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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 1174610042)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc.
Address	317 E Carson St Ste 426
City	Pittsburgh
State	PA
ZIP	15219
Taxonomy	Home Health Agency
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicaid	$54.9M
Medicare	$0

Key Findings

MAXIM HEALTHCARE SERVICES, INC. in Pittsburgh reports no Medicare billing on file and is effectively a Medicaid-focused operator, with total Medicaid revenue of $54.9M. The absence of Medicare activity makes the organization dependent on state Medicaid policy and reimbursement for its entire documented payer-sourced revenue stream.

The provider has an established enrollment history (NPI enumerated 2006-10-10, ~20 years ago), indicating long-tenure in the market; this longevity aligns with the high cumulative claim volumes reported across its core Medicaid codes. A multi-decade presence likely supports established referral and operational processes for in-home nursing and waiver services.

Revenue is highly concentrated: the top three Medicaid codes (T1003, S9124, T2025) together account for 95.1% of the provider's Medicaid revenue. Individually these codes represent 40.3% (T1003), 38.4% (S9124), and 16.4% (T2025) of total Medicaid revenue, indicating that a very small set of service lines drives nearly all billed Medicaid dollars.

The code mix and descriptions point to an operational focus on in-home nursing and waiver care rather than episodic skilled home health billed to Medicare. T1003 (Lpn/lvn services, up to 15 minutes) has 34.2K claims with a $648 avg paid/claim, S9124 (nursing care in the home; by licensed practical nurse, per hour) has 18.7K claims with a $1128 avg paid/claim, and T2025 (Waiver services; nos) has 16.5K claims with a $544 avg paid/claim. Together these volumes and unit payments suggest the business model is centered on high-frequency LPN/LVN home visits and state waiver program delivery rather than high-complexity episodic skilled nursing.

Competitive standing varies by code: for T1003 the provider ranks #4 of 97 in-state (97th percentile) and is notably above typical state volume for that code, marking it as a major provider of short-interval LPN/LVN services in Pennsylvania. By contrast, S9124 ranks #29 of 92 (69th percentile) and T2025 ranks #7 of 24 (74th percentile), both characterized as typical or unremarkable statewide volumes, indicating strong dominance in one core service but only moderate positioning across other high-revenue lines.

Lower-revenue codes provide additional context but do not materially diversify revenue: W7060 ($1.1M, rank #6 of 14, 62nd percentile), W1793 ($973.1K, rank #228 of 369, 38th percentile), T1002 ($378.3K, rank #58 of 90, 36th percentile) and T1019 ($149.2K, rank #79 of 85, 7th percentile) together constitute small shares of total Medicaid revenue. These smaller lines suggest some breadth of home-care services but leave the provider heavily exposed to changes affecting the top three codes.

From a risk and operational perspective, the combination of single-payer dependence (no Medicare revenue on file), high revenue concentration in three codes (95.1%), and very large claim volumes for T1003 (34.2K claims) and S9124 (18.7K claims) means the provider is vulnerable to rate, coverage, or programmatic changes in Pennsylvania Medicaid and waiver rules. Analysts should prioritize monitoring state Medicaid reimbursement trends and any policy proposals affecting LPN/LVN home visit reimbursement and waiver-service billing because shifts there would disproportionately impact this provider's revenue base.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1003	Lpn/lvn services, up to 15 minutes	34,150	$650	$22.1M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	18,660	$1,130	$21.1M
T2025	Waiver services; not otherwise specified (nos)	16,510	$540	$9M
W7060	N/A	4,190	$270	$1.1M
W1793	N/A	5,720	$170	$973.1K
T1002	Rn services, up to 15 minutes	1,010	$380	$378.3K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	640	$230	$149.2K
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	380	$200	$77.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Maxim Healthcare Services, Inc. — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	7	20	10,570	$680	$14M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	29	90	12,800	$580	$9.1M
W1793	N/A	228	370	10,930	$170	$5.8M
T1003	Lpn/lvn services, up to 15 minutes	4	100	7,910	$530	$5.3M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	79	90	8,060	$110	$3.9M
W7060	N/A	6	10	3,270	$200	$3.7M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	71	80	5,780	$220	$2.2M
T1002	Rn services, up to 15 minutes	58	90	1,850	$400	$1.5M

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	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
Renewl, Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$29.7M
Upmc Mercy	PA	General Acute Care Hospital	$0	$16.7M
Passages To Recovery, Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$9.9M
Every Child Inc	PA	Public Health or Welfare Agency	$0	$6M
Pamela Rath	PA	Ophthalmology Physician	$1.7M	$17.7K
Srinivas Kondapalli	PA	Ophthalmology Physician	$1.7M	$46.6K
Pinchas Rosenberg	PA	Ophthalmology Physician	$1.2M	$17.5K
Ravikumar Alagar	PA	Pulmonary Disease Physician	$373K	$0
Vivek Joshi	PA	Diagnostic Radiology Physician	$294.4K	$4.5K
Margaret Miller	PA	Diagnostic Radiology Physician	$51.6K	$176.9K

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