Behavioral
First Step Therapy, LLC
First Step Therapy, LLC was paid $31.70M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 45% of everything it billed.
33Billing provider infoFIRST STEP THERAPY, LLC
KISSIMMEE, FL 34741
KISSIMMEE, FL 34741
33aNPI1831420033assigned 01/27/2010
33bProvider typeBehavioral Analyst
28Total paid$31.70M
24GClaims537,295
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Florida
Rank by total paid#4 of 631
Median peer was paid$148K
This provider vs. median214×
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 | 4,843 | $184K | |
| 2019 | 32,611 | $2.17M | |
| 2020 | 45,250 | $3.09M | |
| 2021 | 65,366 | $4.45M | |
| 2022 | 86,934 | $4.84M | |
| 2023 | 129,791 | $7.84M | |
| 2024incomplete | 172,500 | $9.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 45% | 238,709 | 47,818 | $14.11M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 29% | 156,547 | 33,971 | $9.06M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 19% | 105,634 | 20,802 | $6.14M |
| S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | 4.4% | 12,560 | 443 | $1.41M |
| T1027 | Family training and counseling for child development, per 15 minutes | 2.0% | 15,811 | 4,588 | $639K |
| 97168 | <1% | 3,093 | 2,715 | $137K | |
| 92523 | <1% | 3,285 | 2,659 | $134K | |
| 97164 | <1% | 940 | 809 | $40K | |
| 97163 | <1% | 396 | 327 | $16K | |
| 97167 | <1% | 320 | 264 | $13K |
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 officialNICHOLAS, FEDERICO (COO)
| Provider | Location | Paid |
|---|---|---|
| First Step Therapy, LLC | Kissimmee, FL | $140K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.