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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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 1487758710)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc.
Address	900 Virginia St E Ste 400
City	Charleston
State	WV
ZIP	25301
Taxonomy	Home Health Agency
NPI Enumerated	September 8, 2006

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all documented claims are Medicaid‑sourced, with total Medicaid revenue of $19.9M. The absence of Medicare activity indicates the provider’s patient and revenue mix is concentrated entirely within Medicaid programs rather than split across Medicare and Medicaid populations.

Revenue is highly concentrated in a single service line: the precomputed top‑3 codes account for 100.0% of Medicaid revenue, and one code, T1000, alone represents $19.9M (100.0% of this provider's total Medicaid revenue) across 57.6K claims with an average paid amount of $345 per claim. This shows the provider’s Medicaid business is driven almost exclusively by private duty / independent nursing services billed in short intervals.

The code mix and taxonomy (Home Health Agency) point to an operational focus on short‑interval licensed nursing visits: T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes) suggests routine delivery of frequent, brief skilled‑nursing or private‑duty nursing encounters rather than longer episodic home health episodes. That pattern implies staffing and scheduling models optimized for many brief patient contacts and likely a cost structure geared to high visit volumes.

Competitive standing within the state is modest: T1000 ranks #2 of 3 providers in‑state and is described as 50th percentile, a typical, unremarkable volume for this code. This placement indicates the provider is neither the market leader nor an outlier in Medicaid private‑duty nursing volume and competes at a middle level among peers.

Operational scale is notable despite the midrank: processing 57.6K T1000 claims implies a substantial administrative and clinical throughput to manage many short encounters, billing events, and claim adjudications. High claim counts at $345 avg paid/claim translate to the $19.9M revenue figure and suggest billing systems and workforce logistics are key operational capabilities for the organization.

The concentration of revenue in one code and one payer creates exposure to Medicaid policy, rate, or coding changes: because 100.0% of Medicaid revenue is driven by the top codes (with T1000 at 100.0%), any shifts to reimbursement rules or authorization practices for private duty nursing could materially affect revenue. Diversification of service lines or payers would reduce this single‑service sensitivity.

Tenure information shows an established presence: the NPI was enumerated on 2006-09-08 (~20 years ago), indicating long‑standing registration and likely multi‑year operational continuity in the market. That longevity can be a signal of stable contracting relationships with state Medicaid programs or continuity in local referral patterns.

From a strategic perspective, the provider’s current profile—Home Health Agency taxonomy, dominant T1000 billing, and middle ranking in‑state—suggests opportunities and limits: growth would require either increasing T1000 volumes versus in‑state peers or expanding into additional Medicaid service codes or payer channels to reduce concentration risk and improve competitive standing.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	57,580	$350	$19.9M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Maxim Healthcare Services, Inc. — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

1 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	57,580	$370	$14.3M

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
Charleston Area Medical Center Inc	WV	General Acute Care Hospital	$0	$200.1M
Wv Birth To Three	WV	Early Intervention Provider Agency	$0	$59.9M
Charleston Area Medical Center, Inc.	WV	General Acute Care Hospital	$0	$50.9M
Children's Home Society Of West Virginia	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$44.1M
Kanawha County Emergency Ambulance Authority	WV	Land Ambulance	$2.3M	$31.9M
All-aid Services, Inc.	WV	Home Health Agency	$0	$16.3M
The Arc Of The Three Rivers, Inc.	WV	Case Management Agency	$0	$15.6M
Retina Consultants, PLLC	WV	Retina Specialist (Ophthalmology) Physician	$0	$13.6M
Dolan & Kalaskey Ltd	WV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$8.3M
Mindoula Health Inc.	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M

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