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

Why is the Medicaid comparison limited to Delaware 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. Delaware (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 1124101456)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc.
Address	671 S Carter Rd Ste 3&4
City	Smyrna
State	DE
ZIP	19977
Taxonomy	Home Health Agency
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Key Findings

This provider is effectively single-payer in its claims activity: there is no Medicare billing on file while total Medicaid revenue is $7.3M, indicating the organization’s lifetime reported payer exposure is concentrated in Medicaid rather than Medicare. Analysts should treat Medicaid policy and state program changes as the primary reimbursement levers for this entity.

Revenue is highly concentrated in a narrow set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue. In particular, S9124 accounts for $6M (82.6% of Medicaid revenue), S5130 accounts for $1.3M (17.1%), and S5125 accounts for $21.3K (0.3%), signaling a tight service mix that drives nearly all billed revenue.

The code mix indicates a home-health operation oriented around in-home nursing and household support: S9124 (nursing care, in the home; by licensed practical nurse, per hour) is the dominant revenue driver, complemented by S5130 (homemaker service, nos; per 15 minutes). Average paid amounts show typical reimbursement levels for these services—S9124 at $217 avg paid/claim, S5130 at $57 avg paid/claim, and S5125 at $145 avg paid/claim—underscoring that the business model depends on hourly nursing and frequent low-unit homemaker visits.

Competitive standing by code is modest rather than dominant within the state. S9124 ranks #9 of 17 (50th percentile; typical, unremarkable volume for this code), and S5130 ranks #29 of 62 (54th percentile; typical, unremarkable volume for this code), which positions the provider as an average mid‑tier participant for its two largest services; by contrast, S5125 ranks #21 of 23 (9th percentile; typical, unremarkable volume for this code), where it is a minor participant.

Operational implications: with S9124 comprising $6M and 82.6% of Medicaid revenue, the provider’s financial performance is highly dependent on staffing capacity for licensed practical nurses and on scheduling of hourly in-home visits. Any operational disruption to LPN availability or changes in Medicaid reimbursement for S9124 would likely have outsized impact on revenue.

Despite the large dollar concentration in S9124, the code’s state ranking at the 50th percentile signals that the provider’s market position is not one of clear dominance; the organization captures meaningful revenue without being a top-volume leader statewide. Analysts should interpret the high revenue share as a reflection of internal service mix decisions rather than market share leadership.

The provider has an established enumeration history (NPI enumerated 2006-10-23, ~20 years ago), indicating longevity in the market; combined with the absence of Medicare billing, this tenure suggests a long-standing operational focus on Medicaid-funded home health and homemaker services rather than broad Medicare participation.

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
S9124	Nursing care, in the home; by licensed practical nurse, per hour	27,840	$220	$6M
S5130	Homemaker service, nos; per 15 minutes	22,010	$60	$1.3M
S5125	Attendant care services; per 15 minutes	150	$150	$21.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware 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 — Delaware

Full comparison — all codes billed, vs. Delaware median

3 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	9	20	27,840	$320	$10.4M
S5130	Homemaker service, nos; per 15 minutes	29	60	18,620	$130	$8.6M
S5125	Attendant care services; per 15 minutes	21	20	8,330	$140	$4.3M

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
Interim Healthcare Of Delaware LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$51.8M
The Smile Place	DE	Dentist	$0	$11.6M
Little Tooth Doctors LLC	DE	Pediatric Dentistry	$0	$939.2K
Delaware Medical Care PA	DE	Internal Medicine Physician	$0	$812.8K
Christiana Care Health Services Inc	DE	Urgent Care Clinic/Center	$0	$649.1K
Connections Community Support Programs, Inc.	DE	Adolescent and Children Mental Health Clinic/Center	$0	$615.1K
American Legion Ambulance Station 64 Inc	DE	Land Ambulance	$438.8K	$121.4K
Deborah Kirk	DE	Family Medicine Physician	$403.7K	$0
Deakyne, Dental Associates, P.A.	DE	General Practice Dentistry	$0	$401.1K
State Of Delaware	DE	Local Education Agency (LEA)	$0	$399.6K

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