services (H0018 short-term residential per diem, H2016 comprehensive community support per diem, and H2036 alcohol and/or other drug treatment per diem), which aligns with its listed taxonomy as a Substance Abuse Rehabilitation Facility. The presence of high-volume per-diem codes suggests the organization runs structured live-in programming alongside day-based community support services rather than primarily office-based medical care.

Revenue is highly concentrated: the top three Medicaid codes (H0018, H2016, H2036) together account for 93.5% of the provider's total Medicaid revenue, with H0018 alone representing $38.2M (82.8%) of $46.1M in Medicaid receipts. This concentration means changes to Medicaid per-diem policy or utilization for H0018 would disproportionately affect the provider's financial performance.

FIRST STEP HOUSE is effectively a single-payer Medicaid provider: there is no Medicare billing on file while Medicaid revenue totals $46.1M, so the organization’s reimbursement exposure and contracting leverage are concentrated in the Medicaid channel rather than split across Medicare/Medicaid. Analysts should treat Medicaid rate and policy shifts as primary levers affecting the business.

Competitive standing on H0018 is strong: the provider ranks #2 of 30 providers in-state (97th percentile) and is described as notably above typical state volume for H0018, indicating it is a near-top residential provider in Utah for short-term non-hospital residential treatment. For H2016 the provider also ranks #2 of 14 in-state (92th percentile) but that code is labeled as typical, unremarkable volume, signaling solid placement versus a smaller peer set for community support services.

Operational scale is reflected in claim counts: H0018 shows 133.6K claims and H2016 shows 96.8K claims, indicating sustained per-diem service delivery and significant utilization of both residential and community support capacity over time. Those high claim volumes are consistent with a facility-focused model delivering frequent daily billing events rather than low-volume episodic care.

Service breadth beyond the top per-diem codes includes therapy and testing lines consistent with an integrated program model: 90853 (15.4K claims, $677.9K revenue, 1.5%), 90837 (3.6K claims, $447.4K revenue, 1.0%), and 87635 (8.4K claims, $580.4K revenue, 1.3%) show the provider bills group psychotherapy, long individual psychotherapy, and high-volume SARS–COV–2 testing, supporting an operational mix of group treatment, individual therapy, and on-site testing.

Many ancillary behavioral-health and case-management codes appear at modest levels and are labeled as typical, unremarkable volume (for example H2036 ranks #7 of 14, 54th percentile; H0006, H2017, and T1017 occupy mid-range state percentiles). This pattern indicates a primarily residential business supported by a slate of expected wraparound services rather than a diversified revenue base across many service lines.

The provider has long tenure in the market: the NPI was enumerated 2006-08-01 (~20 years ago), suggesting established operational history and likely entrenched relationships with state Medicaid programs and referral sources. Analysts should consider longevity when evaluating contract history, capacity, and potential for historical rate negotiations or network placement.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	133,570	$290	$38.2M
H2016	Comprehensive community support services, per diem	96,780	$40	$4.2M
H2036	Alcohol and/or other drug treatment program, per diem	3,170	$240	$748.1K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	15,410	$40	$677.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	8,410	$70	$580.4K
H2019	Therapeutic behavioral services, per 15 minutes	8,580	$60	$471.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3,550	$130	$447.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,000	$90	$188.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,680	$60	$147.5K
H0006	Alcohol and/or drug services; case management	2,970	$40	$104K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

First Step House — 2 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	2	30	1,340	$330	$5.8M
H2016	Comprehensive community support services, per diem	2	10	11,170	$90	$4.3M
H2036	Alcohol and/or other drug treatment program, per diem	7	10	2,920	$330	$2M
H0046	Mental health services, not otherwise specified	24	30	350	$100	$1.7M
T1017	Targeted case management, each 15 minutes	21	60	760	$70	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	27	90	340	$70	$713.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	81	370	690	$140	$704.2K
H2019	Therapeutic behavioral services, per 15 minutes	23	90	560	$80	$649.9K
T1001	Nursing assessment / evaluation	59	70	700	$80	$603.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	16	150	1,060	$70	$528.1K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with First Step House, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Myriad Genetic Laboratories, Inc.	UT	Clinical Medical Laboratory	$65.9M	$124.8M
Ihc Health Services Inc	UT	Air Ambulance	$2.8M	$10.4M
Red Rock Medical Supply	UT	Durable Medical Equipment & Medical Supplies	$0	$7.3M
Rose Park Pediatric Dentistry, PC	UT	Pediatric Dentistry	$0	$1.8M
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$1.1M
Treagan White	UT	Pediatric Dentistry	$0	$614.1K
Health Clinics Of Utah-slc	UT	Family Nurse Practitioner	$0	$609.8K
Your Home Clinic Company	UT	Gerontology Nurse Practitioner	$0	$338.1K

First Step House — Billing Profile & Reimbursement Data

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First Step House — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References