Providers

AFFINITY CARE OF MAINE LLC

NPI 1013641463, organization, South Portland, ME, Hospice Care, Community Based

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00113, ranked 113 nationally.
score 63 of 100, rank 1675, $596 at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameAFFINITY CARE OF MAINE LLC
TypeOrganization
StatusActive
NPI issuedJuly 12, 2022, last updated June 9, 2026
Practice location1 RUNWAY RD STE 5, South Portland, ME 04106-6169, 207-345-6669
Authorized officialSamuel Stern (Ceo)
Specialties
Family Medicine, Hospice and Palliative Medicine (207QH0002X)
Hospice Care, Community Based (251G00000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
G0299Direct skilled nursing by RN in home health or hospice each 15 min$596100%$4.42$151 (top 5% from $742)25th percentile
G0155Clinical social worker in home health or hospice setting each 15 min$00%$0.00$0.00 (top 5% from $192)too few months to rank
Q5002Medicaid service code$00%$0.00$0.00 (top 5% from $62)0th percentile
G0156Home health or hospice aide each 15 min$00%$0.00$585 (top 5% from $4K)0th percentile

In this area

4 providers in Cumberland County, ME carry an indicator in the public record, with $1.4M at stake between them. The most common is more hours than a day holds, on 4 of them.

tierproviderat stakewhy
5KIMBERLY LOIKA-SMITH
South Portland, ME, ranked 10395
$190K
  • Medicaid dollars per patient on code H2012 ($5129 per patient-month) sit in the top 5% of every provider billing that code.
5JAMIE ROSE
South Portland, ME, ranked 10441
$125K
  • Medicaid dollars per patient on code H2012 ($4556 per patient-month) sit in the top 5% of every provider billing that code.
5KAREN BACKMAN
Westbrook, ME, ranked 10587
$873K
  • 100% of Medicaid dollars are on codes with a history of abuse.
5ALLYSON LOWELL
Westbrook, ME, ranked 11413
$250K

Recent enforcement in ME

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJComplaint filedJun 30, 2025
Lewiston Man Charged with Identity Theft and Fraud Charges as Part of National Health Care Fraud Takedown
Dobie was charged by complaint with aggravated identity theft, false statements relating to health care matters, and unlawful use of SNAP benefits in connection with an alleged scheme to defraud Medicaid.
DOJCivil settlementFeb 14, 2025
Saint Vincents Catholic Medical Centers of New York Agrees to Pay $29M to Resolve Alleged False Claims Act Violations
Saint Vincent knowingly retained erroneously inflated capitated payments from the Defense Health Agency under the Uniformed Services Family Health Plan, concealed the overpayments, continued submitting invoices at inflated rates, and conspired to avoid repaying the funds.
DOJSentencedJan 24, 2024
Corinna Counselor Ordered to Pay MaineCare $13,087.62 for Submitting Bogus Treatment Records
Between April and December 2020, McKinney falsified appointment details and session notes in therapy service records and used the falsified records to bill and receive funds from MaineCare.
DOJSentencedJan 5, 2024
Woodville Woman Ordered to Repay $103,596.91 after Committing Yearslong Fraud to Obtain Benefits
Austin-Kimball lied to the Social Security Administration and Maine DHHS about her husband's presence in her household and failed to report alimony payments to fraudulently appear eligible for SSI, MaineCare, and SNAP benefits for herself and her minor child.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.