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.

Tms Management Group, Inc. (NPI 1346447992)

Field	Value
Entity Type	Organization
Organization	Tms Management Group, Inc.
Address	16 Hawk Ridge Cir
City	Lake St Louis
State	MO
ZIP	63367
Taxonomy	Transportation Broker
NPI Enumerated	June 28, 2007

Payer Source	Total Paid
Medicaid	$75.4M
Medicare	$0

Key Findings

Clinical/business mix: Billing is concentrated in non-emergency transportation services — the top procedure codes are A0100 (taxi), A0130 (wheelchair van), and T2003 (encounter/trip), which together reflect a pure NEMT/transportation broker operating model that generates the provider's Medicaid revenue. The reported Medicaid total is $75.4M, and there is no Medicare billing on file, so the entity appears to operate primarily as a Medicaid-focused transport vendor rather than as a clinical care provider.

Revenue concentration: The provider’s top three Medicaid codes account for 90.6% of its Medicaid revenue, with A0100 contributing 60.8%, A0130 19.9%, and T2003 9.9%. This extreme concentration in a small set of NEMT codes indicates the business is highly dependent on a narrow set of transport services for its revenue base.

Payer mix and exposure: Medicare billing is absent ("none below — this provider has no Medicare billing on file"), so the organization is effectively single-payer from a claims perspective, relying on Medicaid for its entire reported $75.4M lifetime revenue. That single-payer dependence concentrates regulatory, reimbursement, and demand risk within state Medicaid policy and procurement.

State competitive standing — A0100 and A0130: For the largest revenue driver A0100, the provider ranks #4 of 6 in-state (40th percentile) and the dataset labels the volume as "typical, unremarkable volume," indicating a middle-tier position among Missouri taxi-style NEMT suppliers. A0130 likewise ranks #4 of 5 (25th percentile) and is described as "typical, unremarkable volume," so wheelchair-van services represent an important revenue line but do not reflect market leadership.

State competitive standing — T2003: The provider ranks #2 of 23 in-state for T2003 (95th percentile), signaling a relatively strong statewide position for encounter/trip billing despite the dataset’s plain-English label of "typical, unremarkable volume." In practical terms, this combination of a high rank and that label suggests the provider is a leading claimant for this particular NEMT encounter/trip category even though overall volumes in the state are characterized as within normal bounds.

Unit economics and service mix: Average paid-per-claim values for top codes are low to moderate — A0100 $26/claim, A0130 $39/claim, T2003 $36/claim — consistent with a high-volume, lower-unit-price operational model typical of NEMT brokers. A0090 (per mile, individual-provided vehicle) shows 221.5K claims at $22/claim and $4.9M revenue (6.5%), while higher-paid items like T2005 (stretcher van) have higher average payment ($77) but represent only $1.1M (1.4%) of Medicaid revenue, highlighting a predominantly short-trip, volume-based revenue mix.

Ancillary and low- or zero-paid claim lines: The file shows multiple ancillary codes with reported claims but $0 average paid/claim (A0200, A0180, A0190, A0210), and several low-revenue items such as A0110 (bus) with $10/claim generating $1.1M and ranking #3 of 79 in-state (97th percentile). These patterns suggest the provider submits a breadth of ancillary transport-related claim types, though many of those record little or no reimbursed revenue in the dataset.

Tenure and operational implication: The NPI was enumerated 2007-06-28 (~19 years ago), indicating a long-standing Medicaid presence. Combined with $75.4M in Medicaid revenue and a concentrated, transport-centric code mix, the record is consistent with a mature, specialty NEMT broker with selective statewide competitiveness across specific transport codes rather than a diversified clinical services vendor.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0100	Non-emergency transportation; taxi	1,762,450	$30	$45.8M
A0130	Non-emergency transportation: wheelchair van	384,240	$40	$15M
T2003	Non-emergency transportation; encounter/trip	208,410	$40	$7.5M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	221,530	$20	$4.9M
A0110	Non-emergency transportation and bus, intra or inter state carrier	112,060	$10	$1.1M
T2005	Non-emergency transportation; stretcher van	14,090	$80	$1.1M
S0215	Non-emergency transportation; mileage, per mile	1,530	$20	$23K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	40	$210	$7.3K
A0180	Non-emergency transportation: ancillary: lodging-recipient	680	$0	$0
A0190	Non-emergency transportation: ancillary: meals-recipient	2,600	$0	$0

Showing 1–10 of 12

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

Tms Management Group, Inc. — 2 of 8 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0100	Non-emergency transportation; taxi	4	10	5,642,510	$20	$144.4M
S0215	Non-emergency transportation; mileage, per mile	5	10	530,670	$30	$53.8M
A0130	Non-emergency transportation: wheelchair van	4	10	619,870	$40	$44.6M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	3	10	221,530	$10	$22.1M
T2005	Non-emergency transportation; stretcher van	3	10	45,820	$150	$8.2M
A0180	Non-emergency transportation: ancillary: lodging-recipient	4	10	11,940	$150	$1.5M
T2003	Non-emergency transportation; encounter/trip	2	20	2,300	$20	$1.3M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	51	60	880	$160	$725.7K
A0200	Non-emergency transportation: ancillary: lodging escort	4	10	3,810	$130	$464.1K
A0190	Non-emergency transportation: ancillary: meals-recipient	3	10	14,410	$30	$360K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Transportation Management, Inc.	MO	Transportation Broker	$0	$893.8M
Access2care LLC	MO	Transportation Broker	$0	$600.3M
Veyo, LLC	MO	Transportation Broker	$0	$415.1M
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

Tms Management Group, Inc. — Billing Profile & Reimbursement Data

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Tms Management Group, 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