Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Missouri (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Medical Transportation Management, Inc. (NPI 1134260078)

Field	Value
Entity Type	Organization
Organization	Medical Transportation Management, Inc.
Address	16 Hawk Ridge Cir
City	Lake St Louis
State	MO
ZIP	63367
Taxonomy	Transportation Broker
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicaid	$893.8M
Medicare	$0

Key Findings

MEDICAL TRANSPORTATION MANAGEMENT, INC. is effectively a Medicaid-focused transportation broker: it has no Medicare billing on file and $893.8M in lifetime Medicaid revenue, indicating its operations and revenue depend almost entirely on state Medicaid contracts and non-emergency/ambulance transport services reimbursed through Medicaid. The provider’s NPI was enumerated 2007-02-12 (~19 years ago), showing long tenure in the market that could support established payer relationships and scale.

Revenue concentration is extremely high and centered in a small set of Medicaid codes: the precomputed top three codes account for 83.2% of this provider’s total Medicaid revenue, highlighting dependence on a narrow set of service lines for the majority of cash flow. Specifically, A0100, W6110, and A0130 together drive the bulk of billing and revenue, making the organization highly exposed to rate, policy, or utilization changes affecting those codes.

A0100 (Non-emergency transportation; taxi) is the single largest revenue driver with $388M (43.4% of total Medicaid revenue) and 16.9M claims, where the provider ranks #1 of 6 in-state (100th percentile) and is described as notably above typical state volume. This dominance on A0100 suggests the organization operates a very high-volume taxi/ride-based non-emergency transportation network for Medicaid members, likely coordinating many routine trips rather than rare specialty transports.

W6110 contributes $241.6M (27.0% of Medicaid revenue) from 2.3M claims and is listed as the only statewide reporter (rank #1 of 1) with no peer comparison available. The large share and lack of state peer volume comparisons imply this provider has near-monopoly reporting for W6110 in the state dataset, reinforcing its specialized role in whatever service W6110 represents within non-emergency transport.

A0130 (Non-emergency transportation: wheelchair van) produces $113.9M (12.7% of Medicaid revenue) from 2.4M claims and the provider ranks #1 of 5 in-state (100th percentile), also noted as notably above typical state volume. High volume in A0130 indicates a significant wheelchair-van capability and operational capacity for accessible transport, suggesting the broker manages both ambulatory taxi trips and higher-acuity wheelchair-van logistics.

Several additional Medicaid codes show extreme outlier status or very high statewide rank, reinforcing the provider’s dominant in-state position across non-emergency transport types: T2003 (encounter/trip) is #1 of 23 (100th percentile, extreme outlier) with $15.3M; A0428 (BLS non-emergency ambulance) is #2 of 61 (98th percentile, extreme outlier) with $13.6M. These extreme-outlier labels indicate the provider is processing trip volumes far above typical state levels for multiple distinct transport modalities.

Beyond the top three, the provider also ranks #1 of large peer sets for several ancillary and mileage codes (for example A0110 at $9.5M, rank #1 of 79; A0888 at $12.7M, rank #1 of 6), suggesting it captures end-to-end transportation billing including mileage and ancillary fees. At the same time, many lower-revenue codes have typical or unremarkable volumes, indicating that while the firm dominates core categories, it participates in the broader mix of transport billing practices expected for a statewide broker.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0100	Non-emergency transportation; taxi	16,867,920	$20	$388M
W6110	N/A	2,279,580	$110	$241.6M
A0130	Non-emergency transportation: wheelchair van	2,423,560	$50	$113.9M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	4,180,780	$10	$41.8M
S0215	Non-emergency transportation; mileage, per mile	2,345,830	$10	$32.8M
T2003	Non-emergency transportation; encounter/trip	1,019,510	$20	$15.3M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	50,500	$270	$13.6M
A0170	Transportation ancillary: parking fees, tolls, other	1,276,490	$10	$12.8M
A0888	Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)	303,240	$40	$12.7M
A0110	Non-emergency transportation and bus, intra or inter state carrier	3,176,910	$1	$9.5M

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

Claims Volume vs. Missouri Distribution

Medical Transportation Management, Inc. — 10 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W6110	N/A	1	10	2,279,580	$110	$240.9M
A0100	Non-emergency transportation; taxi	1	10	5,642,510	$20	$144.4M
S0215	Non-emergency transportation; mileage, per mile	2	10	530,670	$30	$53.8M
A0130	Non-emergency transportation: wheelchair van	1	10	619,870	$40	$44.6M
A0080	Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest	2	10	529,250	$50	$24.3M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	1	10	221,530	$10	$22.1M
T2005	Non-emergency transportation; stretcher van	4	10	45,820	$150	$8.2M
T2004	Non-emergency transport; commercial carrier, multi-pass	1	10	231,780	$20	$5M
S0209	Wheelchair van, mileage, per mile	3	10	256,660	$10	$3.5M
A0170	Transportation ancillary: parking fees, tolls, other	1	10	5,950	$10	$3.3M

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Medical Transportation Management, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access2care LLC	MO	Transportation Broker	$0	$600.3M
Veyo, LLC	MO	Transportation Broker	$0	$415.1M
Tms Management Group, Inc.	MO	Transportation Broker	$0	$75.4M
Medical Transportation Management, Inc.	MO	Transportation Broker	$0	$38M
Ssm Health Care St. Louis	MO	General Acute Care Hospital	$0	$8.9M
Paul Hinton	MO	Internal Medicine Physician	$369.6K	$166.4K
Maria Canizares	MO	Dermatology Physician	$369.7K	$0
Geetha Balasubramanian	MO	Nephrology Physician	$177.6K	$0
Mohhamed Omran	MO	Gastroenterology Physician	$84.1K	$0
John Bedwinek	MO	Radiation Oncology Physician	$82.1K	$0

Medical Transportation Management, Inc. — Billing Profile & Reimbursement Data

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Medical Transportation Management, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References