Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Activstyle, LLC

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition·Saint Paul, MN·NPI: 1417954165SharePrint Report
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Red Flags Explained

▼

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

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Rate Outlier

Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.

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Consistent Billing

Consistent Billing means this provider's monthly billing amounts show almost no natural variation. Real medical practices tend to have some fluctuation in monthly billing, so unnaturally steady billing can indicate automated or fabricated claims.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

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Billing above the 90th percentile for 2 procedure codes simultaneously.

This is a statistical summary, not an accusation. See our methodology.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$219.6M

$219,628,283

Total Claims

3.9M

Beneficiaries

3.7M

1.0 claims/patient

Avg Cost/Claim

$57

#388 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Activstyle, LLC is a Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition provider based in Saint Paul, MN. From the 2018–2024 period, this provider received $219.6M in Medicaid payments across 3.9M claims.

Why This Matters

This provider received $219.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 27,453 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 8% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$31.0M
+9%
2019
$33.9M
-4%
2020
$32.5M
-1%
2021
$32.0M
-2%
2022
$31.4M
-3%
2023
$30.4M
-7%
2024
$28.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 16% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$35.6M

391K claims · 16.2%

Your Cost: $90.85/claim|Median: $99.53
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$34.1M

787K claims · 15.5%

Your Cost: $43.27/claim|Median: $42.03
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$28.4M

267K claims · 12.9%

Your Cost: $106.29/claim|Median: $105.14
1.0× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$23.1M

286K claims · 10.5%

Your Cost: $80.67/claim|Median: $88.94
0.9× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$22.3M

621K claims · 10.2%

Your Cost: $35.91/claim|Median: $41.28
0.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$12.9M

76K claims · 5.9%

Your Cost: $168.47/claim|Median: $171.64
1.0× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$6.9M

76K claims · 3.1%

Your Cost: $90.86/claim|Median: $110.54
0.8× median
A4927Normal range

Gloves, non-sterile, per 100

$6.6M

532K claims · 3.0%

Your Cost: $12.34/claim|Median: $12.90
1.0× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$5.8M

58K claims · 2.6%

Your Cost: $100.14/claim|Median: $84.50
1.2× median
T4525Normal range

$5.2M

69K claims · 2.3%

Your Cost: $74.74/claim|Median: $79.46
0.9× median
T4530Top 10%

$5.1M

40K claims · 2.3%

Your Cost: $127.72/claim|Median: $83.90
1.5× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$4.9M

45K claims · 2.2%

Your Cost: $108.61/claim|Median: $96.13
1.1× median
T4537Normal range

$4.2M

112K claims · 1.9%

Your Cost: $37.42/claim|Median: $31.50
1.2× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$3.2M

16K claims · 1.5%

Your Cost: $197.80/claim|Median: $177.75
1.1× median
T4524Normal range

Adult-sized disposable incontinence product, brief/diaper, medium

$3.1M

26K claims · 1.4%

Your Cost: $119.30/claim|Median: $108.31
1.1× median
A4554Normal range

Disposable underpads, all sizes

$2.3M

116K claims · 1.0%

Your Cost: $19.63/claim|Median: $37.02
0.5× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$2.2M

27K claims · 1.0%

Your Cost: $81.52/claim|Median: $89.79
0.9× median
A4520Normal range

$2.0M

43K claims · 0.9%

Your Cost: $45.48/claim|Median: $39.60
1.1× median
S5170Normal range

Homemaker service, NOS, per diem

$1.8M

38K claims · 0.8%

Your Cost: $48.09/claim|Median: $19.89
2.4× median
T4521Top 25%

$1.7M

17K claims · 0.8%

Your Cost: $102.73/claim|Median: $81.60
1.3× median
T4540Normal range

$1.4M

64K claims · 0.6%

Your Cost: $21.00/claim|Median: $17.85
1.2× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$1.2M

13K claims · 0.5%

Your Cost: $90.82/claim|Median: $116.15
0.8× median
E1399Normal range

Durable medical equipment, miscellaneous

$907K

10K claims · 0.4%

Your Cost: $94.69/claim|Median: $104.06
0.9× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$750K

32K claims · 0.3%

Your Cost: $23.75/claim|Median: $141.34
0.2× median
T4529Top 10%

Pediatric disposable incontinence product, pull-on, large

$722K

6K claims · 0.3%

Your Cost: $120.45/claim|Median: $71.73
1.7× median
B4154Normal range

$677K

7K claims · 0.3%

Your Cost: $98.69/claim|Median: $132.96
0.7× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$629K

1K claims · 0.3%

Your Cost: $479.88/claim|Median: $508.29
0.9× median
T4532Normal range

$499K

6K claims · 0.2%

Your Cost: $86.31/claim|Median: $116.50
0.7× median
A9999Normal range

$413K

10K claims · 0.2%

Your Cost: $42.57/claim|Median: $39.73
1.1× median
B4160Normal range

Enteral formula, per 100 calories

$358K

3K claims · 0.2%

Your Cost: $123.19/claim|Median: $157.30
0.8× median

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