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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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 1649382151)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc.
Address	1 Cedar St Ste 101
City	Providence
State	RI
ZIP	02903
Taxonomy	Home Health Agency
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$32.1M
Medicare	$0

Key Findings

MAXIM HEALTHCARE SERVICES, INC. in PROVIDENCE, RI is a Home Health Agency with an NPI enumerated 2006-08-31 (~20 years ago) and reports $32.1M in lifetime Medicaid revenue while having no Medicare billing on file; in practical terms the provider operates as effectively single-payer (Medicaid) at the claims level.

Revenue is heavily concentrated: the precomputed top three Medicaid codes (S9123, S9124, T1000) together account for 84.0% of this provider’s total Medicaid revenue, with S9123 generating $12.7M (39.7%), S9124 $7.6M (23.7%), and T1000 $6.6M (20.6%).

The code mix points to a labor-intensive, in-home nursing and private-duty model: S9123 and S9124 are in-home nursing by RN and LPN, respectively, and T1000 is private duty/independent nursing; this pattern implies operational emphasis on staffed home visits, high field nursing resource utilization, and management of frequent short-interval service delivery.

MAXIM is a dominant statewide provider for RN in-home nursing: S9123 ranks #1 of 16 providers in-state (100th percentile) and is described as notably above typical state volume, indicating the company is a primary provider of RN home nursing in Rhode Island at scale (39.7% of its Medicaid revenue).

Competitive posture is mixed across adjacent codes: S9124 also ranks #1 of 5 in-state (100th percentile) but is characterized as typical/unremarkable volume for that code, while T1000 ranks #2 of 2 (0th percentile) and is likewise described as typical/unremarkable, suggesting strong leadership in some nursing lines but not universal dominance across all private-duty nursing segments.

Several secondary codes show unusual concentration patterns that amplify the nursing-focused profile: T1002 (Rn services, up to 15 minutes) generated $2.2M (7.0%) and ranks #1 of 25 (100th percentile; extreme outlier), signaling exceptionally high short-interval RN billing relative to peers.

T1003 (Lpn/lvn services) and S5125 (attendant care) together add modestly to the revenue mix—T1003 $1.5M (4.8%) ranks #1 of 5 (100th percentile; typical, unremarkable) and S5125 $1.3M (4.2%) ranks #48 of 83 (43th percentile; typical, unremarkable)—which indicates some service breadth beyond RN visits but with substantially lower revenue share.

The concentrated Medicaid dependence (no Medicare revenue and top-3 codes = 84.0% of Medicaid revenue) creates both operational leverage and concentration risk: MAXIM’s strength in high-volume RN home services could be a negotiating asset with payers or care managers, but the business is also vulnerable to rate or policy shifts affecting the narrow set of dominant codes.

Medicaid: Complete Services Breakdown

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

6 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)	29,890	$430	$12.7M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	22,720	$340	$7.6M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	31,090	$210	$6.6M
T1002	Rn services, up to 15 minutes	20,810	$110	$2.2M
T1003	Lpn/lvn services, up to 15 minutes	15,590	$100	$1.5M
S5125	Attendant care services; per 15 minutes	10,780	$120	$1.3M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Maxim Healthcare Services, Inc. — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

6 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	46,750	$310	$14.4M
S5125	Attendant care services; per 15 minutes	48	80	13,620	$120	$7.8M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1	10	670	$320	$3M
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)	1	20	750	$300	$1.6M
T1003	Lpn/lvn services, up to 15 minutes	1	10	710	$120	$727K
T1002	Rn services, up to 15 minutes	1	30	280	$110	$253.3K

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
Rhode Island Hospital	RI	General Acute Care Hospital	$0	$380.8M
Children's Friend And Service	RI	Voluntary or Charitable Agency	$0	$18.7M
City Of Providence Rhode Island	RI	Local Education Agency (LEA)	$0	$18.6M
Brown Emergency Medicine	RI	Emergency Medicine Physician	$0	$12.3M
The Providence Center	RI	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$11.9M
Brown Neurology	RI	Neurology Physician	$0	$9.9M
One Stone L.L.C.	RI	Home Health Agency	$0	$8.6M
Recovery Connection Centers Of America, Inc.	RI	Multi-Specialty Clinic/Center	$0	$7.5M
City Of Providence Rhode Island	RI	Land Ambulance	$917.7K	$6.4M
Lifespan Physician Group, Inc.	RI	General Practice Physician	$0	$5.6M

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