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

Why is the Medicaid comparison limited to Florida 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. Florida (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 Home Care Inc. (NPI 1992194583)

Field	Value
Entity Type	Organization
Organization	Affinity Home Care Inc.
Address	18425 Nw 2nd Ave Ste 401
City	Miami Gardens
State	FL
ZIP	33169
Taxonomy	Attendant Care Provider
NPI Enumerated	January 20, 2015

Payer Source	Total Paid
Medicaid	$43.1M
Medicare	$0

Key Findings

AFFINITY HOME CARE INC. is effectively a Medicaid-focused attendant care provider with no Medicare billing on file; its reported lifetime Medicaid revenue is $43.1M and Medicare revenue is none, indicating the organization operates as a single-payer (Medicaid) provider in practical terms.

Revenue concentration is high: the top three Medicaid codes (T1019, S5130, T1004) together account for 86.1% of the provider's total Medicaid revenue, signaling that a few direct care service lines are driving the vast majority of billing.

The code mix — dominated by T1019 (Personal care services), S5130 (Homemaker service), and T1004 (qualified nursing aide services) — indicates AFFINITY primarily delivers hands-on personal care, homemaker, and aide nursing services (15-minute unit billing), consistent with an attendant care taxonomy and home- and community-based service models.

AFFINITY is a high-volume statewide competitor on its top codes: T1019 generates $17.5M (40.6% of Medicaid revenue) and ranks #21 of 762 providers in Florida (97th percentile), S5130 generates $11.7M (27.1%) and ranks #18 of 1,073 providers (98th percentile), and T1004 generates $8M (18.4%) and ranks #9 of 511 providers (98th percentile). These ranks and percentiles indicate the provider is a major, above-typical-volume participant in Florida for its primary service lines.

One of the provider's volumes is flagged as an extreme outlier: T1004 (qualified nursing aide services) is described as an "extreme outlier, far above typical state volume," which suggests particularly concentrated delivery of aide services relative to most in-state peers and may reflect operational specialization or scale in that service.

Other billed codes are present but materially smaller: S5135 ($2.9M, 6.7% of Medicaid revenue) and S5150 ($2.6M, 6.0%) represent companion care and unskilled respite care respectively and rank in typical in-state percentiles (96th and 73rd), indicating routine supplemental service lines rather than primary revenue drivers.

The provider's NPI was enumerated on 2015-01-20 (~11 years ago), indicating more than a decade of operating history under this identifier, which supports the interpretation that its current Medicaid-heavy service mix and market position have been established over multiple years of billing.

Given the absence of Medicare billing and the concentration in Medicaid personal care and aide codes, payer mix is highly skewed toward Medicaid; analysts should treat AFFINITY as a Medicaid-centric attendant care operator when considering network contracting, utilization patterns, or competitive benchmarking within Florida.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	273,440	$60	$17.5M
S5130	Homemaker service, nos; per 15 minutes	292,020	$40	$11.7M
T1004	Services of a qualified nursing aide, up to 15 minutes	110,550	$70	$8M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	64,170	$50	$2.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	22,340	$120	$2.6M
T1005	Respite care services, up to 15 minutes	8,760	$60	$543.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Affinity Home Care Inc. — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	21	760	13,520	$50	$2.5M
S5130	Homemaker service, nos; per 15 minutes	18	1,070	11,250	$40	$1.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	34	120	5,280	$50	$1M
T1004	Services of a qualified nursing aide, up to 15 minutes	9	510	7,390	$50	$958.8K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	24	540	5,780	$40	$596.2K
T1005	Respite care services, up to 15 minutes	10	70	2,290	$40	$154K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pedi Stat, Inc	FL	Oxygen Equipment & Supplies (DME)	$0	$35.6M
The Trend Group Corporation	FL	Home Health Agency	$0	$21.7M
North Beach Dialysis Center, LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$20.9M
Silveroak Home Health Care Service Inc	FL	Home Health Agency	$0	$17.9M
Community Connections For Life, Inc	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.2M
Public Health Trust Of Miami Dade County Florida	FL	Rehabilitation Hospital Unit	$0	$15.9M
Millenium Clinic Of Dade Inc	FL	Community/Behavioral Health Agency	$0	$14.6M
Dva Healthcare Renal Care, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14.3M
Vivian Orizu	FL	Developmentally Disabled Services Day Training Agency	$0	$14.3M
Talimena Dialysis LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.7M

Affinity Home Care Inc. — Billing Profile & Reimbursement Data

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Affinity Home Care Inc. — 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