Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Tnmo Healthcare, LLC

Tnmo Healthcare, LLC was paid $10.86M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoTNMO HEALTHCARE, LLC
ROLLA, MO 65401
33aNPI1922468420assigned 02/26/2016
28Total paid$10.86M
24GClaims220,454
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other In Home Supportive Care Agency providers in Missouri

Rank by total paid#26 of 321
Median peer was paid$2.00M
This provider vs. median5.4×

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.

Single-Code Concentration100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official COMBS, JANET controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201827,549$1.19M
201934,161$1.52M
202038,154$1.81M
202130,719$1.53M
202217,776$983K
202334,158$1.75M
2024incomplete37,937$2.08M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 100% 220,454 11,377 $10.86M

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.

From NPPES

Who's on the registration

Authorized officialCOMBS, JANET (VP OF LICENSURE)
Same official

Other billing entities under COMBS, JANET

Full network →
ProviderLocationPaid
Southerncare, INC.Youngstown, OH$42.55M
International Tutoring Services, LLCDallas, TX$22.43M
Regency Hospice of Georgia, LLCAiken, SC$11.99M
Vistacare USA, LLCColumbus, OH$11.72M
New Beacon Healthcare Group, LLCNorthport, AL$11.02M
Odyssey Healthcare Operating B LPWarwick, RI$9.27M
Odyssey Healthcare Operating a LPSan Antonio, TX$7.64M
Hospice of the Emerald Coast, INC.Panama City, FL$7.51M
Family Hospice, LTD.Hobbs, NM$7.36M
New Beacon Healthcare Group, LLCScottsboro, AL$6.18M
Angel Heart Hospice, LLCAustin, TX$6.15M
Wiregrass Hospice, LLCDothan, AL$5.77M
Tnmo Healthcare, LLCNashville, TN$5.66M
New Beacon Healthcare Group, LLCBirmingham, AL$5.58M
Odyssey Healthcare Operating A, LPBeaumont, TX$4.99M
The American Heartland Hospice Corp.Saint Louis, MO$4.69M
Southerncare, INC.Greenville, AL$3.74M
Wiregrass Hospice of South Carolina, LLCSpartanburg, SC$3.52M
Odyssey Healthcare Operating B LPPiscataway, NJ$3.25M
Family Hospice, LTD.San Antonio, TX$2.94M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.