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    OpenPayerNPI Medicare & MedicaidMaxim Healthcare Services, Inc.
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    Maxim Healthcare Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1538192240 · Tampa, FL · Home Health Agency

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    Maxim Healthcare Services, Inc. is a home health agency provider located in Tampa, Florida. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMaxim Healthcare Services, Inc.
    Address3109 W Dr Martin Luther King Jr Blvd Ste 500
    CityTampa
    StateFL
    ZIP33607
    TaxonomyHome Health Agency
    NPI EnumeratedJuly 8, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$45.3M
    Medicare$0

    Key Findings

    This entity is effectively a Medicaid-focused home health operator: Medicare billing is absent (this provider has no Medicare billing on file) while lifetime Medicaid revenue totals $45.3M, indicating a single-payer concentration in Medicaid for the dataset on file. The absence of Medicare activity suggests the organization either does not serve Medicare beneficiaries or bills them through other entities or arrangements not present in this record.

    Revenue concentration is extremely high: the precomputed top-3 codes account for 100.0% of this provider's total Medicaid revenue, with S9124 representing 66.5% and S9123 representing 33.5% of the Medicaid revenue mix. This means two nursing-hour codes fully explain the provider's reported Medicaid income, concentrating financial outcomes on a very narrow set of services.

    Service-line profile is clearly labor- and visit-hour driven: the top codes are S9124 (Nursing care, in the home; by licensed practical nurse, per hour) and 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)). The claim volumes and per-claim payments — 58.3K claims at $516 avg paid/claim for S9124 and 28.3K claims at $537 avg paid/claim for S9123 — are consistent with an operation built around frequent hourly nursing visits rather than therapy or durable medical equipment lines.

    Operational scale is substantial in volume terms: S9124 produced $30.1M revenue from 58.3K claims and S9123 produced $15.2M from 28.3K claims, together accounting for the full $45.3M Medicaid lifetime revenue. The claim counts imply high visit frequency and significant staffing needs to deliver licensed practical nurse and registered nurse hours in-home.

    Competitive standing within the state is above-average but not anomalous: for S9124 this provider ranks #15 of 110 providers in-state (87th percentile) and for S9123 ranks #14 of 104 providers in-state (87th percentile). Despite those relatively high percentile ranks, the precomputed characterizations label these volumes as "typical, unremarkable volume for this code," indicating the provider is a solid, above-average participant statewide rather than a statistical outlier or clear market dominator.

    Financial and operational risk considerations follow from the narrow code mix: with 100.0% of Medicaid revenue tied to S9124 and S9123, any changes in state Medicaid policy, hourly rates, or utilization patterns for in-home nursing could materially affect revenue. The similar but not identical avg paid/claim values ($516 for S9124 vs $537 for S9123) also indicate limited pricing diversity across the two dominant service lines.

    Tenure in the provider registry is long-standing: the NPI was enumerated on 2006-07-08 (~20 years ago), which suggests an established presence in the market and experience delivering Medicaid home nursing services over a multi-year period. That longevity, combined with high claim volumes, supports the view of a mature operational footprint in the state Medicaid home-health sector.

    From a payer-mix and strategic-analysis perspective, this profile should be treated as a Medicaid-centric home health operation emphasizing hourly LPN and RN in-home visits. Analysts assessing contract negotiation, network adequacy, or workforce capacity should prioritize monitoring S9124 and S9123 utilization and pricing, since those two codes fully drive the reported Medicaid revenue base.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour58,330$520$30.1M
    S9123Nursing 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)28,270$540$15.2M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour1511017,380$530$13.9M
    S9123Nursing 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)141003,400$580$6.4M

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Maxim Healthcare Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$124.5M
    Maxim Of New York, LLCNYHome Health Agency$0$97.5M
    Maxim Of New York, LLCNYHome Health Agency$0$92.6M
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$74.6M
    Maxim Healthcare Services, Inc.VAHome Health Agency$0$72.7M
    Maxim Healthcare Services, Inc.KSHome Health Agency$0$64.4M
    Maxim Healthcare Services, Inc.OHHome Health Agency$0$63.6M
    Maxim Healthcare Services, Inc.NCHome Health Agency$0$56.6M
    Maxim Healthcare Services, Inc.PAHome Health Agency$0$54.9M
    Maxim Healthcare Services, IncNCHome 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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of AmericaFLClinical Medical Laboratory$47.4M$171.2M
    St. Joseph's Hospital, Inc.FLGeneral Acute Care Hospital$0$70.7M
    Cr & Ra Investments LLCFLHome Health Agency$0$37.4M
    Florida Woman Care, LLCFLObstetrics & Gynecology Physician$0$30.9M
    Emergency Medical Associates Of Tampa Bay, LLCFLEmergency Medicine Physician$0$25.1M
    PchpFLCase Manager/Care Coordinator$0$16.7M
    Women's Care Florida LLCFLObstetrics & Gynecology Physician$0$14.7M
    Care For America CorpFLHome Health Agency$0$11.3M
    Macdonald Traning Center, IncFLCommunity/Behavioral Health Agency$0$10.8M
    Abc Home Care IncFLHome Health Agency$0$8.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Florida Providers
    6 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida 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 — Florida