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, Inc. (NPI 1922157403)

Field	Value
Entity Type	Organization
Organization	First Step, Inc.
Address	407 Carson Street
City	Hot Springs
State	AR
ZIP	71901
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 10, 2007

Payer Source	Total Paid
Medicaid	$128.9M
Medicare	$0

Key Findings

FIRST STEP, INC. is effectively a Medicaid-focused provider with no Medicare billing on file and a lifetime Medicaid revenue of $128.9M, indicating that Medicaid is the dominant — in fact sole reported — payer relationship for this entity's claims activity. The absence of Medicare revenue positions the organization as a specialist in services funded through state Medicaid programs rather than the Medicare market.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top three Medicaid codes account for 88.8% of the provider’s total Medicaid revenue, demonstrating a narrow revenue base that is heavily dependent on a few service lines. This concentration suggests that operational performance or policy changes affecting those codes would materially impact the provider’s overall financial picture.

T1015 (Clinic visit/encounter, all-inclusive) is the single largest revenue driver at $56.8M (44.1% of Medicaid revenue) and the provider ranks #4 of 532 in-state, described as an extreme outlier and in the 99th percentile. Such scale on an all-inclusive clinic visit code implies FIRST STEP operates a high-volume outpatient or center-based program serving a large Medicaid population and that clinic encounters are the backbone of its service model.

H2016 (Comprehensive community support services, per diem) contributes $46.1M (35.7% of Medicaid revenue) and the provider ranks #5 of 62 in-state (93rd percentile), a level characterized as notably above typical state volume. Heavy reliance on per-diem community support services indicates the organization provides extensive wraparound or habilitation supports on a daily basis, consistent with the Developmentally Disabled Services Day Training Agency taxonomy.

92507 (speech/language direct treatment) generates $11.6M (9.0% of Medicaid revenue) and FIRST STEP ranks #4 of 567 in-state (99th percentile), again flagged as an extreme outlier. The large volume of 92507 claims signals a significant in-house rehabilitative therapy capability (speech-language pathology) integrated into the provider’s core program offerings rather than these services being peripheral.

Operational breadth beyond the top three codes exists but is smaller in scale: codes like 97530 (therapeutic activities, $8M, 6.2% of revenue, 99th percentile) and 97110 (therapeutic exercise, $3.1M, 2.4% of revenue, 98th percentile) further show the organization delivers high volumes of therapy and habilitation services typical for developmental-disability day programs. These secondary therapy codes reinforce that direct therapeutic interventions are a meaningful component of care and revenue alongside clinic encounters and community support.

FIRST STEP’s NPI has been enumerated since 2007-01-10 (~19 years ago), indicating long tenure in the Medicaid space. This longevity combined with the provider’s unusually high state ranking on multiple codes suggests an established operational footprint and significant experience delivering services to the Medicaid developmental-disability population.

Competitive standing within the state is dominant for multiple service lines: multiple top codes place FIRST STEP in the 99th and 98th percentiles statewide and ranks in the single digits among hundreds of peers, which characterizes the provider as a major, high-volume participant in Arkansas Medicaid for clinic encounters, comprehensive community support, and speech therapy. That statewide dominance implies FIRST STEP is a key provider for payers and care networks managing developmental-disability services.

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
T1015	Clinic visit/encounter, all-inclusive	902,190	$60	$56.8M
H2016	Comprehensive community support services, per diem	228,040	$200	$46.1M
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…	189,390	$60	$11.6M
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.	148,870	$50	$8M
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…	54,880	$60	$3.1M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	17,950	$70	$1.3M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	18,150	$60	$1M
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…	3,100	$90	$282K
T1002	Rn services, up to 15 minutes	9,880	$20	$207.4K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1,600	$100	$151.9K

Showing 1–10 of 26

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, Inc. — 6 of 25 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	7	10	110	$150	$12.4M
H2016	Comprehensive community support services, per diem	5	60	4,560	$230	$10.7M
T1015	Clinic visit/encounter, all-inclusive	4	530	4,960	$70	$2.6M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	70	140	18,150	$60	$2.5M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	16	20	1,430	$190	$1.2M
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…	4	570	2,470	$70	$801.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	36	100	10,500	$40	$791K
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	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…	12	500	3,410	$60	$523.5K
T2022	Case management, per month	2	10	840	$220	$187.3K

Showing 1–10 of 26

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Counseling Clinic, Inc.	AR	Community/Behavioral Health Agency	$0	$9.7M
Blayne Tipton Dds PA	AR	Pediatric Dentistry	$0	$9.2M
Hot Springs Pediatric Clinic,p.a.	AR	Pediatrics Physician	$0	$7.5M
Hot Springs National Park Hospital Holdings LLC	AR	General Acute Care Hospital	$0	$6.4M
New Hope Therapy LLC	AR	Multi-Specialty Clinic/Center	$0	$5.3M
It's About You, LLC	AR	In Home Supportive Care Agency	$0	$5M
Krm Management	AR	Home Health Agency	$0	$3.2M
Stephanie J. Baldwin, D.d.s., P.A.	AR	Pediatric Dentistry	$0	$3M
Kidsource Therapy Group, LLC	AR	Rehabilitation Clinic/Center	$0	$3M
Life Strategies Counseling, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$3M

First Step, Inc. — Billing Profile & Reimbursement Data

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First Step, Inc. — 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