Clinic
First Step Medical LLC
First Step Medical LLC was paid $2.19M by Medicaid between Sep 2020 and Dec 2024, across 7 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 61% of everything it billed.
33Billing provider infoFIRST STEP MEDICAL LLC
LEBANON, VA 24266
LEBANON, VA 24266
33aNPI1134783194assigned 04/25/2019
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$2.19M
24GClaims20,686
24DCodes billed7
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Virginia
Rank by total paid#12 of 22
Median peer was paid$2.19M
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2020 | 536 | $36K | |
| 2021 | 5,187 | $524K | |
| 2022 | 6,069 | $665K | |
| 2023 | 5,269 | $583K | |
| 2024incomplete | 3,625 | $387K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 61% | 6,386 | 5,850 | $1.33M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 9,387 | 5,930 | $505K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 4,742 | 3,210 | $352K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 59 | 56 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 35 | 23 | $968.81 |
| 80305 | <1% | 58 | 55 | $528.78 | |
| 81025 | <1% | 19 | 18 | $123.90 |
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 officialLESTER, KAREN (CEO)