Next Steps Community Services LLC

Next Steps Community Services LLC was paid $15.65M by Medicaid between Jul 2023 and Nov 2024, across 3 billing codes. Its largest line is T1020, help at home with daily living, billed per day — 96% of everything it billed.

33Billing provider infoNEXT STEPS COMMUNITY SERVICES LLC
BETHLEHEM, NH 03574

33aNPI1003403221assigned 12/22/2020

33bProvider typeMental Illness Community Based Residential Treatment Facility

28Total paid$15.65M

24GClaims7,223

24DCodes billed3

24AFirst – last monthJul 2023 – Nov 2024

Compared with peers

Next to other Mental Illness Community Based Residential Treatment Facility providers in New Hampshire

Rank by total paid#2 of 6

Median peer was paid$1.91M

This provider vs. median8.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration96% of spending on code T1020 with only 3 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2023	2,773	$5.18M
2024incomplete	4,450	$10.47M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1020	Help at home with daily living, billed per dayPersonal care services, per diem, 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 services provided by home health aide or certified nurse assistant)	96%	1,508	532	$15.02M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	2.2%	2,777	322	$339K
H2014	Skills training and development, per 15 minutes	1.9%	2,938	321	$290K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWOLTER, JAY (MANAGER)

Same official

Other billing entities under WOLTER, JAY

Full network →

Provider	Location	Paid
Mount Prospect Academy, INC.	Plymouth, NH	$76.55M
Becket Academy INC.	Belgrade, ME	$41.96M
Becket Academy, INC.	Hanover, NH	$31.29M
Becket Academy, INC.	Belgrade, ME	$12.81M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.