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First Step Inc.

Day Training Developmentally Disabled Services·Hot Springs, AR·NPI: 1922157403Share

Compared to Day Training Developmentally Disabled Services Peers

Total spending distribution among 22 providers in this specialty

P25MedianP75P90

This provider's total spending of $128.3M is at the 50th percentile among 22 Day Training Developmentally Disabled Services providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$128.3M

$128,311,370

Total Claims

1.6M

Beneficiaries

166K

9.5 claims/patient

Avg Cost/Claim

$81

#910 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

First Step Inc. is a Day Training Developmentally Disabled Services provider based in Hot Springs, AR. From the 2018–2024 period, this provider received $128.3M in Medicaid payments across 1.6M claims.

Why This Matters

This provider received $128.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,038 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 16% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$14.5M
+79%
2019
$25.8M
-9%
2020
$23.5M
+1%
2021
$23.8M
-36%
2022
$15.4M
-14%
2023
$13.1M
-7%
2024
$12.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 44% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$56.4M

902K claims · 43.9%

Your Cost: $62.50/claim|Median: $121.16
0.5× median
H2016Normal range

Comprehensive community support services, per 15 min

$46.0M

228K claims · 35.8%

Your Cost: $201.54/claim|Median: $321.53
0.6× median
92507Normal range

Speech/hearing/language treatment

$11.5M

189K claims · 9.0%

Your Cost: $60.70/claim|Median: $49.45
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$8.1M

149K claims · 6.3%

Your Cost: $54.13/claim|Median: $33.11
1.6× median
97110Top 25%

Therapeutic exercises, each 15 min

$3.1M

55K claims · 2.4%

Your Cost: $57.13/claim|Median: $24.49
2.3× median
A0120Top 25%

Non-emergency mini-bus transport

$1.3M

18K claims · 1.0%

Your Cost: $70.87/claim|Median: $16.09
4.4× median
T1019Normal range

Personal care services, per 15 min

$1.0M

18K claims · 0.8%

Your Cost: $56.80/claim|Median: $82.47
0.7× median
96112Normal range

Developmental test administration

$281K

3K claims · 0.2%

Your Cost: $90.83/claim|Median: $102.95
0.9× median
T1002Normal range

RN services, per 15 minutes

$204K

10K claims · 0.2%

Your Cost: $20.65/claim|Median: $37.42
0.6× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$152K

2K claims · 0.1%

Your Cost: $95.04/claim|Median: $106.70
0.9× median
96113Normal range

Developmental test admin, each additional 30 min

$93K

2K claims · 0.1%

Your Cost: $48.06/claim|Median: $77.06
0.6× median
T2020Normal range

Day habilitation, waiver; per diem

$61K

435 claims · 0.0%

Your Cost: $140.74/claim|Median: $87.34
1.6× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$59K

656 claims · 0.0%

Your Cost: $90.48/claim|Median: $167.38
0.5× median
97003Normal range

$20K

299 claims · 0.0%

Your Cost: $68.12/claim|Median: $98.97
0.7× median
97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$17K

194 claims · 0.0%

Your Cost: $89.42/claim|Median: $146.45
0.6× median
97163Top 5%

PT evaluation, high complexity

$14K

75 claims · 0.0%

Your Cost: $192.49/claim|Median: $50.34
3.8× median
T1027Normal range

Family training and counseling, per 15 minutes

$12K

1K claims · 0.0%

Your Cost: $8.23/claim|Median: $53.00
0.2× median
T2025Normal range

Waiver services, NOS; per 15 min

$11K

113 claims · 0.0%

Your Cost: $94.43/claim|Median: $124.39
0.8× median
T1003Normal range

LPN/LVN services, per 15 minutes

$9K

850 claims · 0.0%

Your Cost: $10.41/claim|Median: $24.24
0.4× median
97001Normal range

$6K

94 claims · 0.0%

Your Cost: $68.37/claim|Median: $50.40
1.4× median
97162Top 5%

PT evaluation, moderate complexity

$6K

41 claims · 0.0%

Your Cost: $141.66/claim|Median: $46.10
3.1× median
97166Top 10%

OT evaluation, moderate complexity

$6K

39 claims · 0.0%

Your Cost: $148.06/claim|Median: $48.74
3.0× median
97165Normal range

OT evaluation, low complexity

$6K

91 claims · 0.0%

Your Cost: $60.61/claim|Median: $46.78
1.3× median
99367Normal range

$5K

297 claims · 0.0%

Your Cost: $17.73/claim|Median: $35.65
0.5× median
92523Normal range

Evaluation of speech sound production with language comprehension

$5K

51 claims · 0.0%

Your Cost: $100.82/claim|Median: $110.87
0.9× median
T2022Normal range

Case management, per month

$4K

43 claims · 0.0%

Your Cost: $103.82/claim|Median: $202.77
0.5× median

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