Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FIRST STEP YOUTH SERVICES

NPI: 1437523941 · DANVILLE, VA 24541 · Community/Behavioral Health Agency · NPI assigned 11/20/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code H0046 with only 2 total codes billed. Highly concentrated billing profile.

$3.18M
Total Medicaid Paid
22,647
Total Claims
1,501
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialFULTON, RAPHAEL (CEO)
NPI Enumeration Date11/20/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 524 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0046 Mental health services, not otherwise specified 22,244 1,464 $3.15M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 403 37 $27K