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

Why is the Medicaid comparison limited to Utah 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. Utah (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.

Maxim Healthcare Services, Inc. (NPI 1043273865)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc.
Address	9815 S Monroe St Ste 400
City	Sandy
State	UT
ZIP	84070
Taxonomy	Home Health Agency
NPI Enumerated	April 11, 2006

Payer Source	Total Paid
Medicaid	$12.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and total Medicaid revenue is $12.9M, indicating the organization’s entire reported government billing footprint sits with Medicaid. The absence of Medicare activity suggests payer mix and business development are concentrated on state Medicaid programs rather than Medicare beneficiaries.

Revenue is highly concentrated in a very narrow set of service codes: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. In particular, T1000 generates $11.3M (87.7% of total Medicaid revenue) and T1005 generates $1.6M (12.3%), while T1001 contributes $375 (0.0%).

The code mix and claim-level details point to a private-duty and in-home nursing focus: T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes) shows 25.5K claims with an average paid/claim of $442, and T1005 (Respite care services, up to 15 minutes) shows 10.8K claims with an average paid/claim of $146. These volumes and payment levels are consistent with routine, ongoing in-home nursing and respite care rather than episodic skilled therapy or facility-based services.

Competitive standing within Utah is modest and unremarkable for the top codes. T1000 ranks #4 of 7 providers in-state (50th percentile; typical, unremarkable volume for this code) and T1005 ranks #4 of 9 providers in-state (63th percentile; typical, unremarkable volume for this code), which together indicate the provider is a mid-market participant rather than a dominant statewide player for these services.

Operational profile shows scale driven by high claim counts and per-claim payments on the principal code: T1000’s combination of 25.5K claims and a $442 average paid/claim produces the bulk of revenue, whereas T1005 contributes materially through higher claim counts but a lower average payment ($146). The distribution suggests the business model relies on many frequent, short-duration in-home nursing encounters rather than few high-value procedures.

There is a sharp disparity between assessment billing and ongoing service billing: T1001 (Nursing assessment / evaluation) appears 15 times for $25 average paid/claim and $375 total (0.0% of Medicaid revenue), ranking #61 of 65 providers in-state (6th percentile; typical, unremarkable volume for this code). This gap implies the organization bills extensively for direct care visits (T1000, T1005) but reports negligible revenue from discrete assessment/evaluation charges.

The provider has an established presence in the market based on tenure: the NPI was enumerated (registered) on 2006-04-11 (~20 years ago). Coupled with $12.9M in Medicaid revenue and the concentrated service mix, this tenure supports a characterization of a long-standing, Medicaid-focused home health agency operating at modest scale within its state competitive set.

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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	25,500	$440	$11.3M
T1005	Respite care services, up to 15 minutes	10,830	$150	$1.6M
T1001	Nursing assessment / evaluation	20	$30	$380

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Maxim Healthcare Services, Inc. — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	4	10	25,500	$350	$11.1M
T1005	Respite care services, up to 15 minutes	4	10	3,930	$150	$1.7M
T1001	Nursing assessment / evaluation	61	70	700	$80	$603.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Maxim Healthcare Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services, Inc.	FL	Home Health Agency	$0	$124.5M
Maxim Of New York, LLC	NY	Home Health Agency	$0	$97.5M
Maxim Of New York, LLC	NY	Home Health Agency	$0	$92.6M
Maxim Healthcare Services, Inc.	FL	Home Health Agency	$0	$74.6M
Maxim Healthcare Services, Inc.	VA	Home Health Agency	$0	$72.7M
Maxim Healthcare Services, Inc.	KS	Home Health Agency	$0	$64.4M
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$63.6M
Maxim Healthcare Services, Inc.	NC	Home Health Agency	$0	$56.6M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$54.9M
Maxim Healthcare Services, Inc	NC	Home Health Agency	$0	$54.7M

Nearby Providers

Other providers in the same ZIP code as Maxim Healthcare Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Canyons School District	UT	Local Education Agency (LEA)	$0	$4.8M
Hope And Healing Child And Family Counseling	UT	Adolescent and Children Mental Health Clinic/Center	$0	$4.3M
Sandy City Corp	UT	Land Ambulance	$219.8K	$2.7M
Collective Recovery, Inc	UT	Substance Abuse Rehabilitation Facility	$0	$2.9M
Anderson Wellness Group LLC	UT	Psychiatric/Mental Health Nurse Practitioner	$0	$1.8M
Froerer Counseling Services	UT	Professional Counselor	$0	$1.4M
Prn Medical Services, LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$1.3M
Suncrest Hospice Utah LLC	UT	Community Based Hospice Care Agency	$0	$703.5K
Medsource Mobility LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$581.4K
Michelle Greene	UT	Clinical Social Worker	$17.6K	$481.5K

Maxim Healthcare Services, Inc. — Billing Profile & Reimbursement Data

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Maxim Healthcare Services, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References