Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

1st Step Recovery #2

Substance Abuse Rehabilitation Facility·Louisville, KY·NPI: 1760182794SharePrint ReportML Risk: 83%

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $1.5M is at the below 25th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Total Paid

$1.5M

$1,467,689

Total Claims

14K

Beneficiaries

3,124

4.5 claims/patient

Avg Cost/Claim

$103

🔍 Analysis

Provider Overview

1st Step Recovery #2 is a Substance Abuse Rehabilitation Facility provider based in Louisville, KY. From the 2018–2024 period, this provider received $1.5M in Medicaid payments across 14K claims serving 3K beneficiaries.

Why This Matters

This provider received $1.5M in Medicaid payments. While not among the largest billers, unusual patterns in providers of this size can still indicate systemic issues worth monitoring.

177% growthsince first billing year

Yearly Spending

2023
$389K
+177%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H2020 (Day habilitation, waiver, per 15 minutes)) accounts for 81% of total spending.

H2020Normal range

Day habilitation, waiver, per 15 minutes

$1.2M

8,331 claims · 80.5%

Your Cost: $141.85/claim|Median: $144.05
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$107K

1,826 claims · 7.3%

Your Cost: $58.43/claim|Median: $55.04
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$69K

1,949 claims · 4.7%

Your Cost: $35.31/claim|Median: $96.24
0.4× median
H2027Normal range

Psychoeducational service, per 15 minutes

$33K

489 claims · 2.3%

Your Cost: $67.67/claim|Median: $82.72
0.8× median
H0015Normal range

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

$21K

269 claims · 1.4%

Your Cost: $77.80/claim|Median: $129.75
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$18K

322 claims · 1.2%

Your Cost: $55.07/claim|Median: $99.21
0.6× median
H0002Normal range

Behavioral health screening

$12K

293 claims · 0.8%

Your Cost: $41.72/claim|Median: $38.77
1.1× median
T1007Normal range

Alcohol/drug services, treatment plan review

$12K

307 claims · 0.8%

Your Cost: $37.58/claim|Median: $64.10
0.6× median
H0001Normal range

Alcohol and/or drug assessment

$11K

298 claims · 0.8%

Your Cost: $37.74/claim|Median: $94.22
0.4× median
90837Normal range

Psychotherapy, 60 minutes

$4K

98 claims · 0.3%

Your Cost: $37.53/claim|Median: $85.66
0.4× median