Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Minnesota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Apa Medical Equipment LLC (NPI 1861576282)

Field	Value
Entity Type	Organization
Organization	Apa Medical Equipment LLC
Address	3115 E 38th St
City	Minneapolis
State	MN
ZIP	55406
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	October 24, 2006

Payer Source	Total Paid
Medicaid	$61.8M
Medicare	$0

Key Findings

APA MEDICAL EQUIPMENT LLC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $61.8M in lifetime Medicaid revenue. This concentration means the entity’s reimbursement exposure and competitive positioning are driven almost entirely by Medicaid program rules and utilization patterns rather than by Medicare or commercial payers.

Revenue is highly concentrated in a small set of codes: the precomputed top three Medicaid codes (T2029, T4526, T4527) together account for 55.6% of the provider’s total Medicaid revenue. The individual contributions are substantial — T2029 generated $20.1M on 184.8K claims (32.9% of revenue), T4526 generated $7.2M on 101.8K claims (11.8%), and T4527 generated $6.7M on 82.8K claims (11.0%) — indicating a narrow set of high-volume product lines drives the majority of cash flow.

The code mix and volumes indicate APA MEDICAL EQUIPMENT operates primarily as a high-volume distributor of adult incontinence supplies and related DME: multiple high-revenue lines are T45xx incontinence codes (T4526, T4527, T4528, T4535, etc.) and E1399 (Durable medical equipment, miscellaneous) also appears prominently with $3.3M in revenue. This suggests day-to-day operations are focused on consumable supplies (protective underwear, liners, underpads) supplemented by miscellaneous DME sales and repairs rather than primarily on large durable goods or complex clinical equipment.

APA is a dominant statewide supplier for several codes. T2029 ranks #1 of 58 providers in-state and is labeled an "extreme outlier" at the 100th percentile, and E1399 similarly ranks #1 of 25 providers in-state at the 100th percentile; these placements indicate the provider is far above typical state volume for those codes and likely captures a leading share of waiver or miscellaneous-equipment claims.

For incontinence product lines specifically, the provider shows repeated top-tier rankings: T4526, T4527, T4528 and T4535 all rank at or near #2 within the state and are described as in the 98th percentile or notably above typical state volume. Multiple mid- to high-volume incontinence codes (for example, T4526: 101.8K claims/$7.2M; T4528: 66.8K claims/$6.5M; T4535: 118.4K claims/$6.4M) point to a broad, high-volume footprint across sizes and product types within this therapeutic niche.

Despite the concentration in consumables, the provider’s billing mix includes a range of other DME categories indicating service breadth: E0245 (tub stool or bench) generated $959.3K, E0240 (bath/shower chair) generated $418.3K, E0261 (hospital bed, semi-electric without mattress) generated $366.5K, and B4150 enteral formula accounted for $554.8K. These secondary lines suggest APA can supply both recurring consumables and episodic durable items, which may support cross-selling or bundled supply relationships with home care and waiver programs.

Operational tenure is long-standing: the NPI was enumerated on 2006-10-24 (~20 years ago), indicating the provider has had a sustained presence in the Minnesota DME/medical-supplies market. That longevity combined with extreme outlier rankings on key codes suggests established operational capacity and likely existing relationships with Medicaid waiver or managed long-term services and supports programs.

The provider’s profile presents both strategic advantages and concentration risk: extreme outlier positions and #2 statewide rankings across many incontinence codes imply negotiating leverage and scale efficiencies for those products, but the fact that the top three codes account for 55.6% of Medicaid revenue also creates sensitivity to policy, reimbursement, or utilization changes affecting those specific codes. Analysts should treat payor- or code-level policy shifts (especially around T2029 and large-volume T45xx codes) as primary drivers of future revenue volatility for this entity.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2029	Specialized medical equipment, not otherwise specified, waiver	184,830	$110	$20.1M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	101,750	$70	$7.2M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	82,820	$80	$6.7M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	66,840	$100	$6.5M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	118,360	$50	$6.4M
E1399	Durable medical equipment, miscellaneous	22,770	$140	$3.3M
T4541	Incontinence product, disposable underpad, large, each	80,270	$30	$2.7M
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	6,100	$170	$1M
E0245	Tub stool or bench	7,990	$120	$959.3K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	7,190	$120	$884.5K

Showing 1–10 of 45

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Apa Medical Equipment LLC — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5165	Home modifications; per service	11	10	240	$170	$3.2M
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	2	20	300	$170	$974.5K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	4	10	280	$200	$922.8K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	2	60	690	$90	$881.5K
T2029	Specialized medical equipment, not otherwise specified, waiver	1	60	800	$90	$854.3K
E1399	Durable medical equipment, miscellaneous	1	30	1,910	$240	$809.3K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	2	60	880	$50	$807.7K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	2	60	580	$110	$788.9K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	2	50	920	$80	$745.8K
E0240	Bath/shower chair, with or without wheels, any size	2	10	2,270	$360	$685.8K

Showing 1–10 of 45

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metro Home Health Care Services, Inc.	MN	Home Health Agency	$0	$22.7M
Touchstone Mental Health	MN	Mental Illness Community Based Residential Treatment Facility	$0	$22.2M
Kaal Home Healthcare, Inc	MN	Home Health Agency	$0	$21.8M
Claro Interpreting Services	MN	Interpreter	$0	$17.2M
Kim Tong Translation Service, Inc.	MN	Interpreter	$0	$15.8M
Twins Home Health Care Inc	MN	Home Health Agency	$0	$13M
Hiawatha Adult Day Center Inc	MN	Community/Behavioral Health Agency	$0	$10.6M
Summit Healthcare, Inc	MN	Home Health Agency	$0	$9.4M
Minnesota Care Counseling Services, Inc	MN	Community/Behavioral Health Agency	$0	$8.4M
Professional Pca Services LLC	MN	Home Health Agency	$0	$4.9M

Apa Medical Equipment LLC — Billing Profile & Reimbursement Data

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Apa Medical Equipment LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References