NP / PA
Affinity Health Care PSC
Affinity Health Care PSC was paid $764K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoAFFINITY HEALTH CARE PSC
HYDEN, KY 41749
HYDEN, KY 41749
33aNPI1255788725assigned 05/15/2016
33bProvider typeMedical Physician Assistant
28Total paid$764K
24GClaims32,481
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Physician Assistant providers in Kentucky
Rank by total paid#18 of 45
Median peer was paid$258K
This provider vs. median3.0×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,353 | $90K | |
| 2019 | 2,928 | $76K | |
| 2020 | 2,372 | $70K | |
| 2021 | 3,999 | $86K | |
| 2022 | 6,255 | $151K | |
| 2023 | 7,415 | $161K | |
| 2024incomplete | 6,159 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 76% | 20,262 | 12,126 | $578K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.6% | 1,312 | 1,171 | $35K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.0% | 1,606 | 1,384 | $30K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.6% | 2,478 | 2,209 | $28K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 3.5% | 826 | 716 | $27K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.3% | 1,945 | 1,447 | $25K |
| 80305 | 2.2% | 2,281 | 1,417 | $16K | |
| 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 | 1.5% | 270 | 211 | $11K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 387 | 330 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 40 | 38 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 116 | 102 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 32 | 29 | $1K |
5 more codes
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 officialCALLAHAN, MELISSA (CEO/PA)
| Provider | Location | Paid |
|---|---|---|
| Specialty Medical Care Services, LLC | Akron, PA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.