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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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 1730290883)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc.
Address	1420 K St Nw Ste 1000
City	Washington
State	DC
ZIP	20005
Taxonomy	Home Health Agency
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all documented federal billing activity is Medicaid-based, with total Medicaid revenue of $12.4M. The absence of Medicare claims indicates the organization’s operations and contracting are concentrated on Medicaid beneficiaries rather than dual-eligible or fee‑for‑service Medicare markets.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 97.2% of the provider’s total Medicaid revenue. That concentration suggests the business is structured around a narrow set of in-home nursing and private‑duty services rather than a broad portfolio of home health or ancillary services.

The dominant revenue driver is S9124 (nursing care in the home by licensed practical nurse, per hour), which generated $9.3M and represents 74.7% of the provider’s Medicaid revenue. S9124 ranks #2 of 6 providers in-state (80th percentile) and is described as typical, unremarkable volume for this code, indicating the provider has strong LPN hourly nursing volume relative to most peers but is not a statewide outlier.

T1000 (private duty/independent nursing service(s) — licensed, up to 15 minutes) is the secondary revenue source with $1.5M in revenue, 12.3% of Medicaid revenue, and ranks #2 of 5 in-state (75th percentile). This supports a business model that emphasizes private‑duty nursing visits and short‑interval licensed nursing care, again at a typical (unremarkable) volume level relative to peers rather than as a dominant statewide leader.

T1019 (personal care services, per 15 minutes) accounts for $1.3M and 10.2% of Medicaid revenue but ranks #26 of 29 providers in-state (11th percentile) and is labeled typical, unremarkable volume. The relatively low state percentile for T1019 compared with S9124 and T1000 suggests the provider is comparatively weaker in personal care services (non‑nursing aide care) than it is in licensed nursing and private‑duty nursing.

Registered‑nurse–level home services are minimal in this mix: G0299 (RN skilled nursing, 15 minutes) produced $90.6K (0.7% of Medicaid revenue) and ranks #31 of 32 in-state (about the 3rd percentile), while S9123 (RN hourly) produced $20.8K (0.2%) and ranks #10 of 16 (40th percentile). Those low contributions and low state rankings indicate the operation is LPN/PDN‑centric rather than driven by RN visits, which has implications for staffing, payer negotiations, and service differentiation.

The provider’s NPI tenure (enumerated 2006-08-31, ~20 years ago) signals an established local presence. Combined with the heavy revenue concentration in a few LPN/private‑duty codes, this suggests a stable, specialized operation that has maintained a focused Medicaid revenue stream over time rather than rapidly diversifying its payer or service mix.

From a competitive and risk perspective, the profile shows moderate in‑state competitiveness on its two highest‑revenue LPN/private‑duty codes (top ~75–80th percentiles) but limited breadth across other home health codes. Because 97.2% of Medicaid revenue is tied to three codes and there is no Medicare volume, the provider is exposed to policy or reimbursement shifts affecting S9124, T1000, or T1019 and may have limited ability to offset such changes through other federal payers or service lines.

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
S9124	Nursing care, in the home; by licensed practical nurse, per hour	40,870	$230	$9.3M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	25,900	$60	$1.5M
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…	22,610	$60	$1.3M
T1001	Nursing assessment / evaluation	2,220	$110	$241.7K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	600	$150	$90.6K
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)	100	$210	$20.8K
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	40	$0	$0
92227	The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing clinical staff’s location. The clinical staff analyzes the images remotely and prepares a report. The…	20	$0	$0
T1005	Respite care services, up to 15 minutes	1,270	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Maxim Healthcare Services, Inc. — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

9 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…	26	30	405,140	$140	$47.5M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	2	10	15,550	$370	$7.9M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	2	10	1,740	$230	$3.8M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	31	30	13,380	$80	$1.3M
T1001	Nursing assessment / evaluation	2	10	1,400	$100	$219.8K
T1005	Respite care services, up to 15 minutes	4	10	990	$80	$141.8K
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	5	10	70	$20	$46.1K
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)	10	20	130	$20	$17.2K
92227	The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing clinical staff’s location. The clinical staff analyzes the images remotely and prepares a report. The…	1	10	20	$0	$0

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
Wholistic Services, Inc.	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$70.8M
Whitman-walker Clinic, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$23.3M
Connected Psychological Services Inc	DC	Psychologist	$0	$2.7M
Headstart To Life, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$2M
Didnity Health Care LLC	DC	Developmental Disabilities Clinic/Center	$0	$853.1K
N Street Village, Inc	DC	Case Management Agency	$0	$652.4K
Lifegate Health Services	DC	Addiction (Substance Use Disorder) Counselor	$0	$534.4K
Universal Home Health Care ,LLC	DC	Developmental Disabilities Clinic/Center	$0	$409.1K
Voz Speech Therapy LLC	DC	Multi-Specialty Clinic/Center	$0	$266.6K
Confident Care Medical LLC	DC	Family Nurse Practitioner	$0	$243.2K

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

Sign up for Maxim Healthcare Services, Inc. — Billing Profile & Reimbursement Data policy alerts

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

Sign up for Maxim Healthcare 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