TMS VT, LLC
TMS VT, LLC was paid $2.93M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is A7030, Full face mask used with positive airway pressure device, each — 19% of everything it billed.
SOUTH BURLINGTON, VT 05403
Next to other Durable Medical Equipment & Medical Supplies providers in Vermont
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,339 | $138K | |
| 2019 | 3,708 | $186K | |
| 2020 | 4,882 | $164K | |
| 2021 | 7,555 | $208K | |
| 2022 | 12,988 | $414K | |
| 2023 | 25,669 | $956K | |
| 2024incomplete | 22,119 | $861K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A7030 | Full face mask used with positive airway pressure device, each | 19% | 6,612 | 5,646 | $543K |
| E0601 | Continuous positive airway pressure (cpap) device | 14% | 8,770 | 7,156 | $422K |
| A7031 | Face mask interface, replacement for full face mask, each | 13% | 6,740 | 5,693 | $373K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 9.2% | 8,575 | 7,349 | $269K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 5.8% | 2,658 | 2,306 | $169K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 5.3% | 3,112 | 2,598 | $157K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 4.4% | 6,125 | 4,485 | $129K |
| A7038 | Filter, disposable, used with positive airway pressure device | 4.3% | 11,038 | 9,317 | $127K |
| A7035 | Headgear used with positive airway pressure device | 3.9% | 5,920 | 5,031 | $116K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 3.9% | 1,710 | 1,477 | $115K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 3.3% | 869 | 776 | $96K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 1.6% | 4,088 | 3,448 | $48K |
28 more codes
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | 1.3% | 286 | $37K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | 1.2% | 1,027 | $35K |
| E1392 | Portable oxygen concentrator, rental | 1.0% | 1,309 | $30K |
| E0570 | Nebulizer, with compressor | 1.0% | 3,954 | $30K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 1,091 | $29K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | <1% | 193 | $26K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 217 | $26K |
| A4554 | Disposable underpads, all sizes | <1% | 633 | $24K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 734 | $19K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 825 | $19K |
| A7037 | Tubing used with positive airway pressure device | <1% | 1,230 | $18K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 331 | $17K |
| K0108 | Wheelchair component or accessory, not otherwise specified | <1% | 232 | $16K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 1,601 | $13K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | <1% | 237 | $7K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | <1% | 237 | $5K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | <1% | 34 | $4K |
| E0955 | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each | <1% | 91 | $3K |
| K0001 | Standard wheelchair | <1% | 365 | $3K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 45 | $2K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 68 | $1K |
| A4670 | Automatic blood pressure monitor | <1% | 14 | $727.68 |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 54 | $512.98 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 156 | $414.38 |
| E0271 | Mattress, innerspring | <1% | 12 | $214.15 |
| E0156 | Seat attachment, walker | <1% | 14 | $135.06 |
| E0305 | Bed side rails, half length | <1% | 36 | $107.66 |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 17 | $64.61 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.