AFINITY HEALTHCARE SOLUTIONS,LLC
NPI: 1902191190
· CINCINNATI, OH 45240
· Non-emergency Medical Transport (VAN)
· NPI assigned 06/15/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$3.32M
Total Medicaid Paid
Provider Details
| Authorized Official | PIRI, CELINE (ADMINISTRATOR) |
| NPI Enumeration Date | 06/15/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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) |
49,035 |
2,509 |
$3.28M |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
876 |
62 |
$37K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
43 |
12 |
$2K |