First Step Community Counseling Services LLC

First Step Community Counseling Services LLC was paid $2.09M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 96165, — 47% of everything it billed.

33Billing provider infoFIRST STEP COMMUNITY COUNSELING SERVICES LLC
KENNEWICK, WA 99336

33aNPI1548491970assigned 08/03/2009

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$2.09M

24GClaims40,415

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Washington

Rank by total paid#11 of 85

Median peer was paid$131K

This provider vs. median16×

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	6,517	$0.00
2019	2,003	$150K
2020	5,683	$252K
2021	4,813	$259K
2022	7,669	$440K
2023	8,171	$539K
2024incomplete	5,559	$450K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96165		47%	10,381	3,728	$987K
H0004	Behavioral health counseling and therapy, per 15 minutes	35%	10,698	6,471	$723K
96164		11%	9,903	3,745	$222K
96153		4.7%	5,172	1,580	$98K
H0001	Alcohol and/or drug assessment	<1%	186	182	$13K
80306		<1%	937	864	$11K
99205	Prolong outpt/office vis	<1%	89	89	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	228	118	$7K
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	<1%	207	119	$7K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	274	94	$4K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	32	30	$2K
T1016	Case management, each 15 minutes	<1%	492	339	$2K

7 more codes

80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	58	$2K
82075		<1%	109	$2K
T1017	Case management, billed per 15 minutes	<1%	85	$1K
80305		<1%	14	$71.48
99406		0%	19	$0.00
H0049	Alcohol and/or drug screening	0%	33	$0.00
H0047	Alcohol and/or other drug abuse services, not otherwise specified	0%	1,498	$0.00

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 officialCLARK, SARA (PROGRAM DIRECTOR)