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 1710322094)

Field	Value
Entity Type	Organization
Organization	First Step Arkansas, LLC
Address	6263 Highway 49 South
City	Paragould
State	AR
ZIP	72450
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	May 1, 2013

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

Key Findings

FIRST STEP ARKANSAS, LLC is effectively a single‑payer outpatient provider: there is no Medicare billing on file and the lifetime Medicaid revenue totals $16.8M, so operational scale and financial exposure are concentrated in Medicaid reimbursement. The NPI was enumerated on 2013-05-01 (~13 years ago), indicating an established presence in the market.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 codes account for 84.6% of this provider's total Medicaid revenue, which indicates financial dependence on a narrow set of encounter and therapy codes. This concentration creates sensitivity to rate or policy changes that affect those specific codes.

The code mix (T1015, 97530, 92507, and sizable volume on 97110) aligns with the provider taxonomy as a Developmental Disabilities Clinic/Center: T1015 (clinic visit/encounter, all‑inclusive) is the single largest revenue source at $8.9M (53.0%), while 97530 (therapeutic activities, $2.7M, 16.0%) and 92507 (direct treatment for communication/hearing, $2.6M, 15.5%) indicate high-volume rehabilitative and speech therapy services alongside bundled clinic encounters. These codes together suggest integrated clinic-based therapy and care management for developmental disabilities rather than episodic physician services.

T1015 dominates the Medicaid revenue base: $8.9M (53.0%) and a statewide rank of #30 of 532 (95th percentile; labeled as typical, unremarkable volume). The dominance of an all‑inclusive clinic visit code implies much of the Medicaid reimbursement is captured through bundled encounter billing rather than a broad mix of discrete procedure charges.

Operational throughput for therapy-specific codes is also high: 97530 produced $2.7M (16.0%) and ranks #29 of 581 in-state (95th percentile; typical, unremarkable volume), while 92507 produced $2.6M (15.5%) and ranks #39 of 567 (93rd percentile; typical, unremarkable volume). Together these two codes represent substantial therapy volume and suggest the provider runs a high-capacity therapy program for its Medicaid population.

97110 (therapeutic exercise) contributes $2.1M (12.7%) and is ranked #25 of 499 in-state at the 95th percentile and explicitly described as "notably above typical state volume," indicating a relative outlier in physical/therapeutic exercise delivery compared with peers. This supports the view that the provider’s service mix emphasizes active rehabilitation modalities in addition to clinic encounters.

While the provider rates in high state percentiles for its principal codes (multiple codes at or near the 95th percentile), many of those same volumes are characterized in the source data as "typical, unremarkable volume," so the competitive interpretation is nuanced: FIRST STEP ARKANSAS is a high‑volume, established Medicaid provider within a narrow set of developmental and therapy services in Arkansas but not necessarily atypical in billing patterns given peer distributions. This profile suggests it is a significant local participant for developmental clinic and therapy services but heavily specialized rather than broadly diversified.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	153,310	$60	$8.9M
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.	50,630	$50	$2.7M
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…	41,320	$60	$2.6M
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…	38,070	$60	$2.1M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	6,500	$30	$201.6K
97532	N/A	6,590	$30	$171.2K
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…	310	$90	$28.8K
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.	1,010	$20	$22.3K
97003	N/A	110	$70	$7.5K
G0515	Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes	640	$10	$5.8K

Showing 1–10 of 22

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 — 2 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	30	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…	39	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.	29	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…	25	500	3,410	$60	$523.5K
97532	N/A	22	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.	23	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…	1,720	1,740	550	$30	$88.8K
T1027	Family training and counseling for child development, per 15 minutes	35	90	250	$40	$51.2K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	20	20	50	$170	$46.7K
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…	27	90	90	$80	$36.8K

Showing 1–10 of 22

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
Families, Inc. Of Arkansas	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.3M
1st Choice Home Care	AR	Home Health Agency	$0	$13M
Life Strategies Counseling, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$9.9M
Arkansas Methodist Hospital Corporation	AR	General Acute Care Hospital	$0	$9.3M
Nextstep Counseling Services, LLC	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.3M
Miracle Kids Success Academy Of Paragould	AR	Rehabilitation Clinic/Center	$0	$8.9M
Hands On Learning, LLC.	AR	Speech-Language Pathologist	$0	$6.3M
Arrows Behavior Therapy And Consulting	AR	Behavior Analyst	$0	$6.2M
Ryan Pediatric Therapies PA	AR	Speech-Language Pathologist	$0	$5.7M
Arkansas Methodist Hospital Corporation	AR	Ambulance	$893.1K	$4.1M

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