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

Why is the Medicaid comparison limited to Nevada 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. Nevada (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 1366523532)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc,
Address	3930 Howard Hughes Pkwy Ste 300
City	Las Vegas
State	NV
ZIP	89169
Taxonomy	Home Health Agency
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$31.3M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and reports $31.3M in lifetime Medicaid revenue, making it effectively a Medicaid-focused operator rather than a dual-payer home health provider. The absence of Medicare claims indicates the provider’s commercial exposure and reimbursement risk are concentrated within state Medicaid program policies and rates.

The provider’s Medicaid business is overwhelmingly driven by in-home hourly nursing services: S9123 (nursing care by registered nurse, per hour) and S9124 (nursing care by licensed practical nurse, per hour) are the top two revenue sources. These two codes alone account for the majority of the revenue mix (S9123 reported $15.8M, 50.7% of total; S9124 reported $15.1M, 48.2% of total), indicating an operational model built around hourly skilled and licensed practical nursing visits rather than episodic home health bundles.

Revenue concentration is extreme at the code level: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with G0299 (RN services per 15 minutes) contributing $354.4K (1.1% of total). This concentration signals limited service diversification within Medicaid claims, which could amplify the financial impact of any policy or rate changes affecting these specific nursing codes.

Competitive standing in-state is mixed but generally modest-to-strong for hourly nursing care: S9124 ranks #2 of 7 providers in the state at the 83th percentile, which suggests a relatively strong position for LPN in-home services; S9123 ranks #3 of 9 at the 75th percentile, indicating a solid but not dominant market share for RN hourly services. By contrast, G0299 ranks #73 of 236 (69th percentile), reflecting a more typical, unremarkable presence for 15-minute RN skilled nursing claims when compared across the broader set of in-state providers.

A notable operational outlier is A0160 (non-emergency transportation: per mile – case worker or social worker), with 63.7K claims reported, $0 avg paid/claim and $0 revenue, yet it ranks #2 of 22 providers in-state at the 95th percentile and is described as notably above typical state volume. This pattern suggests heavy reporting of transportation mileage that does not generate billed Medicaid revenue and may reflect administrative practices or contractual arrangements for non-billable transportation services within the provider’s care model.

The code mix—dominance of S9123 and S9124—implies a workforce-intensive cost structure reliant on RN and LPN hours, making margins and capacity sensitive to nursing labor availability and Medicaid reimbursement adequacy. Payer and policy shifts that affect hourly nursing reimbursement or staffing regulations could materially affect this provider’s revenue given the lack of Medicare diversification and the 100.0% concentration in the top three Medicaid codes.

This provider has an established presence in the market with an NPI enumeration date of 2006-10-17 (~20 years ago), indicating longevity in the state Medicaid ecosystem. Combined with its concentrated Medicaid revenue base, the long tenure suggests the organization has built operational processes around state program requirements, but it also underscores that its financial exposure is tied closely to Medicaid program dynamics rather than a mixed payer portfolio.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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)	28,870	$550	$15.8M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	47,960	$310	$15.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	4,540	$80	$354.4K
A0160	Non-emergency transportation: per mile - case worker or social worker	63,670	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada 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 — Nevada

Full comparison — all codes billed, vs. Nevada median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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)	3	10	20,720	$590	$13.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	2	10	16,860	$390	$11.2M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	73	240	2,050	$10	$65.5K
A0160	Non-emergency transportation: per mile - case worker or social worker	2	20	390	$1	$3.3K

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
William Neal Evans Md Ltd	NV	Pediatric Cardiology Physician	$0	$25.7M
Bio-medical Applications Of Nevada, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14M
Allison Curtis Kingsley Meoz Michael & Sanchez PC	NV	Hematology & Oncology Physician	$0	$13.4M
Firstmed Health And Wellness Center Inc	NV	Federally Qualified Health Center (FQHC)	$0	$13.1M
Nkdhc Rudnitsky PLLC	NV	Nephrology Physician	$0	$9.2M
Lsa Lab LLC	NV	Clinical Medical Laboratory	$97.3K	$8.5M
Assurance Professional Management Services Inc.	NV	Addiction (Substance Use Disorder) Counselor	$0	$6.9M
Paradise Healthcare Services, Inc. Dba Paradise Home Care	NV	In Home Supportive Care Agency	$0	$6.8M
Veras Home & Health Care LLC	NV	Personal Care Attendant	$0	$6M
Sunrise Mountainview Multispecialty Clinics, LLC	NV	Neurology Physician	$0	$4.7M

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