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 1750313169)

Field	Value
Entity Type	Organization
Organization	Maxim Healthcare Services, Inc.
Address	8521 Six Forks Rd Ste 350
City	Raleigh
State	NC
ZIP	27615
Taxonomy	Home Health Agency
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$56.6M
Medicare	$0

Key Findings

MAXIM HEALTHCARE SERVICES, INC. in Raleigh, NC is effectively a Medicaid-focused home health agency: the profile shows no Medicare billing on file and $56.6M in lifetime Medicaid revenue, indicating its operations and reimbursement footprint are concentrated in state Medicaid programs rather than Medicare. The provider has been enumerated since 2006-07-07 (~20 years), reflecting long tenure in the market which supports established relationships with Medicaid-managed care and state waiver programs.

Revenue is highly concentrated in three Medicaid service lines: T1000, T2013, and T2012 together account for 95.5% of the provider’s total Medicaid revenue. This concentration implies the organization’s business model centers on private duty/independent nursing and habilitation services (both hourly and per-diem), rather than a diversified set of Medicaid services.

The top revenue driver is T1000 (private duty/independent nursing service(s)), which generated $24.3M (42.9% of Medicaid revenue) from 66.4K claims at an average paid/claim of $366. This position — ranked #12 of 72 in-state and at the 85th percentile — makes the provider a meaningful but not dominant statewide participant for private duty nursing, with volume described as typical for that code.

T2013 (habilitative, per hour) is also a core service, producing $19.8M (35.1% of Medicaid revenue) from 136.8K claims at $145 avg paid/claim and ranking #19 of 185 providers in-state (90th percentile). The high claim count and revenue share for an hourly habilitation code indicate operational emphasis on long-duration support and waiver program delivery to individuals needing ongoing habilitative services.

T2012 (habilitation, per diem) contributed $9.9M (17.5% of Medicaid revenue) from 56.9K claims at $174 avg paid/claim and ranks #19 of 110 in-state (83rd percentile). The mix of both per-hour and per-diem habilitation billing suggests the provider serves a mix of beneficiaries under differing waiver arrangements and likely operates both day/shift-based and continuous-support care models.

Competitive standing across these codes is consistently characterized as typical or unremarkable volume relative to peers: rankings are generally in the mid-to-high percentiles (67th–90th) but do not indicate statewide dominance. For T1000 and T2013 the provider sits in the upper percentiles (85th and 90th respectively) which signals it is an established regional provider for those services, while other codes (H2025, S5150, H2015, T1005) represent minor shares of revenue and lower relative ranks.

Smaller ancillary Medicaid codes (H2025 ongoing employment support; S5150 unskilled respite care; H2015 comprehensive community support; T1005 respite care) together make up a small fraction of total Medicaid revenue — each is under 3% of Medicaid revenue individually — indicating the provider’s product mix is concentrated on nursing and habilitation rather than broad community support services. These ancillary services may complement core offerings but are not primary revenue drivers.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	66,350	$370	$24.3M
T2013	Habilitation, educational, waiver; per hour	136,820	$150	$19.8M
T2012	Habilitation, educational; waiver, per diem	56,920	$170	$9.9M
H2025	Ongoing support to maintain employment, per 15 minutes	13,080	$120	$1.5M
S5150	Unskilled respite care, not hospice; per 15 minutes	8,680	$80	$711.5K
H2015	Comprehensive community support services, per 15 minutes	5,260	$60	$304.8K
T1005	Respite care services, up to 15 minutes	60	$240	$15.2K

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. — 0 of 7 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

7 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	12	70	35,680	$400	$16M
T2013	Habilitation, educational, waiver; per hour	19	190	29,090	$150	$9.1M
T2012	Habilitation, educational; waiver, per diem	19	110	21,340	$180	$6.1M
H2015	Comprehensive community support services, per 15 minutes	159	250	10,060	$130	$2.4M
H2025	Ongoing support to maintain employment, per 15 minutes	19	60	6,380	$120	$1.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	64	170	4,310	$80	$958.4K
T1005	Respite care services, up to 15 minutes	32	30	1,190	$230	$849.2K

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.	PA	Home Health Agency	$0	$54.9M
Maxim Healthcare Services, Inc	NC	Home Health Agency	$0	$54.7M
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
Active Healthcare, Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$41.3M
The Full Coverage Pdn Company	NC	Nursing Care Agency	$0	$41.2M
Pediatric Services Of America, LLC	NC	Nursing Care Agency	$0	$32.4M
Key Autism Services Nc, LLC	NC	Community/Behavioral Health Agency	$0	$28.2M
Fernandez Community Center, LLC	NC	Community/Behavioral Health Agency	$0	$12.1M
Theodore F Mayerdds PA	NC	General Practice Dentistry	$0	$9.6M
Raleigh Pediatric Associates, PA	NC	Pediatrics Physician	$0	$7.8M
Morse Clinic Of North Raleigh, PC	NC	Methadone Clinic	$92.3K	$6.4M
Raleigh Nc Endoscopy Asc LLC	NC	Ambulatory Surgical Clinic/Center	$543.1K	$0
Kathryn Sabo	NC	Family Nurse Practitioner	$304.5K	$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