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

Why is the Medicaid comparison limited to Florida 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. Florida (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, LLC (NPI 1831420033)

First Step Therapy, LLC is a clinic/center provider located in Kissimmee, Florida. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	First Step Therapy, LLC
Address	1200 N Central Ave
City	Kissimmee
State	FL
ZIP	34741
Taxonomy	Clinic/Center
NPI Enumerated	January 27, 2010

Payer Source	Total Paid
Medicaid	$31.7M
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	238,710	$60	$14.1M
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…	156,550	$60	$9.1M
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…	105,630	$60	$6.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	12,560	$110	$1.4M
T1027	Family training and counseling for child development, per 15 minutes	15,810	$40	$632.4K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	3,090	$40	$136.1K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	3,290	$40	$134.7K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	940	$40	$39.5K
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…	400	$40	$15.4K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	320	$40	$13.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

First Step Therapy, LLC — 7 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	138	350	8,550	$120	$2.2M
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…	5	2,250	1,250	$50	$324.4K
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.	1	2,310	1,910	$40	$315.4K
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…	2	2,100	1,280	$40	$206.9K
T1027	Family training and counseling for child development, per 15 minutes	12	400	790	$50	$120.7K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	560	50	$100	$35.1K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	4	80	60	$110	$20.2K
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…	25	90	70	$50	$17.2K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	1	200	50	$90	$14.8K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	12	90	30	$60	$11.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Osceola Mental Health Inc	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.3M
Osceola Regional Hospital, Inc.	FL	General Acute Care Hospital	$0	$18.5M
Sunapee Dialysis LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$17.4M
Loop Pediatrics, PA	FL	Pediatrics Physician	$0	$14.2M
Cruz Homecare & Educational Services LLC	FL	Home Health Agency	$0	$13.2M
Carrousel Therapy Center Corporation	FL	Forensic Psychiatry Physician	$0	$10.9M
True Help Services Inc.	FL	Developmentally Disabled Services Day Training Agency	$0	$10.8M
North Star Counseling Of Central Florida, LLC.	FL	Mental Health Counselor	$0	$10.6M
Total Care Home Services, Inc.	FL	Home Health Agency	$0	$10.5M
Talk Active Corporation	FL	Speech-Language Pathologist	$0	$9.7M

First Step Therapy, LLC — Billing Profile & Reimbursement Data

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First Step Therapy, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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