Is FIRST STEP RECOVERY OF WARREN LLC flagged for Medicaid fraud?

FIRST STEP RECOVERY OF WARREN LLC (NPI: 1255736450) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does FIRST STEP RECOVERY OF WARREN LLC bill Medicaid?

FIRST STEP RECOVERY OF WARREN LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Rehabilitation, Substance Use Disorder provider. Located in WARREN, OH.

What is NPI 1255736450?

NPI 1255736450 is the National Provider Identifier for FIRST STEP RECOVERY OF WARREN LLC. They are a Clinic/Center, Rehabilitation, Substance Use Disorder provider based in WARREN, OH. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

FIRST STEP RECOVERY OF WARREN LLC

Clinic/Center, Rehabilitation, Substance Use Disorder·WARREN, OH·NPI: 1255736450Share

Compared to Clinic/Center, Rehabilitation, Substance Use Disorder Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.8M is at the 75th percentile among 13 Clinic/Center, Rehabilitation, Substance Use Disorder providers.

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

Total Paid

$38.8M

$38,808,357

Total Claims

319K

Beneficiaries

94K

3.4 claims/patient

Avg Cost/Claim

$122

Monthly Spending Trend

Yearly Spending

2018

$5.7M

+8%

2019

$6.2M

-3%

2020

$6.0M

-4%

2021

$5.8M

-10%

2022

$5.2M

+5%

2023

$5.4M

-16%

2024

$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (H0015 (Alcohol and/or drug abuse, intensive outpatient, per hour)) accounts for 47% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$18.4M

105K claims

$175.85

$129.75

1.4×

Top 25%

H0015Top 25%

Alcohol and/or drug abuse, intensive outpatient, per hour

$18.4M

105K claims · 47.4%

Your Cost: $175.85/claim|Median: $129.75

1.4× median

H0011Alcohol and/or drug services, acute detoxification, per diemSee all providers →

$9.4M

25K claims

$381.64

$317.54

1.2×

Normal range

H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$9.4M

25K claims · 24.2%

Your Cost: $381.64/claim|Median: $317.54

1.2× median

H2036Alcohol/drug treatment, per hourSee all providers →

$3.4M

12K claims

$274.91

$253.79

1.1×

Normal range

H2036Normal range

Alcohol/drug treatment, per hour

$3.4M

12K claims · 8.8%

Your Cost: $274.91/claim|Median: $253.79

1.1× median

H2034Alcohol and/or drug abuse halfway house services, per hourSee all providers →

$2.2M

15K claims

$146.58

$164.03

0.9×

Normal range

H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$2.2M

15K claims · 5.7%

Your Cost: $146.58/claim|Median: $164.03

0.9× median

H0006Alcohol and/or drug services, case managementSee all providers →

$1.5M

42K claims

$35.03

$43.10

0.8×

Normal range

H0006Normal range

Alcohol and/or drug services, case management

$1.5M

42K claims · 3.8%

Your Cost: $35.03/claim|Median: $43.10

0.8× median

H0005Alcohol and/or drug services, group counselingSee all providers →

$929K

23K claims

$39.75

$47.35

0.8×

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

$929K

23K claims · 2.4%

Your Cost: $39.75/claim|Median: $47.35

0.8× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$863K

29K claims

$29.77

$55.04

0.5×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$863K

29K claims · 2.2%

Your Cost: $29.77/claim|Median: $55.04

0.5× median

H0048 See all providers →

$627K

45K claims

$13.94

$13.25

1.1×

Normal range

H0048Normal range

$627K

45K claims · 1.6%

Your Cost: $13.94/claim|Median: $13.25

1.1× median

T1002RN services, per 15 minutesSee all providers →

$530K

10K claims

$51.75

$37.42

1.4×

Normal range

T1002Normal range

RN services, per 15 minutes

$530K

10K claims · 1.4%

Your Cost: $51.75/claim|Median: $37.42

1.4× median

90837Psychotherapy, 60 minutesSee all providers →

$465K

4,731 claims

$98.36

$85.66

1.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$465K

4,731 claims · 1.2%

Your Cost: $98.36/claim|Median: $85.66

1.1× median

T1003LPN/LVN services, per 15 minutesSee all providers →

$163K

3,112 claims

$52.34

$24.24

2.2×

Normal range

T1003Normal range

LPN/LVN services, per 15 minutes

$163K

3,112 claims · 0.4%

Your Cost: $52.34/claim|Median: $24.24

2.2× median

90791Psychiatric diagnostic evaluationSee all providers →

$122K

1,331 claims

$91.30

$99.21

0.9×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$122K

1,331 claims · 0.3%

Your Cost: $91.30/claim|Median: $99.21

0.9× median

90832Psychotherapy, 30 minutesSee all providers →

$88K

1,790 claims

$49.37

$41.28

1.2×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$88K

1,790 claims · 0.2%

Your Cost: $49.37/claim|Median: $41.28

1.2× median

H0012 See all providers →

$72K

199 claims

$360.36

$295.95

1.2×

Normal range

H0012Normal range

$72K

199 claims · 0.2%

Your Cost: $360.36/claim|Median: $295.95

1.2× median

90834Psychotherapy, 45 minutesSee all providers →

$55K

865 claims

$63.02

$63.65

1.0×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$55K

865 claims · 0.1%

Your Cost: $63.02/claim|Median: $63.65

1.0× median

H0010Alcohol and/or drug services, sub-acute detoxification, per diemSee all providers →

$29K

117 claims

$247.57

$369.55

0.7×

Normal range

H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$29K

117 claims · 0.1%

Your Cost: $247.57/claim|Median: $369.55

0.7× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$11K

82 claims

$133.79

$108.91

1.2×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$11K

82 claims · 0.0%

Your Cost: $133.79/claim|Median: $108.91

1.2× median

90853Group psychotherapySee all providers →

$10K

559 claims

$18.11

$25.02

0.7×

Normal range

90853Normal range

Group psychotherapy

$10K

559 claims · 0.0%

Your Cost: $18.11/claim|Median: $25.02

0.7× median

90849Multiple-family group psychotherapySee all providers →

$5K

173 claims

$28.56

$40.78

0.7×

Normal range

90849Normal range

Multiple-family group psychotherapy

$5K

173 claims · 0.0%

Your Cost: $28.56/claim|Median: $40.78

0.7× median

99354 See all providers →

$2K

33 claims

$69.47

$54.96

1.3×

Normal range

99354Normal range

$2K

33 claims · 0.0%

Your Cost: $69.47/claim|Median: $54.96

1.3× median

90839Psychotherapy for crisis, first 60 minSee all providers →

$919

21 claims

$43.76

$83.98

0.5×

Normal range

90839Normal range

Psychotherapy for crisis, first 60 min

$919

21 claims · 0.0%

Your Cost: $43.76/claim|Median: $83.98

0.5× median

H0014 See all providers →

54 claims

$0.00

$137.81

—

Normal range

H0014Normal range

54 claims · 0.0%

Your Cost: $0.00/claim|Median: $137.81

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