Medical Transportation Management Inc.
Transportation Broker
Lake St Louis, Missouri
NPI: 1134260078
Risk Tier
Critical
Total Paid
$894.4M
$894,406,193
Total Claims
34.4M
Beneficiaries
5.0M
Avg Cost/Claim
$26.01
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (3)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 4 procedure codes: W6110 at 1.1× median, A0428 at 4.6× median.
Unusually High Spending
This provider's total payments are significantly above the median for their specialty.
High Claims Per Patient
Filing an unusually high number of claims per beneficiary compared to peers.
Advanced Detection Signals
Billing Velocity
18608.5 claims per working day — may exceed physically possible volume for a single provider.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024