Agency
Stepping Stones Cottages, LLC
Stepping Stones Cottages, LLC was paid $26.58M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 87% of everything it billed.
33Billing provider infoSTEPPING STONES COTTAGES, LLC
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
33aNPI1134126147assigned 07/05/2005
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$26.58M
24GClaims32,573
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in West Virginia
Rank by total paid#14 of 93
Median peer was paid$1.97M
This provider vs. median13×
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.
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 | |
|---|---|---|---|
| 2018 | 6,286 | $3.58M | |
| 2019 | 5,668 | $3.53M | |
| 2020 | 4,623 | $3.61M | |
| 2021 | 4,247 | $3.92M | |
| 2022 | 4,419 | $4.34M | |
| 2023 | 4,283 | $4.10M | |
| 2024incomplete | 3,047 | $3.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 87% | 12,873 | 5,389 | $23.14M |
| T1005 | Respite care services, up to 15 minutes | 5.2% | 1,156 | 1,078 | $1.39M |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | 3.5% | 6,025 | 4,014 | $943K |
| T1016 | Case management, each 15 minutes | 1.8% | 2,283 | 2,262 | $483K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 1.3% | 4,687 | 4,589 | $352K |
| T2024 | Service assessment/plan of care development, waiver | <1% | 2,861 | 1,601 | $179K |
| T1002 | Rn services, up to 15 minutes | <1% | 1,844 | 1,823 | $57K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 820 | 258 | $32K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 24 | 24 | $2K |
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 officialSCHAFFNER, DOREEN (CFO)