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

First Step,llc

First Step,llc was paid $6.60M by Medicaid between Apr 2019 and Nov 2024, across 9 billing codes. Its largest line is 92507, Treatment of speech, language, voice, communication, and/or auditory processing disorder — 30% of everything it billed.

33Billing provider infoFIRST STEP,LLC
BROOKLYN, NY 11235
33aNPI1861921348assigned 06/08/2017
33bProvider typeCase Management Agency
28Total paid$6.60M
24GClaims85,937
24DCodes billed9
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers

Next to other Case Management Agency providers in New York

Rank by total paid#58 of 180
Median peer was paid$1.76M
This provider vs. median3.7×

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$100K$200K2018201920202021202220232024
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
20196,584$473K
20209,762$676K
202116,793$1.25M
202219,343$1.53M
202319,844$1.59M
2024incomplete13,611$1.09M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 30% 25,356 2,984 $1.96M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 25% 15,429 817 $1.63M
97530 Therapeutic activities, direct patient contact, each 15 minutes 19% 16,332 2,848 $1.26M
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes 12% 10,106 1,510 $778K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5.5% 4,913 1,295 $366K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 5.3% 8,716 2,361 $349K
92557 2.5% 4,019 1,095 $165K
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 1.1% 976 147 $74K
96112 <1% 90 54 $25K

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 officialNIZHNER, OLGA (CEO)