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

    NPI 1043327463 · Doral, FL · Home Health Agency

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    Maxim Healthcare Services, Inc. is a home health agency provider located in Doral, Florida. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMaxim Healthcare Services, Inc.
    Address8400 Nw 33rd St Ste 303
    CityDoral
    StateFL
    ZIP33122
    TaxonomyHome Health Agency
    NPI EnumeratedAugust 23, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$74.6M
    Medicare$0

    Key Findings

    MAXIM HEALTHCARE SERVICES, INC. is effectively a single-payer Home Health Agency in this dataset: it has no Medicare billing on file and $74.6M in lifetime Medicaid revenue, so Medicaid accounts for the entirety of observed public-payer activity and should be treated as the primary revenue source for payer-mix analysis. This concentration means any conclusions about its scale and service mix come almost entirely from Medicaid activity.

    Revenue concentration is extremely high within a tight set of in-home nursing codes: the top 3 Medicaid codes account for 98.9% of the provider’s Medicaid revenue, indicating that almost all billing is driven by a small number of labor-focused home care services rather than a broad mix of ancillary or skilled home health CPTs. Analysts should prioritize those codes when modeling the provider’s financial sensitivity to rate or utilization changes.

    The dominant single code is S9124 (LPN/LVN nursing care in the home): 83.3K claims generating $47.8M (64.1% of the provider’s total Medicaid revenue). This share shows the operation is heavily weighted to licensed practical nurse–delivered hourly care and suggests staffing, scheduling, and LPN wage pressures will materially affect overall revenue.

    The second major driver is S9123 (RN nursing care in the home), with 41.7K claims and $25M in revenue (33.5% of total Medicaid revenue). The provider ranks #8 of 104 in-state (93rd percentile) for S9123 and #7 of 110 for S9124 (94th percentile), meaning it is a high-volume, above-typical state participant for both registered- and licensed-nurse in-home nursing services and competes near the top of the Florida market for those labor-intensive codes.

    Smaller ancillary home-care codes (S9122, T1021, T1030) together represent only marginal revenue: S9122 contributes $925.8K (1.2%), T1021 $671.3K (0.9%), and T1030 $172.7K (0.2%). These ranks and shares are typical or unremarkable within the state (e.g., S9122 at the 51st percentile), indicating the provider’s business is not materially driven by home health aide visit or per-visit codes relative to its nursing-hour dominance.

    Competitive standing: for its two highest-revenue codes the provider is a clear high-volume operator in Florida (rankings in the 93rd–94th percentiles), which positions it as a major regional provider for in-home nursing hours. However, the absence of Medicare billing means it is not participating in that national market segment, so its competitive footprint appears concentrated in state Medicaid-managed home health services rather than broader Medicare home health programs.

    Tenure: the provider’s NPI was enumerated on 2006-08-23 (~20 years ago), indicating long-standing enrollment and operational history in the state. That duration supports the interpretation that the observed high volumes result from established market presence and capacity rather than a very recent surge.

    Statistical standing phrased from the supplied labels: S9124 and S9123 are described as "notably above typical state volume," which aligns with their high percentile ranks; in contrast, codes such as S9122 and T1021 are characterized as typical or unremarkable volumes. Analysts should treat the S9123/S9124 concentrations as meaningful outliers versus peers for planning and rate-impact scenarios.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour83,280$570$47.8M
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)41,650$600$25M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour8,730$110$925.8K
    T1021Home health aide or certified nurse assistant, per visit7,990$80$671.3K
    T1030Nursing care, in the home, by registered nurse, per diem1,030$170$172.7K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour711017,380$530$13.9M
    S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)81003,400$580$6.4M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour1723508,550$120$2.2M
    T1021Home health aide or certified nurse assistant, per visit529013,610$20$1.2M
    T1030Nursing care, in the home, by registered nurse, per diem52120720$60$137.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$124.5M
    Maxim Of New York, LLCNYHome Health Agency$0$97.5M
    Maxim Of New York, LLCNYHome Health Agency$0$92.6M
    Maxim Healthcare Services, Inc.VAHome Health Agency$0$72.7M
    Maxim Healthcare Services, Inc.KSHome Health Agency$0$64.4M
    Maxim Healthcare Services, Inc.OHHome Health Agency$0$63.6M
    Maxim Healthcare Services, Inc.NCHome Health Agency$0$56.6M
    Maxim Healthcare Services, Inc.PAHome Health Agency$0$54.9M
    Maxim Healthcare Services, IncNCHome Health Agency$0$54.7M
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$45.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Home Care Services, Inc.FLHome Health Agency$0$94.3M
    Icare Health Solutions LLCFLExclusive Provider Organization$0$80.3M
    United States Medical Supply, LLCFLDurable Medical Equipment & Medical Supplies$0$26.4M
    Martin S Florida Elder Care IncFLHome Health Agency$0$16.2M
    Miami Supreme Home Services, LLCFLBehavior Analyst$0$9.8M
    Molina Healthcare Of Florida, Inc.FLHealth Maintenance Organization$0$9.5M
    1st Class Mental Health Services, Corp.FLMental Health Clinic/Center (Including Community Mental Health Center)$0$9.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Florida Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Maxim Healthcare Services, Inc. — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida