First Step Development Group, LLC
First Step Development Group, LLC was paid $665K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is S5161, Emergency response system; service fee, per month (excludes installation and testing) — 81% of everything it billed.
33Billing provider infoFIRST STEP DEVELOPMENT GROUP, LLC
DELRAY BEACH, FL 33483
DELRAY BEACH, FL 33483
33aNPI1295156024assigned 12/20/2013
33bProvider typePersonal Emergency Response Attendant
28Total paid$665K
24GClaims22,120
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Personal Emergency Response Attendant providers in Florida
Rank by total paid#3 of 6
Median peer was paid$243K
This provider vs. median2.7×
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 | 2,697 | $73K | |
| 2019 | 2,533 | $80K | |
| 2020 | 3,492 | $123K | |
| 2021 | 3,706 | $131K | |
| 2022 | 4,178 | $136K | |
| 2023 | 3,496 | $60K | |
| 2024incomplete | 2,018 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 81% | 19,690 | 19,044 | $540K |
| 1223Z | 18% | 2,359 | 2,229 | $123K | |
| Z0059 | <1% | 71 | 69 | $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 officialSALERNO, ELIZA (COO)
| Provider | Location | Paid |
|---|---|---|
| Medical Guardian, LLC | Philadelphia, PA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.