Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMaxim Healthcare Services, Inc.
    Ask Trek AI about this page

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

    NPI 1861504375 · Bedford, NH · Home Health Agency

    Customize your policy alerts

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

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Maxim Healthcare Services, Inc. is a home health agency provider located in Bedford, New Hampshire. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMaxim Healthcare Services, Inc.
    Address19 Kilton Rd Bldg 21
    CityBedford
    StateNH
    ZIP03110
    TaxonomyHome Health Agency
    NPI EnumeratedAugust 31, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$15.9M
    Medicare$0

    Key Findings

    MAXIM HEALTHCARE SERVICES, INC. has no Medicare billing on file and is essentially a Medicaid-focused operator; lifetime Medicaid revenue on file is $15.9M, and Medicare revenue is listed as none. This profile indicates the provider’s active payer exposure is concentrated in state Medicaid programs rather than federal Medicare business.

    Revenue concentration is extremely high by service type: the top three Medicaid codes (S9123, S9124, G0156) together account for 100.0% of the provider’s Medicaid revenue. Specifically, S9123 represents 45.3% of Medicaid revenue, S9124 represents 35.7%, and G0156 represents 19.0%, signaling a business model built almost entirely around these three in-home services.

    The code mix (S9123, S9124, and G0156) points to an in-home nursing and personal care operation: S9123 and S9124 are hourly in-home nursing visits by registered nurses and licensed practical nurses, respectively, and G0156 covers home health/hospice aide services billed by 15-minute units. This suggests a staffing footprint focused on RN/LPN nursing visits plus a significant aide workforce to deliver routine personal care rather than episodic skilled-home-health bundles typical of Medicare programs.

    Volume and payment details further characterize day-to-day operations: S9123 shows 14.5K claims at $498 avg paid/claim generating $7.2M, S9124 shows 17K claims at $334 avg paid/claim generating $5.7M, and G0156 shows 17.1K claims at $177 avg paid/claim generating $3M. The high claim counts across these hourly and unit-based codes indicate consistent, recurring in-home service delivery rather than sporadic, high-dollar episodes.

    State-level competitive standing is mixed but not dominant. For the nursing codes S9123 and S9124 the provider ranks #2 of 5 in-state and is at the 75th percentile with a characterization of typical, unremarkable volume for these codes, indicating a solid but not market-leading position among the small set of in-state competitors; for G0156 the provider ranks #5 of 23 and is at the 82th percentile with typical, unremarkable volume, implying it participates meaningfully in aide services but is one of many providers in that segment.

    Given the code mix and concentration, the provider is operationally reliant on hourly nursing and aide billings; any policy, rate, or utilization shifts affecting S9123, S9124, or G0156 would disproportionately impact overall revenue because those three codes together account for 100.0% of Medicaid revenue. This concentration raises strategic sensitivity to changes in Medicaid reimbursement or utilization management for these specific service lines.

    The NPI has been enumerated since 2006-08-31 (~20 years ago), indicating a long-tenured presence in the market. That tenure, combined with steady claim volumes across nursing and aide services, implies an established operational footprint and relationships with payers or referral sources within New Hampshire.

    The profile shows no Medicare participation to diversify payer risk; as a result, MAXIM HEALTHCARE SERVICES, INC. should be treated as effectively single-payer (Medicaid) in scope for analysis and benchmarking. Analysts should prioritize Medicaid rate trends, state policy changes, and competitive dynamics among the small set of in-state home health/home aide providers when evaluating the provider’s financial and operational outlook.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9123Nursing 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)14,470$500$7.2M
    S9124Nursing care, in the home; by licensed practical nurse, per hour16,980$330$5.7M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes17,120$180$3M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Hampshire median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9123Nursing 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)21011,240$460$5.7M
    S9124Nursing care, in the home; by licensed practical nurse, per hour2109,660$340$5M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes5201,120$150$1.7M

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$124.5M
    Maxim Of New York, LLCNYHome Health Agency$0$97.5M
    Maxim Of New York, LLCNYHome Health Agency$0$92.6M
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$74.6M
    Maxim Healthcare Services, Inc.VAHome Health Agency$0$72.7M
    Maxim Healthcare Services, Inc.KSHome Health Agency$0$64.4M
    Maxim Healthcare Services, Inc.OHHome Health Agency$0$63.6M
    Maxim Healthcare Services, Inc.NCHome Health Agency$0$56.6M
    Maxim Healthcare Services, Inc.PAHome Health Agency$0$54.9M
    Maxim Healthcare Services, IncNCHome 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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Infusion Solutions, Inc.NHHome Infusion Therapy Pharmacy$0$8.4M
    Eminence Home Care LLCNHIn Home Supportive Care Agency$0$3M
    Bedford Ambulatory Surgical Center, LLCNHAmbulatory Surgical Clinic/Center$2.4M$146K
    Minimally Invasive Surgery Center Of N.e., LLCNHAmbulatory Surgical Clinic/Center$2.1M$169.5K
    Bedford School DistrictNHLocal Education Agency (LEA)$0$1.9M
    Southern New Hampshire Radiology Consultants PCNHDiagnostic Radiology Physician$0$1.6M
    Dream Vision LLCNHIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$1.5M
    Alliance Health ServicesNHFamily Medicine Physician$0$1.5M
    Milestones Pediatric Therapy Center, LLCNHSpeech-Language Pathologist$0$998.3K
    Guardian Home Care Of Nh, LLCNHHome Health Agency$0$792.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Hampshire Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Maxim Healthcare Services, Inc. — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire