Agency
First Step Youth Services
First Step Youth Services was paid $3.18M by Medicaid between Jan 2018 and Mar 2024, across 2 billing codes. Its largest line is H0046, Mental health services, not otherwise specified — 99% of everything it billed.
33Billing provider infoFIRST STEP YOUTH SERVICES
DANVILLE, VA 24541
DANVILLE, VA 24541
33aNPI1437523941assigned 11/20/2015
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$3.18M
24GClaims22,647
24DCodes billed2
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Virginia
Rank by total paid#192 of 565
Median peer was paid$1.46M
This provider vs. median2.2×
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 Concentration99% of spending on code H0046 with only 2 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 | |
|---|---|---|---|
| 2018 | 3,858 | $507K | |
| 2019 | 6,058 | $806K | |
| 2020 | 3,878 | $585K | |
| 2021 | 2,829 | $437K | |
| 2022 | 2,766 | $421K | |
| 2023 | 2,734 | $345K | |
| 2024incomplete | 524 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0046 | Mental health services, not otherwise specified | 99% | 22,244 | 1,464 | $3.15M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | <1% | 403 | 37 | $27K |
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 officialFULTON, RAPHAEL (CEO)