AFFINITY HOME HEALTH CARE SERVICES, INC.

NPI 1083883763, organization, Riverside, CA, Home Health

Evidence tier

network structure with a list link

Part of provider network D1-00041, ranked 41 nationally.

score 65 of 100, rank 1296, $169K at stake

Provider networks

D1-00041 ranked 41

77 providers around Riverside, CA: 10 hospices, 29 home health agencies, 38 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	AFFINITY HOME HEALTH CARE SERVICES, INC.
Type	Organization
Status	Active
NPI issued	February 26, 2008, last updated May 26, 2009
Practice location	5033 ARLINGTON AVE STE A, Riverside, CA 92504-2727, 951-785-1287
Authorized official	DESI PONCEDELEON (President)
Specialties	Home Health (251E00000X, primary, license 550000703 CA)

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

code	what it is	paid	share	per patient-month	typical	rank among providers
G0299	Direct skilled nursing by RN in home health or hospice each 15 min	$1.1M	91%	$726	$151 (top 5% from $742)	95th percentile
G0151	PT in home health or hospice setting each 15 min	$102K	8%	$361	$203 (top 5% from $565)	82nd percentile
G0152	OT in home health or hospice setting each 15 min	$12K	1%	$323	$182 (top 5% from $529)	too few months to rank
G0162	RN management and evaluation of plan of care each 15 min	$3K	0%	$31	$56 (top 5% from $138)	too few months to rank

In this area

178 providers in Riverside County, CA carry an indicator in the public record, with $225.1M at stake between them. The most common is more hours than a day holds, on 113 of them, followed by part of a provider network on 57. 5 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	PHLEBXPRESS Temecula, CA, ranked 20	$45K	Listed on the Medicare revocation list since January 20, 2023. Medicaid still paid claims in 14 later months, $45,245 in total. and 1 more
1	BABAR IQBAL MD INC Riverside, CA, ranked 267	$13K	Listed on the Medicare revocation list since June 10, 2020. Medicaid still paid claims in 3 later months, $12,584 in total.
1	BABAR IQBAL Riverside, CA, ranked 268	$13K	Listed on the Medicare revocation list since June 10, 2020. Medicaid still paid claims in 3 later months, $12,584 in total.
1	FERNANDO PALACIOS Wildomar, CA, ranked 334	$4K	Listed on the CA Medicaid exclusion list and the Medicare revocation list since June 27, 2024. Medicaid still paid claims in 4 later months, $4,063 in total.
1	BORREGO COMMUNITY HEALTH FOUNDATION Lake Elsinore, CA, ranked 495	$0	Adjudicated (sentenced, charged) per a state attorney general release dated July 22, 2024. No Medicaid payments in the last 12 observed months.
3	HIGH CARE HOSPICE, INC. Riverside, CA, ranked 923	$4.9M	Part of provider network D1-00031, ranked 31 nationally.
3	AGAPE GROUP, INC Corona, CA, ranked 946	$2.8M	Part of provider network D1-00029, ranked 29 nationally.
3	RIVERSIDE CARE, INC. Riverside, CA, ranked 1070	$844K	Part of provider network D1-00041, ranked 41 nationally.

All 178 in CA

Recent enforcement in CA

All releases

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

DOJPleaded guiltyAug 27, 2026

Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare

Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit

Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit

Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.

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.