Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AFFINITY AMERICA HOME CARE & PERSONAL SERVICES, LLC

NPI: 1508315094 · RAYTOWN, MO 64138 · Nursing Care Agency · NPI assigned 09/26/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$5.55M
Total Medicaid Paid
48,758
Total Claims
3,517
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOVELACE, SONYA (PRESIDENT)
NPI Enumeration Date09/26/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 859 $215K
2019 984 $403K
2020 1,565 $715K
2021 7,394 $788K
2022 12,836 $993K
2023 11,436 $1.11M
2024 13,684 $1.33M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 48,473 3,425 $5.54M
T1001 Nursing assessment / evaluation 241 78 $10K
1019 44 14 $0.00