Family Comes 1ST, LLC
Family Comes 1ST, LLC was paid $3.74M by Medicaid between Jul 2022 and Dec 2024, across 2 billing codes. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 98% of everything it billed.
SILVER SPRING, MD 20906
Next to other Developmentally Disabled Services Day Training Agency providers in Maryland
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 2,952 | $581K | |
| 2023 | 8,244 | $1.63M | |
| 2024incomplete | 7,701 | $1.53M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99509 | Home visit for assistance with activities of daily living and personal care | 98% | 18,391 | 617 | $3.65M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 2.4% | 506 | 24 | $90K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Wells Gastroenterology PLLC | Amherst, NY | $47K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.