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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 1306800172)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc.
Address	4600 Mcauley Pl Ste 300
City	Blue Ash
State	OH
ZIP	45242
Taxonomy	Home Health Agency
NPI Enumerated	April 17, 2006

Payer Source	Total Paid
Medicaid	$63.6M
Medicare	$0

Key Findings

MAXIM HEALTHCARE SERVICES, INC. shows effectively single-payer activity in the sampled data: there is no Medicare billing on file while total Medicaid revenue is $63.6M, indicating Medicaid is the primary and almost exclusive source of recorded public-payer revenue for this entity. Analysts should treat this profile as Medicaid-dominant when comparing payer mix or market exposure.

Revenue is extremely concentrated in a single Medicaid service cluster: the precomputed top three Medicaid codes account for 99.1% of the provider's total Medicaid revenue, with T1000 alone representing the vast bulk of receipts. T1000 generated $61.9M (97.3% of the provider's Medicaid revenue) from 195.9K claims at an average paid/claim of $316, making it the clear revenue driver.

The code mix signals that the organization operates primarily as a private-duty/independent nursing provider: the dominant code, T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes), and material volumes in T1003 (Lpn/lvn services) and G0300 (direct LPN skilled nursing in home/hospice) point to an operational focus on 1:1 or high-frequency licensed nursing visits in home settings rather than episodic home health under Medicare. This concentration indicates service-line specialization in continuous or routine skilled and licensed practical nurse visits.

Competitive standing in-state for the leading service is exceptionally strong: T1000 ranks #1 of 58 providers in Ohio and is described as an "extreme outlier" at the 100th percentile, meaning MAXIM vastly outpaces peers on volume and revenue for this code. By contrast, several other billed codes show typical or modest positions versus peers, so the provider's market dominance is specific to private-duty nursing rather than broad-based across all home-health codes.

Other Medicaid codes are present but represent only a small share of revenue and generally occupy typical percentile positions. Examples include T1003 with $933.3K (1.5% of Medicaid revenue), rank #51 of 241 (79th percentile; typical, unremarkable volume); G0300 with $245.3K (0.4%), rank #172 of 376 (54th percentile; typical, unremarkable volume); and smaller contributions from T1019, T1001, T1002 and G0299, each under 1% of Medicaid revenue and distributed across mid-to-low percentiles. These ancillary codes suggest supplemental LPN/RN and personal care services but not material diversification of revenue.

From an operational and contracting perspective, the extreme dependence on T1000 creates concentrated exposure: any rate changes, audit focus, or policy shifts affecting private-duty/independent nursing reimbursement would disproportionately affect this provider's revenue given that $61.9M of $63.6M Medicaid revenue flows from that single code. Payers and network managers should note the potential leverage and vulnerability tied to a single dominant service line when assessing network adequacy or negotiating rates.

The provider has an established presence: the NPI was enumerated on 2006-04-17 (~20 years ago), indicating long tenure in the market. That longevity, combined with the very high claim volume for T1000 (195.9K claims), is consistent with a mature operation that has scaled a specialized private-duty nursing business in the state.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	195,870	$320	$61.9M
T1003	Lpn/lvn services, up to 15 minutes	5,300	$180	$933.3K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	5,980	$40	$245.3K
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…	2,890	$80	$222.8K
T1001	Nursing assessment / evaluation	3,890	$40	$140K
T1002	Rn services, up to 15 minutes	670	$150	$99.9K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1,880	$50	$86.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Maxim Healthcare Services, Inc. — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

7 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	1	60	15,120	$270	$8.4M
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…	691	830	20,350	$70	$3.1M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	172	380	4,540	$40	$794.2K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	346	560	3,370	$40	$543.8K
T1002	Rn services, up to 15 minutes	141	290	620	$50	$192.8K
T1003	Lpn/lvn services, up to 15 minutes	51	240	960	$30	$155.6K
T1001	Nursing assessment / evaluation	52	500	490	$30	$45.4K

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.	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
Bethesda Hospital Inc	OH	General Acute Care Hospital	$0	$57M
Hospice Of Cincinnati Incorporated	OH	Community Based Hospice Care Agency	$0	$54M
Carestar, Inc.	OH	Case Management Agency	$0	$43.1M
Counseling Source Inc	OH	Mental Health Counselor	$0	$41M
Mercy Health Physicians Cincinnati, LLC	OH	Family Medicine Physician	$0	$27.9M
Qualified Emergency Specialists Inc	OH	Emergency Medicine Physician	$0	$18.9M
Crossroads Hospice Of Cincinnati	OH	Community Based Hospice Care Agency	$0	$14.6M
A Best Home Care,inc.	OH	Home Health Agency	$0	$10.4M
Cei Physicians Psc LLC	OH	Ophthalmology Physician	$0	$8.5M
Mercy Health Physicians Cincinnati Specialty Care LLC	OH	Surgery Physician	$0	$7.1M

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