Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Missouri (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Affinity Care Of Missouri LLC (NPI 1053073171)

Field	Value
Entity Type	Organization
Organization	Affinity Care Of Missouri LLC
Address	14700 E 42nd St S Ste S
City	Independence
State	MO
ZIP	64055
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	October 6, 2021

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Y9504	N/A	3,090	$1,950	$6M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	100	$10	$600

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

Claims Volume vs. Missouri Distribution

Affinity Care Of Missouri LLC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Y9504	N/A	10	80	590	$770	$1.6M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	265	350	370	$20	$65.6K

Nearby Providers

Other providers in the same ZIP code as Affinity Care Of Missouri LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance Personal Care. Inc.	MO	Chore Provider	$0	$45.8M
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$45.4M
Care By Cassie, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$35.5M
Life At Its Best, Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.4M
Caudell Specialized Care	MO	Developmentally Disabled Services Day Training Agency	$0	$7.3M
Musketeer Home Care LLC	MO	In Home Supportive Care Agency	$0	$4.8M
Independence Pediatrics, P.C. Inc.	MO	Specialist	$0	$4.3M
Better At Home Services Inc	MO	In Home Supportive Care Agency	$0	$4.2M
Ajay Singh	MO	Ophthalmology Physician	$2.4M	$0
Discover Eye Surgery Center, LLC	MO	Ambulatory Surgical Clinic/Center	$1M	$0

Affinity Care Of Missouri LLC — Billing Profile & Reimbursement Data

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Affinity Care Of Missouri LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References