First Step, INC.

First Step, INC. was paid $128.31M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 44% of everything it billed.

33Billing provider infoFIRST STEP, INC.
HOT SPRINGS, AR 71901

33aNPI1922157403assigned 01/10/2007

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$128.31M

24GClaims1,580,692

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Arkansas

Rank by total paid#2 of 73

Median peer was paid$5.06M

This provider vs. median25×

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	219,974	$14.46M
2019	207,490	$25.84M
2020	275,399	$23.53M
2021	314,212	$23.84M
2022	248,507	$15.36M
2023	170,046	$13.14M
2024incomplete	145,064	$12.16M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	44%	902,188	51,235	$56.39M
H2016	Community support for mental illness or disability, billed per dayComprehensive community support services, per diem	36%	228,035	6,034	$45.96M
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	9.0%	189,389	42,995	$11.50M
97530	Therapeutic activities, direct patient contact, each 15 minutes	6.3%	148,871	39,397	$8.06M
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	2.4%	54,875	15,156	$3.14M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	<1%	17,949	2,243	$1.27M
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)	<1%	18,147	920	$1.03M
96112		<1%	3,099	2,743	$281K
T1002	Rn services, up to 15 minutes	<1%	9,876	714	$204K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	<1%	1,599	1,447	$152K
96113		<1%	1,931	1,711	$93K
T2020	Day habilitation, waiver; per diem	<1%	435	47	$61K

14 more codes

97153	Applied behavior analysis (autism therapy), per 15 minutes	<1%	656	$59K
97003		<1%	299	$20K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	<1%	194	$17K
97163		<1%	75	$14K
T1027	Family training and counseling for child development, per 15 minutes	<1%	1,455	$12K
T2025	Waiver services not otherwise specified	<1%	113	$11K
T1003	Lpn/lvn services, up to 15 minutes	<1%	850	$9K
97001		<1%	94	$6K
97162		<1%	41	$6K
97166		<1%	39	$6K
97165		<1%	91	$6K
99367		<1%	297	$5K
92523		<1%	51	$5K
T2022	Case management, per month	<1%	43	$4K

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 officialBLAND, PAM (EXECUTIVE DIRECTOR)

Parent organizationFIRST STEP, INC.