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

Why is the Medicaid comparison limited to Virginia 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. Virginia (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 1104920487)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc.
Address	100 Concourse Blvd Ste 101
City	Glen Allen
State	VA
ZIP	23059
Taxonomy	Home Health Agency
NPI Enumerated	September 8, 2006

Payer Source	Total Paid
Medicaid	$72.7M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: there is no Medicare billing on file while total Medicaid revenue is $72.7M, indicating that its entire reported public-payor footprint in this dataset is driven by Medicaid. Analysts should treat this profile as Medicaid-centric when assessing payer risk, reimbursement sensitivity, and network negotiations.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 99.2% of the provider's total Medicaid revenue. In particular, S9124 alone represents $50.9M (70.0% of Medicaid revenue), making this one code the dominant driver of the business model and cash flow.

The code mix and volumes indicate a home-based nursing operation focused on hourly nursing care: S9124 (licensed practical nurse, per hour) has 133.8K claims and $380 avg paid/claim, and S9123 (registered nurse, per hour) has 32.3K claims and $517 avg paid/claim. Together these hourly home-nursing codes dominate billing activity, implying an operational model built around in-home LPN and RN staffing and high recurring, time-based visits.

Competitive standing in-state is strong and in some cases dominant: the provider ranks #1 of 34 for S9123 (100th percentile; described as an "extreme outlier") and ranks #2 of 36 for S9124 (97th percentile; "notably above typical state volume"). These rankings indicate this entity is a major, high-volume provider of in-home nursing services within Virginia for these codes.

Volume and payment-per-claim patterns suggest an LPN-heavy volume model with meaningful RN utilization: S9124 (LPN) accounts for the largest revenue and the largest claim count (133.8K claims at $380 avg paid/claim), while S9123 (RN) commands a higher average payment ($517 avg paid/claim) but fewer claims (32.3K). T1002 (RN services, up to 15 minutes) shows a higher avg paid/claim ($752) but very low volume (621 claims, $467K), indicating most RN revenue is captured under hourly S9123 rather than short-interval T1002 billing.

Other billed codes are marginal relative to the top three: T1003 (Lpn/lvn services, up to 15 minutes) generates $4.5M (6.3% of Medicaid revenue) with 9.9K claims and ranks #5 of 29 in-state (86th percentile), while remaining codes such as T1002 and S9125 together represent immaterial shares of total Medicaid revenue. This concentration implies operational and reimbursement risk if utilization patterns or state policy on these specific home-nursing codes change.

The provider has long-standing enrollment with an NPI enumerated on 2006-09-08 (~20 years ago), suggesting established operations and potential scale in arranging home health staffing and payer relationships over time. Tenure plus the large Medicaid revenue base may support negotiating presence in state Medicaid networks, especially for in-home nursing services.

From a payer-analytics perspective, the combination of very high state rankings for core codes and the absence of Medicare activity frames this entity as a specialized, high-volume Medicaid home-health supplier. Review of contract terms, utilization management controls, and clinical documentation for S9123 and S9124 should be prioritized because those two hourly nursing codes drive the vast majority of reported Medicaid revenue.

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 Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	133,850	$380	$50.9M
S9123	Nursing 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)	32,260	$520	$16.7M
T1003	Lpn/lvn services, up to 15 minutes	9,930	$460	$4.5M
T1002	Rn services, up to 15 minutes	620	$750	$467K
S9125	Respite care, in the home, per diem	410	$280	$114.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Maxim Healthcare Services, Inc. — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	2	40	6,460	$450	$11.1M
T1003	Lpn/lvn services, up to 15 minutes	5	30	1,640	$720	$4.8M
S9123	Nursing 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)	1	30	1,000	$500	$2.6M
S9125	Respite care, in the home, per diem	7	10	1,880	$210	$1M
T1002	Rn services, up to 15 minutes	24	60	510	$140	$263.9K

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.	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
Maxim Healthcare Services, Inc.	FL	Home 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.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kidmed Inc.	VA	Urgent Care Clinic/Center	$0	$17.4M
Pediatrics, Inc.	VA	Pediatrics Physician	$0	$11.3M
Bhg Xlii, LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$94.7K	$10M
Intercept Youth Services, Inc.	VA	Community/Behavioral Health Agency	$0	$10M
Peter Minneci	VA	Family Medicine Physician	$547.2K	$0
Virginia Cvs Pharmacy, L.L.C.	VA	Pharmacy	$201.6K	$0
Yiping Rao	VA	Gastroenterology Physician	$156.8K	$0
Cherine Reid	VA	Chiropractor	$111K	$0
Jessica Joyce	VA	Physician Assistant	$108.9K	$0
Kristin Gingrich	VA	Podiatrist	$106.9K	$0

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