Access2care LLC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: A0428 at 6.3× median, A0426 at 6.3× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $367.16 per claim for A0428 (Ambulance service, BLS, non-emergency transport) — 6.3× the national median of $58.05.
Bills $657.51 per claim for A0426 (Ambulance service, ALS, non-emergency transport, level 1) — 6.3× the national median of $104.69.
Bills $30.89 per claim for T2049 — 3.1× the national median of $10.10.
Billing above the 90th percentile for 3 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Transportation Broker Peers
Total spending distribution among 12 providers in this specialty
This provider's total spending of $600.9M is at the 75th percentile among 12 Transportation Broker providers.
Total Paid
$600.9M
$600,905,872
Total Claims
17.6M
Beneficiaries
2.4M
7.4 claims/patient
Avg Cost/Claim
$34
#90 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Access2care LLC is a Transportation Broker provider based in Lake St Louis, MO. From the 2018–2024 period, this provider received $600.9M in Medicaid payments across 17.6M claims.
Why This Matters
This provider received $600.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 75,113 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 20 distinct procedure codes. The top code (A0100 (Non-emergency transportation; per trip)) accounts for 62% of total spending.
$373.4M
10.4M claims
$36.06
$24.72
Non-emergency transportation; per trip
$373.4M
10.4M claims · 62.1%
$78.0M
1.4M claims
$54.44
$29.37
Non-emergency wheelchair van transport
$78.0M
1.4M claims · 13.0%
$63.1M
3.7M claims
$16.86
$10.45
Non-emergency transport, per mile
$63.1M
3.7M claims · 10.5%
$25.6M
127K claims
$201.23
$132.60
Non-emergency transportation, per diem
$25.6M
127K claims · 4.3%
$20.3M
895K claims
$22.67
$16.09
Non-emergency mini-bus transport
$20.3M
895K claims · 3.4%
$18.6M
51K claims
$367.16
$58.05
Ambulance service, BLS, non-emergency transport
$18.6M
51K claims · 3.1%
$4.7M
7K claims
$657.51
$104.69
Ambulance service, ALS, non-emergency transport, level 1
$4.7M
7K claims · 0.8%
$3.4M
111K claims · 0.6%
$2.8M
12K claims · 0.5%
Non-emergency taxi transport
$2.8M
526K claims · 0.5%
Ground mileage, per statute mile
$2.4M
54K claims · 0.4%
$2.0M
83K claims
$24.13
$21.70
Non-emergency transport; encounter/trip
$2.0M
83K claims · 0.3%
Unlisted ambulance service
$927K
115K claims · 0.2%
$770K
5K claims · 0.1%
$617K
15K claims · 0.1%
$494K
12K claims · 0.1%
$390K
7K claims · 0.1%
$285K
14K claims
$20.34
$18.24
Outpatient psychiatric services, partial hospitalization, per hour
$285K
14K claims · 0.0%
$282K
19K claims
$14.98
$21.33
Non-invasive prenatal screening, fetal chromosomal abnormalities
$282K
19K claims · 0.0%
$94K
368 claims
$254.61
$252.36
Ambulance, specialty care transport
$94K
368 claims · 0.0%
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