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    OpenPayerNPI Medicare & MedicaidAxiscare Health Logistics, LLC
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    Axiscare Health Logistics, LLC — Billing Profile & Reimbursement Data

    NPI 1659389997 · Toa Baja, PR · Durable Medical Equipment & Medical Supplies

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    Axiscare Health Logistics, LLC is a durable medical equipment & medical supplies provider located in Toa Baja, Puerto Rico. This profile covers 0 Medicare and 67 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
    OrganizationAxiscare Health Logistics, LLC
    AddressPepsi Industrial Park
    CityToa Baja
    StatePR
    ZIP00949
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedAugust 3, 2006

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

    Payer SourceTotal Paid
    Medicaid$5.5M
    Medicare$0

    Key Findings

    AXISCARE HEALTH LOGISTICS, LLC is effectively a Medicaid-focused DME supplier: there is no Medicare billing on file and the provider reports $5.5M in lifetime Medicaid revenue, making its operational footprint concentrated in the Medicaid program rather than split across both payers. This profile is consistent with a business that contracts or markets primarily to Medicaid beneficiaries or state-contracted DME channels.

    Medicaid revenue is extremely concentrated: the precomputed top 3 Medicaid codes by revenue account for 99.2% of this provider's total Medicaid revenue, with L8699 alone accounting for $5.4M revenue (98.5% of this provider's total Medicaid revenue). That concentration implies the provider’s financial performance is driven almost entirely by a single prosthetic implant product line rather than a broad mix of DME items.

    Code-level billing for the revenue driver is sizeable on a per-claim basis: L8699 shows 1.8K claims with a $3023 avg paid/claim, indicating high-dollar prosthetic implant payments per occurrence. Despite the dollar dominance, L8699 ranks #8 of 23 providers in-state (68th percentile; typical, unremarkable volume for this code), so the provider’s large dollar share does not correspond to an unusually high in-state claim volume relative to peers.

    The remaining two of the top three Medicaid codes are much smaller contributors but define complementary service lines: A4414 (589 claims, $40 avg paid/claim, $23.6K revenue) and B4035 (198 claims, $66 avg paid/claim, $13.1K revenue) together make up the balance of the top revenue mix and are explicitly listed among the precomputed top three. Both codes are described as typical, unremarkable volumes in-state (A4414 ranks #5 of 7, 33th percentile; B4035 ranks #6 of 7, 17th percentile), suggesting these are routine ostomy and enteral supply lines rather than market-dominant offerings.

    Outside the top-three concentration, the provider bills a broad set of low-revenue, often high-claim consumables and respiratory accessories—examples include A4253 (1.7K claims, $1 avg paid/claim, $1.7K revenue) and E0601 (504 claims, $4 avg paid/claim, $2K revenue). These items produce small dollar contributions individually and are ranked mid-to-low among in-state peers, indicating supplementary product lines that do not materially affect overall revenue.

    Competitive standing is mixed: while the provider captures a very large share of its own Medicaid revenue via L8699, its in-state rank on that code (#8 of 23, 68th percentile) and mid-to-low percentiles across many other listed codes indicate a modest participant across most DME categories rather than a dominant statewide supplier. Multiple codes are ranked in the middle or lower percentiles (for example, A5063 #5 of 6, 20th percentile; A7030 #4 of 6, 40th percentile), reinforcing a profile of specialization rather than broad market leadership.

    The provider has a long-established enrollment history: NPI enumerated 2006-08-03 (~20 years ago), which is consistent with a stable, specialized DME operation that has focused over time on a narrow set of high-dollar prosthetic implant claims. That tenure supports the interpretation that current billing patterns reflect a sustained business orientation rather than a recent strategic pivot.

    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.

    67 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    L8699Prosthetic implant, not otherwise specified1,790$3,020$5.4M
    A4414Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each590$40$23.6K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape200$70$13.1K
    A5063Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each300$40$10.4K
    E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress540$10$5.4K
    B9002Enteral nutrition infusion pump, any type160$20$3.7K
    A4406Ostomy skin barrier, pectin-based, paste, per ounce450$10$3.1K
    A7030Full face mask used with positive airway pressure device, each130$20$3K
    A4353Intermittent urinary catheter, with insertion supplies20$180$2.8K
    A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap170$10$2.4K

    Showing 1–10 of 67

    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

    67 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    L8699Prosthetic implant, not otherwise specified820740$2,660$4.6M
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)610910$660$560.6K
    A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips6102,070$50$324.8K
    E1399Durable medical equipment, miscellaneous310530$330$276.4K
    A4353Intermittent urinary catheter, with insertion supplies510820$180$276.4K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate6101,670$40$261.6K
    E0601Continuous positive airway pressure (CPAP) device5101,480$20$242.9K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape6101,860$80$197.4K
    E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress5101,530$20$180.8K
    E0471Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…4101,470$80$132.5K

    Showing 1–10 of 67

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Axiscare Health Logistics IncPRDurable Medical Equipment & Medical Supplies$0$9.1M
    Centro De Servicios Medicos IncPRClinical Medical Laboratory$1K$3.6M
    Gipecd Medical Services, LLCPRSpecialist$0$2.3M
    Csm Servicios De Cuidado Inc.PRPrimary Care Clinic/Center$0$1.6M
    Carlos BeltranPRGeneral Practice Dentistry$0$1.1M
    Dr. Manuel R Santiago Dentist, PscPRDental Clinic/Center$0$997.9K
    Crm Grupo Profesional Medicos, CspPRPrimary Care Clinic/Center$0$662.2K
    Laboratorio Clinico Levittown, Inc.PRClinical Medical Laboratory$7.9K$492.7K
    Luisa Gonzalez RomanPRPhysical Therapist$29.1K$389.6K
    Sunny Ambulance IncPRAmbulance$63.8K$209.5K

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Axiscare Health Logistics, LLC — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico