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    OpenPayerNPI Medicare & MedicaidAccess2care LLC
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    Access2care LLC — Billing Profile & Reimbursement Data

    NPI 1861520272 · Lake St Louis, MO · Transportation Broker

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    Access2care LLC is a transportation broker provider located in Lake St Louis, Missouri. This profile covers 0 Medicare and 20 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAccess2care LLC
    Address16 Hawk Ridge Cir
    CityLake St Louis
    StateMO
    ZIP63367
    TaxonomyTransportation Broker
    NPI EnumeratedFebruary 28, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$600.3M
    Medicare$0

    Key Findings

    ACCESS2CARE LLC reports no Medicare billing on file and $600.3M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operation in the available claims data. This payer concentration means Medicaid activity entirely drives the financial profile visible in federal billing records, so analyses should be weighted toward Medicaid program dynamics rather than Medicare trends.

    Revenue is highly concentrated in a small set of transportation codes: the top three Medicaid codes (A0100, A0130, A0090) together account for 85.6% of this provider’s Medicaid revenue. Those three codes individually are A0100 ($372.8M, 62.1% of Medicaid revenue), A0130 ($77.3M, 12.9%), and A0090 ($63.6M, 10.6%), indicating that a very large share of dollars are tied to routine non-emergency transportation services.

    The code mix and volumes identify ACCESS2CARE as a large non-emergency medical transportation (NEMT) broker: A0100 (Non-emergency transportation; taxi) has 10.4M claims, A0130 (wheelchair van) has 1.4M claims, and A0090 (per mile - vehicle provided by individual) has 3.7M claims. These high-claim counts for basic taxi and wheelchair-van services point to an operational model centered on high-frequency, low-to-moderate-cost trips rather than primarily on occasional high-acuity transports.

    Despite commanding large absolute volumes, the provider’s position on its three revenue-driving codes is not uniformly dominant statewide: it ranks #2 of 6 providers for A0100 (80th percentile), #2 of 5 for A0130 (75th percentile), and #2 of 5 for A0090 (75th percentile). In practical terms, ACCESS2CARE is a major or near-top competitor on those high-volume NEMT lines but does not appear to be the sole market leader for the core taxi/wheelchair-per-mile segments.

    ACCESS2CARE shows clear dominance and outlier status in several higher-acuity or specialized transport lines: A0120 (mini-bus/other) is $20.6M and ranks #1 of 120 providers in-state (100th percentile; extreme outlier, far above typical state volume), A0428 (BLS non-emergency ambulance) is $18.6M and ranks #1 of 61 (100th percentile; extreme outlier), and A0426 (ALS1 non-emergency ambulance) is $4.7M and ranks #1 of 36 (100th percentile; extreme outlier). These rank/percentile signals indicate unusually large statewide share in several specialized transport services relative to peers.

    The dataset shows a mix of very high-frequency, lower-paid trips and lower-frequency, higher-paid transports: A0100 averaged $36 paid/claim over 10.4M claims, whereas A0428 averaged $367 paid/claim over 50.7K claims and T2005 (stretcher van) averaged $201 paid/claim over 127.4K claims. This spread implies operational capacity that spans routine rideshare-style NEMT through stretcher and ambulance services, requiring diverse vehicle fleets, logistics, and cost structures.

    Operational scale is extensive across many codes (examples include 10.4M claims for A0100, 3.7M claims for A0090, and 894.6K claims for A0120), and the NPI has been enumerated since 2007-02-28 (~19 years ago), indicating an established presence in the state’s Medicaid transportation market. The combination of long tenure and large claim volumes supports the view that ACCESS2CARE is a mature, large-scale NEMT operator in Missouri.

    For payer-level analytics and monitoring, priority should be given to the top three codes (which drive 85.6% of Medicaid revenue) and to those codes flagged as extreme outliers (A0120, A0428, A0426) because shifts in utilization or rates for these lines will disproportionately affect total Medicaid spend with this provider. Given there is no Medicare activity to compare, state-level Medicaid peer benchmarking and operational review of NEMT service mix will yield the most actionable insights.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0100Non-emergency transportation; taxi10,354,220$40$372.8M
    A0130Non-emergency transportation: wheelchair van1,431,860$50$77.3M
    A0090Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest3,740,430$20$63.6M
    T2005Non-emergency transportation; stretcher van127,440$200$25.6M
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems894,560$20$20.6M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)50,730$370$18.6M
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)7,090$660$4.7M
    T2049Non-emergency transportation; stretcher van, mileage; per mile110,630$30$3.4M
    A0180Non-emergency transportation: ancillary: lodging-recipient12,320$230$2.8M
    A0110Non-emergency transportation and bus, intra or inter state carrier526,190$10$2.6M

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0100Non-emergency transportation; taxi2105,642,510$20$144.4M
    S0215Non-emergency transportation; mileage, per mile410530,670$30$53.8M
    A0130Non-emergency transportation: wheelchair van210619,870$40$44.6M
    A0090Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest210221,530$10$22.1M
    T2005Non-emergency transportation; stretcher van11045,820$150$8.2M
    S0209Wheelchair van, mileage, per mile410256,660$10$3.5M
    A0170Transportation ancillary: parking fees, tolls, other2105,950$10$3.3M
    T2049Non-emergency transportation; stretcher van, mileage; per mile11076,970$50$3.3M
    A0180Non-emergency transportation: ancillary: lodging-recipient21011,940$150$1.5M
    T2003Non-emergency transportation; encounter/trip3202,300$20$1.3M

    Showing 1–10 of 20

    Nearby Providers

    Other providers in the same ZIP code as Access2care LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Transportation Management, Inc.MOTransportation Broker$0$893.8M
    Veyo, LLCMOTransportation Broker$0$415.1M
    Tms Management Group, Inc.MOTransportation Broker$0$75.4M
    Medical Transportation Management, Inc.MOTransportation Broker$0$38M
    Ssm Health Care St. LouisMOGeneral Acute Care Hospital$0$8.9M
    Paul HintonMOInternal Medicine Physician$369.6K$166.4K
    Maria CanizaresMODermatology Physician$369.7K$0
    Geetha BalasubramanianMONephrology Physician$177.6K$0
    Mohhamed OmranMOGastroenterology Physician$84.1K$0
    John BedwinekMORadiation Oncology Physician$82.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Missouri Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Access2care LLC — 10 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri