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

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Healthmax Home Care Services Inc (NPI 1649450644)

Field	Value
Entity Type	Organization
Organization	Healthmax Home Care Services Inc
Address	2387 W 68th St Ste 203
City	Hialeah
State	FL
ZIP	33016
Taxonomy	Home Health Agency
NPI Enumerated	November 7, 2007

Payer Source	Total Paid
Medicaid	$40.6M
Medicare	$0

Key Findings

HEALTHMAX HOME CARE SERVICES INC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and lifetime Medicaid revenue totals $40.6M, indicating the organization’s commercial scale and regulatory exposure are concentrated in Medicaid programs rather than Medicare. This concentration should be considered by analysts when comparing risk, utilization, and payer negotiation dynamics.

Revenue is highly concentrated in a small set of personal-care and homemaker codes: the top three Medicaid codes (T1019, S5130, S5150) account for 87.4% of this provider’s total Medicaid revenue, with T1019 at $20.8M (51.1%), S5130 at $10M (24.6%), and S5150 at $4.7M (11.6%). This degree of concentration signals that changes to reimbursement or authorization policy for those specific codes would materially affect overall revenue.

The provider’s code mix and high claim counts point to a home- and community-based personal-care model that bills largely in short time increments: T1019 shows 423.7K claims, S5130 shows 333.1K claims, and S5150 shows 92.6K claims. These codes map to personal care services, homemaker services, and unskilled respite care respectively, indicating operational focus on recurring, minute-/15-minute-based in-home care rather than episodic skilled nursing or therapy.

HEALTHMAX holds a strong competitive position in Florida for its top codes: T1019 ranks #10 of 762 providers in-state (99th percentile; notably above typical state volume) and S5130 ranks #14 of 1073 providers in-state (99th percentile; notably above typical state volume), while S5150 ranks #8 of 123 providers (94th percentile; notably above typical state volume). These rankings are consistent with a major statewide footprint in personal care and homemaker services and suggest the provider is among the highest-volume operators for those benefits.

Payment-per-claim dynamics reinforce a reliance on high-volume, short-interval billing: reported average paid amounts are $49 per claim for T1019, $30 per claim for S5130, and $51 per claim for S5150. Because these services are billed in 15-minute or hourly increments, revenue is sensitive to utilization levels and to policy changes that affect allowed minutes or per-unit rates.

Adjacent service lines contribute modestly: S5135 (companion care) brings $3.5M or 8.5% of Medicaid revenue and ranks #12 of 540 providers in-state (98th percentile; notably above typical state volume), while T1004 (qualified nursing aide) accounts for $1.1M (2.8%) and ranks #101 of 511 (80th percentile; typical, unremarkable volume) and S9122 (home health aide per hour) contributes $544.1K (1.3%) and ranks #190 of 348 (46th percentile; typical, unremarkable volume). This pattern indicates some capacity for allied aide and hourly home-health services but not as a primary revenue driver.

The provider has an established market presence, with its NPI enumerated on 2007-11-07 (~19 years ago), which combined with $40.6M in Medicaid revenue suggests a mature, long-running operation focused on Florida Medicaid personal-care and homemaker markets. Tenure and the high statewide ranks on core codes imply institutional relationships and scale within the state’s in-home care ecosystem.

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
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…	423,670	$50	$20.8M
S5130	Homemaker service, nos; per 15 minutes	333,080	$30	$10M
S5150	Unskilled respite care, not hospice; per 15 minutes	92,610	$50	$4.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	108,420	$30	$3.5M
T1004	Services of a qualified nursing aide, up to 15 minutes	24,830	$50	$1.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	7,160	$80	$544.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Healthmax Home Care Services Inc — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	10	760	13,520	$50	$2.5M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	190	350	8,550	$120	$2.2M
S5130	Homemaker service, nos; per 15 minutes	14	1,070	11,250	$40	$1.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	8	120	5,280	$50	$1M
T1004	Services of a qualified nursing aide, up to 15 minutes	101	510	7,390	$50	$958.8K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	12	540	5,780	$40	$596.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthmax Home Care Services Inc.	FL	Home Health Agency	$0	$13.5M

Nearby Providers

Other providers in the same ZIP code as Healthmax Home Care Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Medical Staffing, Inc.	FL	Home Health Agency	$0	$74.6M
Vitas Healthcare Corporation Of Florida	FL	Community Based Hospice Care Agency	$0	$36.9M
1st Priority Home Health Care, Inc.	FL	Home Health Agency	$0	$31.5M
C S Care, Inc.	FL	Durable Medical Equipment & Medical Supplies	$0	$17.5M
South Florida Dialysis Center Corp	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$16M
Kavett Dialysis LLC	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$10.9M
Diverse Home Care Services Inc	FL	Attendant Care Provider	$0	$10.4M
Victory Brt, Corp	FL	Behavior Analyst	$0	$10.2M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$10M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.6M

Healthmax Home Care Services Inc — Billing Profile & Reimbursement Data

Sign up for Healthmax Home Care Services Inc — Billing Profile & Reimbursement Data policy alerts

Healthmax Home Care Services Inc — Billing Profile & Reimbursement Data

Sign up for Healthmax Home Care Services Inc — Billing Profile & Reimbursement Data policy alerts

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