Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

F.I.R.S.T.

F.I.R.S.T. was paid $8.67M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is T2033, Residential care, not otherwise specified (nos), waiver; per diem — 55% of everything it billed.

33Billing provider infoF.I.R.S.T.
ASHEVILLE, NC 28801
33aNPI1710116942assigned 07/09/2009
28Total paid$8.67M
24GClaims40,164
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Child & Adolescent Psychiatry Physician providers in North Carolina

Rank by total paid#4 of 20
Median peer was paid$184K
This provider vs. median47×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
20182,196$288K
20192,800$358K
20203,042$447K
20214,324$718K
20224,169$933K
202314,306$3.38M
2024incomplete9,327$2.54M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2033 Residential care, not otherwise specified (nos), waiver; per diem 55% 14,295 345 $4.73M
T2025 Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) 28% 13,128 5,060 $2.44M
T2041 Supports brokerage, self-directed, waiver; per 15 minutes 12% 6,550 5,973 $1.08M
H0036 Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes 2.3% 2,958 1,031 $201K
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 1.2% 1,918 100 $101K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 828 341 $71K
90847 Family psychotherapy with the patient present, 50 minutes <1% 487 195 $49K

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 officialPRICE FERRELL, JANET (EXECUTIVE DIRECTOR)