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

Why is the Medicaid comparison limited to Kansas 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. Kansas (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 1285742593)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc.
Address	10881 Lowell Ave
City	Overland Park
State	KS
ZIP	66210
Taxonomy	Home Health Agency
NPI Enumerated	August 27, 2006

Payer Source	Total Paid
Medicaid	$64.4M
Medicare	$0

Key Findings

MAXIM HEALTHCARE SERVICES, INC. in OVERLAND PARK, KS is listed with a Home Health Agency taxonomy and its NPI was enumerated 2006-08-27 (~20 years ago), indicating long-standing enrollment in federal/provider systems which supports an established operational footprint in the state. This tenure aligns with the high lifetime Medicaid revenue reported and suggests sustained Medicaid contracting or program participation over many years.

This provider has no Medicare billing on file, while lifetime Medicaid revenue is $64.4M, which makes its reimbursement profile effectively single-payer and heavily Medicaid-dependent. Analysts should treat Medicare-driven comparisons as not applicable for this entity and focus competitive and payment-risk analysis on Medicaid activity.

Medicaid revenue is extremely concentrated: the single code T1000 (T1000 – Private duty / independent nursing service(s) - licensed, up to 15 minutes) accounts for $64.4M and therefore 100.0% of this provider's total Medicaid revenue, with 127.8K claims and a $504 avg paid/claim. That level of concentration—one code driving all reported Medicaid revenue—creates clear exposure to reimbursement, eligibility, or policy changes that affect private-duty nursing reimbursement.

The code mix (dominated by T1000 with only a small contribution from S5125) indicates the organization operates primarily as a private-duty/independent nursing provider delivering time-based, in-home skilled nursing care rather than a broader set of home health services. The $504 avg paid/claim for T1000—combined with the very large claim count—points to a labor-intensive, high-frequency nursing service model; by contrast S5125 (attendant care services) contributes only $5.5K in revenue and appears operationally marginal for this provider.

On competitive standing for its principal service line, the provider ranks #2 of 14 providers in-state for T1000 and is listed at the 92th percentile, described as notably above typical state volume for this code, which positions it as a major statewide participant in private duty nursing. That high rank implies significant market share for T1000 within the subset of in-state providers who bill that code, reinforcing its role as a key local provider of licensed private-duty nursing.

By contrast, S5125 (attendant care services; per 15 minutes) is a minor line for this provider: 122 claims, $45 avg paid/claim, $5.5K revenue (0.0% of total Medicaid revenue), and it ranks #164 of 197 providers in-state at the 17th percentile with typical, unremarkable volume for this code. This divergence between a dominant nursing service and a negligible attendant-care footprint highlights a narrow service focus rather than a diversified in-home care mix.

The operational profile implied by 127.8K T1000 claims and full Medicaid dependence suggests scale in delivering time-based nursing visits and likely operational systems built around high-volume scheduling, clinical staffing, and claims workflow for T1000. Given the absence of Medicare activity, the organization’s revenue and operational resilience will be particularly sensitive to state Medicaid policy, rate-setting, and program eligibility changes that affect private-duty nursing reimbursement.

Overall, the data point to an established, Medicaid-centric Home Health Agency with a concentrated revenue base: $64.4M in Medicaid revenue driven entirely by T1000 (100.0% of Medicaid revenue) and an ancillary, low-volume presence in S5125. Analysts should prioritize monitoring of state Medicaid reimbursement and utilization trends for T1000 and consider the organization’s limited payer diversification when assessing financial and competitive risk.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	127,790	$500	$64.4M
S5125	Attendant care services; per 15 minutes	120	$50	$5.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Maxim Healthcare Services, Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	2	10	32,590	$480	$21.3M
S5125	Attendant care services; per 15 minutes	164	200	1,110	$110	$5.9M

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.	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
Laboratory Corporation Of America Holdings	KS	Clinical Medical Laboratory	$8.5M	$26.1M
Maxim Healthcare Services,inc.	KS	Home Health Agency	$0	$23.5M
Moore Enterprises	KS	Home Health Agency	$0	$16M
Carestaf, Inc.	KS	Home Health Agency	$0	$10.4M
Laboratory Corporation Of America Holdings	KS	Clinical Medical Laboratory	$806.3K	$6.6M
Intelligere LLC	KS	Interpreter	$0	$6.5M
Homestead Of Overland Park Operations LLC	KS	Assisted Living Facility	$0	$2.4M
In Home Family Counseling Associates LLC	KS	Marriage & Family Therapist	$0	$1.8M
Vpa PC	KS	Family Medicine Physician	$0	$1.2M
Shirley Wang	KS	Rheumatology Physician	$1.2M	$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