Transport
Afinity Healthcare Solutions,llc
Afinity Healthcare Solutions,llc was paid $3.32M by Medicaid between Jan 2018 and May 2023, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 99% of everything it billed.
33Billing provider infoAFINITY HEALTHCARE SOLUTIONS,LLC
CINCINNATI, OH 45240
CINCINNATI, OH 45240
33aNPI1902191190assigned 06/15/2011
33bProvider typeNon-emergency Medical Transport (VAN)
28Total paid$3.32M
24GClaims49,954
24DCodes billed3
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Non-emergency Medical Transport (VAN) providers in Ohio
Rank by total paid#7 of 122
Median peer was paid$104K
This provider vs. median32×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration99% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
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 | 13,782 | $884K | |
| 2019 | 10,058 | $669K | |
| 2020 | 9,415 | $607K | |
| 2021 | 7,356 | $505K | |
| 2022 | 6,657 | $526K | |
| 2023 | 2,686 | $132K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) | 99% | 49,035 | 2,509 | $3.28M |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 1.1% | 876 | 62 | $37K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | <1% | 43 | 12 | $2K |
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 officialPIRI, CELINE (ADMINISTRATOR)