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

First Steps Nursing and Therapy SVCS PLLC

First Steps Nursing and Therapy SVCS PLLC was paid $37.90M by Medicaid between Sep 2020 and Nov 2024, across 4 billing codes. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 99% of everything it billed.

33Billing provider infoFIRST STEPS NURSING AND THERAPY SVCS PLLC
WINDCREST, TX 78239
33aNPI1932494358assigned 06/14/2011
33bProvider typeHome Health Agency
28Total paid$37.90M
24GClaims79,054
24DCodes billed4
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers

Next to other Home Health Agency providers in Texas

Rank by total paid#54 of 1,243
Median peer was paid$1.86M
This provider vs. median20×

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$500K$1.0M2018201920202021202220232024
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
20205,047$2.26M
202122,756$10.59M
202219,892$9.33M
202318,095$8.65M
2024incomplete13,264$7.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 99% 74,718 2,429 $37.56M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,962 321 $169K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,783 258 $117K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 591 113 $48K

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 officialBOYD, CELESTE (MBR)