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 Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona 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. Arizona (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 Family Care, LLC. (NPI 1952514564)

Field	Value
Entity Type	Organization
Organization	Affinity Family Care, LLC.
Address	1423 S Higley Rd
City	Mesa
State	AZ
ZIP	85206
Taxonomy	Home Health Agency
NPI Enumerated	May 8, 2007

Payer Source	Total Paid
Medicaid	$63.8M
Medicare	$0

Key Findings

AFFINITY FAMILY CARE, LLC. reports no Medicare billing on file and $63.8M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation at scale in Arizona. The absence of Medicare activity means analysts should treat this entity as dependent on Medicaid policy, rates, and waiver programs rather than traditional Medicare fee-for-service dynamics.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 100.0% of the provider's Medicaid revenue. Those codes are S5125 ($29.4M revenue, 46.1% of total), T2017 ($23.1M revenue, 36.2% of total), and S5150 ($11.3M revenue, 17.8% of total), indicating nearly all clinic receipts derive from a narrow set of service types.

The code mix (S5125 – attendant care services; T2017 – habilitation, residential, waiver; S5150 – unskilled respite care) and the provider taxonomy (Home Health Agency) point to a home- and community-based services model focused on direct personal care, residential habilitation under waiver programs, and respite. These are labor- and visit-intensity services billed in 15-minute units, suggesting operations organized around high-touch caregiving and workforce management rather than episodic clinical procedures.

Volume metrics reinforce the operational picture: S5125 shows 227.9K claims at $129 avg paid/claim, T2017 shows 265.2K claims at $87 avg paid/claim, and S5150 shows 133.5K claims at $85 avg paid/claim. The very large claim counts combined with modest per-claim payments are consistent with high-frequency, short-unit service delivery and imply significant frontline staffing and scheduling capacity.

Statewide competitive standing is uneven by service line: for T2017 the provider ranks #5 of 63 providers in-state (94th percentile) indicating a top-tier position in residential habilitation/waiver services; for S5150 it ranks #7 of 192 (97th percentile) signaling a strong presence in unskilled respite care; for S5125 it ranks #20 of 223 (91th percentile) which reflects a solid but less dominant role in attendant care. Each of these rankings is described in the source as typical, unremarkable volume for the code despite the high percentiles.

The revenue concentration in three 15-minute unitized codes creates both operational leverage and financial vulnerability: policy, rate, or waiver changes that affect attendant care, habilitation, or respite reimbursement could materially impact the entire $63.8M Medicaid revenue base. Analysts should monitor state waiver rules and Medicaid rate trends for these specific codes because the provider’s median reimbursement levels ($129, $87, $85 avg paid/claim) require sustained high utilization to support revenue.

AFFINITY FAMILY CARE’s NPI was enumerated on 2007-05-08 (~19 years ago), indicating a long-tenured presence in the market. This longevity, combined with multi-year high-claim volumes across the three core codes, suggests an established operational footprint in Arizona’s home- and community-based waiver and personal care ecosystem.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	227,920	$130	$29.4M
T2017	Habilitation, residential, waiver; 15 minutes	265,210	$90	$23.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	133,500	$90	$11.3M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Affinity Family Care, LLC. — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	20	220	24,500	$120	$15.5M
T2017	Habilitation, residential, waiver; 15 minutes	5	60	32,290	$90	$9M
S5150	Unskilled respite care, not hospice; per 15 minutes	7	190	5,090	$100	$2.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acumen Fiscal Agent LLC	AZ	Community/Behavioral Health Agency	$0	$1.1B
Residents At The Heights, LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$33.2M
Banner Baywood Medical Center	AZ	General Acute Care Hospital	$0	$29.6M
A Brighter Avenue LLC	AZ	Speech-Language Pathologist	$0	$28.6M
Emergency Physicians Southwest, PC	AZ	Emergency Medicine Physician	$0	$27M
Health Care Alternatives, Inc.	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$26.1M
Christian3 Mega Clinic LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$22.3M
Horizon Pediatric Therapy, Inc.	AZ	Music Therapist	$0	$17.9M
Zarephath Inc.	AZ	Community/Behavioral Health Agency	$0	$17M
Endeavor Hcbs LLC	AZ	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$15.9M

Affinity Family Care, LLC. — Billing Profile & Reimbursement Data

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Affinity Family Care, LLC. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References