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

Why is the Medicaid comparison limited to Maine 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. Maine (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 1073607743)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc.
Address	1685 Congress St Ste 201
City	Portland
State	ME
ZIP	04102
Taxonomy	Home Health Agency
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$28.1M
Medicare	$0

Key Findings

MAXIM HEALTHCARE SERVICES, INC. has no Medicare billing on file and reports Total Medicaid revenue: $28.1M, making its public claims footprint effectively single-payer (Medicaid) based on the available data. Analysts should treat this entity as Medicaid-focused for payer mix and reimbursement exposure assessments rather than a mixed Medicare/Medicaid operator.

Revenue is extremely concentrated: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with G0299 responsible for 96.2% of Medicaid revenue, H2021 for 2.3%, and G0300 for 1.5%. This concentration means overall financial performance as visible in claims data is driven almost entirely by a very small set of service lines.

The dominant code, G0299, corresponds to direct skilled nursing services by an RN in the home health/hospice setting and shows 59.3K claims, $457 avg paid/claim, and $27.1M revenue (96.2% of Medicaid revenue). This mix indicates the organization operates a high-volume, labor-intensive RN home-care model focused on frequent skilled nursing visits rather than diversified outpatient or facility-based services.

Secondary Medicaid codes suggest a narrower set of adjunct services: G0300 (LPN skilled nursing) produced 1.2K claims, $346 avg paid/claim, $424.5K revenue (1.5% of Medicaid revenue), and H2021 (community-based wrap-around) produced 2.3K claims, $278 avg paid/claim, $645K revenue (2.3% of Medicaid revenue). These figures imply LPN visits and community wrap-around supports exist at modest scale relative to RN visits and likely function as complementary, lower-revenue service lines.

Competitive standing for the primary RN home health code is strong in-state: G0299 ranks #5 of 50 providers in-state (92th percentile; notably above typical state volume for this code), positioning MAXIM as one of the leading providers of RN home health services in Maine by claim volume. That high percentile combined with the large absolute claim count signals significant market presence in the RN home-care segment locally.

By contrast, the provider is a more modest participant on the other tracked codes: G0300 ranks #8 of 17 providers in-state (56th percentile), indicating typical participation among the smaller LPN provider pool, while H2021 ranks #84 of 104 providers in-state (19th percentile) and reflects an unremarkable footprint for community-based wrap-around services. These rankings show the organization’s competitive strength is concentrated in RN home nursing rather than in broader community service offerings.

The NPI was enumerated on 2006-10-03 (~20 years ago), indicating long tenure in the market; when combined with sustained high claim volume for G0299 this suggests established operational capacity to deliver frequent RN home visits and the administrative systems to support high-volume Medicaid billing. Tenure reinforces that the observed concentration is a persistent feature of the provider’s business model rather than a transient spike.

The combination of a Medicaid-only public claims profile and extreme revenue concentration (G0299 at 96.2% and top 3 codes = 100.0% of Medicaid revenue) creates exposure to Medicaid reimbursement policy or coverage changes affecting RN home health payments. From a payer or contracting perspective, any shifts to reimbursement or prior-authorization rules for G0299 would likely have outsized impact on this provider’s visible revenue stream.

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
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	59,250	$460	$27.1M
H2021	Community-based wrap-around services, per 15 minutes	2,320	$280	$645K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	1,230	$350	$424.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine 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 — Maine

Full comparison — all codes billed, vs. Maine median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	84	100	8,660	$290	$5.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	5	50	8,360	$150	$2.9M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	8	20	1,150	$130	$396K

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
Mainehealth	ME	General Acute Care Hospital	$0	$142.6M
Shalom House, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$81.9M
Mercy Hospital	ME	General Acute Care Hospital	$0	$35.5M
Quality Care Access, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.2M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$12.9M
Al-shawk Home Healthcare, LLC	ME	Personal Care Attendant	$0	$7M
Maine Eye Center, PA	ME	Ophthalmology Physician	$0	$6.1M
Hand Of Mercy Health Care, LLC	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Mainehealth	ME	General Acute Care Hospital	$0	$5.5M
Merrimack River Medical Services, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$253.7K	$4.6M

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