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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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 1548297054)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc
Address	200 Centreport Dr Ste 300
City	Greensboro
State	NC
ZIP	27409
Taxonomy	Home Health Agency
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicaid	$54.7M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operator: there is no Medicare billing on file and total Medicaid revenue is $54.7M. The absence of Medicare claims indicates the business is focused on state Medicaid programs rather than fee-for-service Medicare markets.

Revenue is highly concentrated in a small set of Medicaid codes: the top 3 codes account for 75.7% of this provider's total Medicaid revenue, driven primarily by T1000, T2013, and S5125. Those three codes alone generate $18.7M (T1000), $14M (T2013), and $8.7M (S5125) respectively, signaling dependency on a narrow set of service lines.

The code mix indicates a service model centered on home- and community-based supports: T1000 (private duty/independent nursing), T2013 (habilitation per hour), and S5125 (attendant care per 15 minutes) together suggest the provider delivers licensed nursing, habilitation/waiver services, and high-volume attendant/personal care rather than traditional skilled home health. This pattern is consistent with agencies that serve waiver populations, long-term services and supports, and personal attendant needs.

S5125 performance shows a clear competitive strength in attendant care services: the provider reported 102.2K claims and $8.7M revenue for S5125 and ranks #17 of 399 providers in-state (96th percentile; notably above typical state volume for this code). That high percentile and large claim volume position the provider as a major regional supplier for attendant care.

Despite T1000 being the single largest revenue line at $18.7M (34.2% of Medicaid revenue), its in-state rank is #23 of 72 (69th percentile; typical, unremarkable volume for this code), so the provider’s largest dollar source does not translate into dominant statewide market share for licensed private-duty nursing. Similarly, T2013 ($14M, 25.6% of Medicaid revenue) ranks #32 of 185 (83th percentile; typical, unremarkable volume for this code), indicating solid but not overwhelming statewide positioning in habilitation services.

The provider shows notable strength in respite services and personal care niches: T1005 (respite) produced $2.7M from 13.1K claims and ranks #2 of 33 in-state (97th percentile; notably above typical state volume for this code), while T1019 (personal care) contributed $2.4M from 21.4K claims and ranks #14 of 84 (84th percentile; typical, unremarkable volume for this code). These rankings suggest leadership in respite provision and substantial activity in personal care, which can be strategic differentiators within waiver markets.

Operational scale is evident in claim volumes across the top codes, with 102.2K claims for S5125, 86.5K claims for T2013, and 50.4K claims for T1000; this level of throughput implies established administrative capacity to manage high-frequency, short-interval service billing. High claim counts aligned to per-15-minute and per-hour codes reflect a business model built around frequent, time-based service delivery to Medicaid beneficiaries.

The provider has a long tenure with an NPI enumerated on 2006-06-28 (~20 years ago), indicating an established presence in the North Carolina Medicaid ecosystem. Combined with the firm reliance on Medicaid revenue ($54.7M) and concentrated code mix, this tenure suggests deep operational experience but also exposure to state policy or waiver payment changes that could materially affect revenue.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	50,390	$370	$18.7M
T2013	Habilitation, educational, waiver; per hour	86,470	$160	$14M
S5125	Attendant care services; per 15 minutes	102,180	$90	$8.7M
T2012	Habilitation, educational; waiver, per diem	37,970	$170	$6.4M
T1005	Respite care services, up to 15 minutes	13,140	$210	$2.7M
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…	21,400	$110	$2.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	14,550	$70	$989.3K
H2015	Comprehensive community support services, per 15 minutes	5,840	$80	$467.4K
T1004	Services of a qualified nursing aide, up to 15 minutes	3,210	$100	$307.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Maxim Healthcare Services, Inc — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

9 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	23	70	35,680	$400	$16M
T2013	Habilitation, educational, waiver; per hour	32	190	29,090	$150	$9.1M
T2012	Habilitation, educational; waiver, per diem	27	110	21,340	$180	$6.1M
S5125	Attendant care services; per 15 minutes	17	400	15,030	$100	$3M
H2015	Comprehensive community support services, per 15 minutes	153	250	10,060	$130	$2.4M
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…	14	80	2,380	$160	$1.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	40	170	4,310	$80	$958.4K
T1005	Respite care services, up to 15 minutes	2	30	1,190	$230	$849.2K
T1004	Services of a qualified nursing aide, up to 15 minutes	4	10	2,620	$100	$608.5K

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.	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
County Of Guilford	NC	Land Ambulance	$3M	$17M
Valleygate Dental Surgery Centers Of The West, LLC	NC	Ambulatory Surgical Clinic/Center	$0	$14.2M
Lifespan, Inc.	NC	Community/Behavioral Health Agency	$0	$11.7M
Outward Bound One, LLC	NC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.9M
Amy Templeton	NC	Physical Therapist	$150.3K	$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