Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Warwick › NPI 1184944662
Behavioral

Affinity Physicians LLC.

Affinity Physicians LLC. was paid $41.76M by Medicaid between Jan 2018 and Dec 2024, across 132 billing codes. Its largest line is 99479, Subsequent intensive care, per day, very low birth weight infant — 32% of everything it billed.

33Billing provider infoAFFINITY PHYSICIANS LLC.
WARWICK, RI 02886
33aNPI1184944662assigned 06/07/2010
28Total paid$41.76M
24GClaims632,310
24DCodes billed132
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Neuropsychologist providers in Rhode Island

Rank by total paid#1 of 11
Median peer was paid$183K
This provider vs. median228×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201859,864$4.61M
2019129,745$6.14M
202083,371$3.89M
202189,096$4.90M
202287,825$6.07M
2023102,415$9.52M
2024incomplete79,994$6.63M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99479 Subsequent intensive care, per day, very low birth weight infant 32% 31,249 12,830 $13.54M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11% 68,163 61,228 $4.41M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.3% 76,353 69,862 $3.87M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 7.2% 84,356 28,626 $3.03M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.7% 24,448 23,093 $2.37M
90792 Psychiatric diagnostic evaluation with medical services 5.4% 17,109 16,170 $2.25M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.2% 17,537 16,499 $2.17M
99239 Hospital discharge day management, more than 30 minutes 3.0% 15,683 14,762 $1.26M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.7% 19,560 7,820 $1.11M
99222 Initial hospital care, per day, moderate complexity 2.3% 9,727 9,217 $950K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.1% 14,837 14,109 $869K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 1.6% 1,181 1,169 $648K
120 more codes
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.3% 15,492 $533K
76818 1.2% 12,391 $509K
99215 Doctor's office visit, returning patient (complex) <1% 3,933 $368K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 4,857 $354K
59025 Fetal non-stress test <1% 19,115 $331K
90847 Family psychotherapy with the patient present, 50 minutes <1% 5,063 $212K
99238 Hospital discharge day management, 30 minutes or less <1% 3,641 $211K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 7,228 $209K
99204 Doctor's office visit, new patient (more involved) <1% 3,101 $194K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 4,990 $181K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 5,400 $159K
90791 Psychiatric diagnostic evaluation <1% 1,641 $151K
99460 <1% 2,385 $133K
90837 Psychotherapy session, about an hour <1% 1,468 $132K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 1,413 $132K
92587 <1% 2,401 $109K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 2,846 $100K
97803 <1% 1,648 $97K
99223 Prolong inpt eval add15 m <1% 2,372 $90K
99203 Doctor's office visit, new patient (routine) <1% 1,903 $82K
99221 <1% 902 $65K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,243 $55K
99468 <1% 274 $54K
90836 <1% 759 $46K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 5,758 $45K
92567 <1% 1,833 $41K
99464 <1% 651 $39K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 663 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,084 $33K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 418 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,707 $32K
90834 Psychotherapy session, about 45 minutes <1% 546 $32K
01961 <1% 84 $31K
80305 <1% 1,984 $29K
20611 <1% 371 $27K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 309 $25K
99205 Prolong outpt/office vis <1% 436 $24K
97802 <1% 261 $22K
97597 <1% 501 $22K
90846 Family psychotherapy without the patient present, 50 minutes <1% 642 $20K
90832 Psychotherapy session, about 30 minutes <1% 515 $19K
99462 <1% 666 $19K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 384 $18K
90870 <1% 222 $17K
92579 <1% 319 $16K
76825 <1% 224 $13K
76813 <1% 308 $13K
76820 <1% 583 $13K
99152 <1% 217 $11K
76801 <1% 239 $10K
90461 <1% 345 $9K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 24 $9K
3078F <1% 37,654 $8K
90838 <1% 75 $7K
1036F <1% 19,481 $7K
93325 <1% 290 $7K
3074F <1% 42,947 $7K
99480 Subsequent intensive care, per day, low birth weight infant <1% 277 $6K
76827 <1% 226 $6K
59020 <1% 221 $5K
00840 <1% 38 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 173 $5K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 385 $4K
95251 <1% 115 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 152 $4K
4010F <1% 1,851 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 49 $4K
90472 Immunization administration, each additional vaccine (list separately) <1% 362 $4K
81002 <1% 810 $4K
92588 <1% 139 $3K
77080 <1% 166 $3K
3079F <1% 4,424 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 14 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 79 $2K
3077F <1% 799 $2K
3075F <1% 1,097 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 30 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 25 $2K
92550 <1% 80 $2K
99201 <1% 44 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 14 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 15 $1K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 242 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 69 $905.58
81025 <1% 83 $724.19
99307 <1% 48 $652.69
20610 <1% 27 $625.23
94729 <1% 36 $421.46
72100 <1% 25 $402.47
94726 <1% 35 $398.41
99478 <1% 25 $391.68
73030 <1% 25 $377.33
3080F <1% 136 $376.65
96127 <1% 79 $375.85
87660 <1% 12 $349.68
87480 <1% 12 $349.68
87510 <1% 12 $349.68
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 25 $232.75
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 181 $173.36
94060 <1% 14 $166.90
73560 <1% 12 $125.60
83036 Hemoglobin; glycosylated (A1C) <1% 12 $119.43
3044F <1% 13 $98.29
90785 <1% 16 $84.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 12 $49.56
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 229 $29.72
4004F <1% 8,124 $27.17
99220 <1% 119 $11.88
93294 <1% 12 $3.24
90686 <1% 25 $0.24
99442 0% 733 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 0% 86 $0.00
90662 0% 12 $0.00
99443 0% 620 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 60 $0.00
99217 0% 75 $0.00
T1016 Case management, each 15 minutes 0% 18 $0.00
99441 0% 21 $0.00
99308 Subsequent nursing facility care, per day, straightforward 0% 17 $0.00
G0008 Administration of influenza virus vaccine 0% 13 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBURKE, JAMES (VP FINANCE)
Parent organizationKENT COUNTY MEMORIAL HOSPITAL
Same official

Other billing entities under BURKE, JAMES

Full network →
ProviderLocationPaid
Kent County Memorial HospitalWarwick, RI$90.78M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.