Affinity Health Care, LLC

Affinity Health Care, LLC was paid $94K by Medicaid between Jan 2018 and Nov 2023, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoAFFINITY HEALTH CARE, LLC
NEWPORT NEWS, VA 23605

33aNPI1801267000assigned 10/13/2015

33bProvider typePrimary Care Clinic/Center

28Total paid$94K

24GClaims4,599

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2023

Compared with peers

Next to other Primary Care Clinic/Center providers in Virginia

Rank by total paid#45 of 80

Median peer was paid$108K

This provider vs. median0.9×

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	1,251	$20K
2019	2,018	$48K
2020	990	$22K
2021	240	$3K
2022	82	$950.00
2023	18	$115.80

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	40%	1,045	878	$38K
99336		28%	1,732	1,231	$27K
99335		16%	1,279	1,024	$15K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	9.9%	221	209	$9K
99326		2.1%	93	59	$2K
99334		1.6%	143	139	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.1%	14	12	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	34	29	$606.36
99310	Prolong nursin fac eval 15m	<1%	38	37	$3.23

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 officialHICKS, FRANCES (NURSE PRACTITIONER)