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    OpenPayerNPI Medicare & MedicaidActivstyle, LLC
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    Activstyle, LLC — Billing Profile & Reimbursement Data

    NPI 1417954165 · Saint Paul, MN · Durable Medical Equipment & Medical Supplies

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    Activstyle, LLC is a durable medical equipment & medical supplies provider located in Saint Paul, Minnesota. This profile covers 0 Medicare and 69 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
    OrganizationActivstyle, LLC
    Address1055 Westgate Dr Ste 100
    CitySaint Paul
    StateMN
    ZIP55114
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJuly 7, 2005

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

    Payer SourceTotal Paid
    Medicaid$219.4M
    Medicare$0

    Key Findings

    This provider is effectively a single‑payer Medicaid operator: records show $219.4M in lifetime Medicaid revenue and none for Medicare (no Medicare billing on file). The absence of Medicare claims combined with large Medicaid volume indicates the business is focused almost exclusively on Medicaid contracts and beneficiaries.

    Revenue is highly concentrated in a small set of incontinence supply codes: the precomputed top three codes (T4527, T4535, T4528) together account for 45.3% of the provider's total Medicaid revenue, with T4527 at $35.6M (16.5%), T4535 at $33.8M (15.7%), and T4528 at $28.3M (13.1%). This level of concentration means those specific product lines drive a disproportionate share of cash flow.

    The submitted CPT/HCPCS mix is characteristically DME/supplies—dominated by disposable adult and pediatric incontinence products and related underpads and gloves—consistent with the provider taxonomy (Durable Medical Equipment & Medical Supplies). High claim volumes for headline codes (for example T4527: 391.3K claims; T4535: 787K claims; A4927: 531.8K claims) point to a high-throughput distribution operation focused on consumable supplies rather than episodic clinical equipment.

    ACTIVSTYLE is a dominant statewide supplier for many of its top codes: it ranks #1 in-state (100th percentile) and is labeled an "extreme outlier" or "notably above typical state volume" for numerous incontinence and supply codes (examples include T4527, T4535, T4528, T4526, T4541, A4927 and many others). These rankings indicate a market-leading position in Minnesota for disposable incontinence products and related consumables, well above typical peer volumes.

    While the core business is incontinence supplies, the provider also shows notable volume in other DME categories—B4150 (enteral formula) at $2.2M ranks #2 of 31 providers (97th percentile), E1399 (misc DME) at $909.9K ranks #2 of 25 (96th percentile), and T2029 ranks #4 of 58 (95th percentile). These placements suggest that ACTIVSTYLE has meaningful secondary presence in enteral nutrition and miscellaneous DME lines in-state, not just incontinence products.

    A few codes show atypical peer-comparison results that merit attention: T4537 is listed as #1 of 1 providers with a 0th percentile label and a note that no state peer volume comparison is available, which may reflect unique reporting or classification for that reusable underpad item. Conversely, S5170 (home delivered meals) sits at #11 of 34 providers (70th percentile), indicating typical, unremarkable market participation for that service line compared with its dominant incontinence portfolio.

    The provider has an established tenure in the market, with its NPI enumerated on 2005-07-07 (~21 years ago). Long-standing enumeration combined with the scale of Medicaid billing supports the interpretation that ACTIVSTYLE is an established DME supplier with sustained Medicaid-facing operations.

    Because a small set of incontinence product codes drives a large share of revenue (top three = 45.3%), changes in Medicaid coverage, utilization, or reimbursement for these specific HCPCS codes could materially impact overall revenue. Analysts and contract managers should treat reimbursement and utilization trends for T4527, T4535, and T4528 as high‑leverage indicators of the provider's financial performance.

    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.

    69 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each391,320$90$35.6M
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each787,000$40$33.8M
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each266,960$110$28.3M
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each285,850$80$23.2M
    T4541Incontinence product, disposable underpad, large, each620,780$40$22.3M
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each76,390$170$12.8M
    T4534Youth sized disposable incontinence product, protective underwear/pull-on, each76,050$90$6.9M
    A4927Gloves, non-sterile, per 100531,810$10$6.4M
    T4522Adult sized disposable incontinence product, brief/diaper, medium, each58,090$100$5.8M
    T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each68,920$80$5.2M

    Showing 1–10 of 69

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Minnesota median

    69 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2028Specialized supply, not otherwise specified, waiver11104,700$90$7.3M
    T4537Incontinence product, protective underpad, reusable, bed size, each110112,400$40$4.2M
    B4160Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…210990$230$1.4M
    S5170Home delivered meals, including preparation; per meal113020,600$10$1.4M
    T4530Pediatric sized disposable incontinence product, brief/diaper, large size, each1102,070$140$1.2M
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each120300$170$974.5K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each160690$90$881.5K
    T2029Specialized medical equipment, not otherwise specified, waiver460800$90$854.3K
    A9999Miscellaneous dme supply or accessory, not otherwise specified3103,400$20$848.6K
    E1399Durable medical equipment, miscellaneous2301,910$240$809.3K

    Showing 1–10 of 69

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Activstyle, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Diabetes Supply Center Of The Midlands LLCNEDurable Medical Equipment & Medical Supplies$0$40.7M
    Advocate Medical Services, LLCFLDurable Medical Equipment & Medical Supplies$0$23.2M
    Advocate Medical Services, LLCNCDurable Medical Equipment & Medical Supplies$0$16.1M
    Activstyle LLCILDurable Medical Equipment & Medical Supplies$0$11.6M
    Advocate Medical Services, LLCKYDurable Medical Equipment & Medical Supplies$0$10.6M

    Nearby Providers

    Other providers in the same ZIP code as Activstyle, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Handi Medical Supply, Inc.MNDurable Medical Equipment & Medical Supplies$0$43.3M
    Planned Parenthood Minnesota, North Dakota, South DakotaMNNon-Surgical Family Planning Clinic/Center$0$38.2M
    Mental Health Resources, Inc.MNCommunity/Behavioral Health Agency$0$30.8M
    Fairview Health ServicesMNDurable Medical Equipment & Medical Supplies$0$14.4M
    Carefocus CorporationMNHome Health Agency$0$12.2M
    Metro Psychology Support Services, Inc.MNMental Health Clinic/Center (Including Community Mental Health Center)$0$9.7M
    Minnesota Oncology Hematology, PAMNHematology & Oncology Physician$0$8.1M
    Psych Recovery IncMNPsychiatry Physician$0$4.6M
    Patrick OreillyMNGastroenterology Physician$174K$0
    Jeffrey RankMNGastroenterology Physician$170.6K$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. Minnesota Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Activstyle, LLC — 22 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota