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    OpenPayerNPI Medicare & MedicaidAbsolife Fms Corp
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    Absolife Fms Corp — Billing Profile & Reimbursement Data

    NPI 1285018457 · San Juan, PR · Durable Medical Equipment & Medical Supplies

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    Absolife Fms Corp is a durable medical equipment & medical supplies provider located in San Juan, Puerto Rico. This profile covers 0 Medicare and 18 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
    OrganizationAbsolife Fms Corp
    Address641 Ave Andalucia
    CitySan Juan
    StatePR
    ZIP00920
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJuly 16, 2015

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

    Payer SourceTotal Paid
    Medicaid$23.5M
    Medicare$0

    Key Findings

    ABSOLIFE FMS CORP is effectively a single-payer Medicaid supplier: there is no Medicare billing on file and the provider reports $23.5M in lifetime Medicaid revenue, indicating that Medicaid is the sole material public payer visible in the dataset. This concentration makes the provider’s public-revenue profile highly dependent on Medicaid policy and contracting in Puerto Rico rather than Medicare dynamics.

    The provider’s service mix is heavily oriented to diabetes management and ambulatory insulin delivery based on the top codes billed. The largest single line is continuous glucose monitoring sensors (A9276: 26.1K claims, $604 avg paid/claim, $15.8M revenue), supplemented by disposable external ambulatory insulin delivery systems (A9274: 2.5K claims, $1079 avg paid/claim, $2.7M revenue) and blood glucose test strips (A4253: 18.3K claims, $89 avg paid/claim, $1.6M revenue), consistent with a DME/supply operation that supplies device consumables and associated hardware.

    Revenue is highly concentrated: the precomputed top three Medicaid codes (A9276, A9274, A4253) account for 85.7% of this provider’s total Medicaid revenue. That level of concentration implies that changes in reimbursement, utilization, or supplier contracts for these specific diabetes-related codes would materially affect the provider’s overall Medicaid revenue.

    ABSOLIFE holds a leading in-state position on several CGM and insulin-delivery-related items but the context varies by code. For A9276 the provider ranks #1 of 4 in-state (100th percentile) though the data labels the volume for this code as "typical, unremarkable"; for A9274 it is listed as #1 of 1 providers in-state (0th percentile, no state peer comparison available), indicating it is the sole billed supplier in the dataset for that code; and for A4253 it ranks #2 of 10 (89th percentile), showing strong statewide presence in test strips.

    Beyond diabetes supplies, ABSOLIFE also bills for ostomy and wound-care consumables at much smaller scale, demonstrating a secondary service line. Examples include A4353 intermittent urinary catheters (820 claims, $629 avg paid/claim, $515.8K revenue), A4414 ostomy skin barriers ($155.8K revenue), and A5063 ostomy pouches ($65.9K revenue), each representing modest shares of overall Medicaid revenue and suggesting ancillary DME supply activity.

    There are distinct statistical flags in the Medicaid profile that affect competitive interpretation. A9276 and A9278 place ABSOLIFE at the top of small in-state provider pools (A9276: #1 of 4, A9278: #1 of 3, both 100th percentile), while A4259 lancets (17K claims, $4 avg paid/claim, $67.8K revenue) is explicitly labeled "notably above typical state volume," indicating the provider supplies unusually large volumes of low‑unit-value consumables relative to peers.

    The NPI tenure shows the provider has been registered for an extended period: NPI enumerated 2015-07-16 (~11 years ago). This multi-year presence combined with concentrated product lines suggests an established DME/supply operation that has focused its Medicaid activity on diabetes-related durable and disposable supplies.

    From a payer-analytics perspective, ABSOLIFE’s commercial or contracting risk is concentrated in a narrow set of diabetes device codes and a few supporting hardware items (e.g., A9278 receiver and A9277 transmitter). Given that the top diabetes-related codes drive the majority of Medicaid revenue, payers negotiating rates or eligibility for CGM sensors, ambulatory insulin delivery systems, and strips should prioritize review of these codes for utilization management and network strategy.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply26,100$600$15.8M
    A9274External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories2,540$1,080$2.7M
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips18,330$90$1.6M
    A9278Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system2,600$570$1.5M
    A9277Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system1,520$560$852.3K
    A4353Intermittent urinary catheter, with insertion supplies820$630$515.8K
    A4414Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each610$260$155.8K
    A4259Lancets, per box of 10016,950$1$67.8K
    A5063Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each500$130$65.9K
    E0784External ambulatory infusion pump, insulin20$3,030$51.6K

    Showing 1–10 of 18

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Puerto Rico median

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply11020,040$550$9.2M
    A9274External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories1102,540$1,080$2.7M
    A9277Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system3101,670$630$2.3M
    E0784External ambulatory infusion pump, insulin310410$3,930$2.1M
    A9278Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system1102,060$540$860.6K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips2102,070$50$324.8K
    A4353Intermittent urinary catheter, with insertion supplies310820$180$276.4K
    A4414Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each410610$50$104.9K
    A5063Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each310400$30$68.6K
    E0607Home blood glucose monitor3101,700$30$34.5K

    Showing 1–10 of 18

    Nearby Providers

    Other providers in the same ZIP code as Absolife Fms Corp, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clinica De Cirugia Oral Y Maxilofacial De Caparra CspPROral and Maxillofacial Surgery Clinic/Center$0$1.1M
    Laboratorio Clinico Puerto NuevoPRClinical Medical Laboratory$510$787.4K
    Laboratorio Clinico Cdt Dr. Jose Lopez AntongiorgiPRClinical Medical Laboratory$0$607.1K
    Hector Stella EstevezPRPulmonary Disease Physician$117.6K$0
    Luis Baerga-varelaPRPhysical Medicine & Rehabilitation Physician$63.7K$0
    Raphael Colon-hernandezPREmergency Medicine Physician$37.8K$0
    Roberto Sanchez CordovaPRPodiatrist$26K$0
    Sharon Velez-maymiPREndocrinology, Diabetes & Metabolism Physician$17.3K$0
    Liza Hernandez-gonzalezPRInterventional Pain Medicine Physician$12.5K$0
    Alexandra Jarrot SierraPRChiropractor$5.2K$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. Puerto Rico Providers
    5 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Absolife Fms Corp — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico