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

    NPI 1932202439 · Omaha, NE · Home Health Agency

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    Maxim Healthcare Services, Inc. is a home health agency provider located in Omaha, Nebraska. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMaxim Healthcare Services, Inc.
    Address9239 W Center Rd Ste 100
    CityOmaha
    StateNE
    ZIP68124
    TaxonomyHome Health Agency
    NPI EnumeratedSeptember 7, 2006

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

    Payer SourceTotal Paid
    Medicaid$29.7M
    Medicare$0

    Key Findings

    MAXIM HEALTHCARE SERVICES, INC. in OMAHA, NE is effectively a Medicaid-focused home health agency: it has no Medicare billing on file and reports $29.7M in lifetime Medicaid revenue, indicating a single-payer concentration toward Medicaid-funded home nursing services. The absence of Medicare claims means the provider’s operational footprint and revenue profile should be interpreted solely through its Medicaid activity.

    Revenue for this provider is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 95.0% of the provider’s total Medicaid revenue. That concentration signals a narrow service mix emphasizing a few labor-intensive, high-volume home nursing codes rather than a broad portfolio of home health or durable medical services.

    The largest single revenue driver is S9123, which generated $13M (43.8% of Medicaid revenue) across 34.3K claims and pays an average of $379 per claim. This code’s volume ranks #1 of 5 providers in-state and is described as notably above typical state volume, marking MAXIM as the state’s primary provider for registered-nurse in-home general nursing care.

    S9124 is also a dominant code for this provider, generating $11.2M (37.8% of Medicaid revenue) from 37.4K claims at about $300 average paid per claim; it ranks #1 of 1 providers in-state. The prominence of S9124 (licensed practical nurse in-home care) alongside S9123 suggests the operation relies heavily on hourly in-home nursing services staffed by both RNs and LPNs, consistent with a private duty / home nursing business model.

    T1000 contributes $4M (13.4% of Medicaid revenue) from 7.3K claims with a $540 average paid per claim and ranks #1 of 1 providers in-state. The presence of T1000 (private duty licensed nursing in 15-minute units) as a top-3 revenue code reinforces that the provider’s business is centered on continuous or extended in-home nursing services rather than episodic skilled home health visits.

    Other Medicaid codes such as G0156 and G0299 are present but minor: G0156 produced $1.5M (4.9% of revenue) and ranks #2 of 22 providers in-state (95th percentile), indicating a measurable but secondary role for aide services; G0299 is negligible at $7.7K and ranks in the lower statewide percentiles. These lower-volume codes imply the agency’s focus is not on traditional episodic home health skill billing but on ongoing personal and nursing care.

    From a competitive standpoint, MAXIM is a dominant statewide provider for its core RN and LPN in-home nursing lines—S9123 ranks at the 100th percentile and S9124 is the sole reported in-state biller—positioning the organization as a major in-market provider for Medicaid-paid private-duty/home-nursing services. However, because Medicaid is its sole recorded payer, its market exposure is concentrated in state-level Medicaid demand and reimbursement policies.

    The provider has a long tenure in the NPI registry, enumerated since 2006-09-07 (~20 years ago), which supports the observed high cumulative Medicaid volume and suggests operational stability and established relationships within the state Medicaid program. This duration, combined with concentrated code leadership, indicates an entrenched role in Nebraska’s home nursing market.

    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.

    5 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)34,300$380$13M
    S9124Nursing care, in the home; by licensed practical nurse, per hour37,420$300$11.2M
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes7,350$540$4M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes18,490$80$1.5M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes80$90$7.7K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nebraska median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour11037,420$300$11.2M
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes1107,350$540$4M
    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)110370$370$2.7M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes2201,270$60$419.3K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes43501,420$50$161.2K

    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
    Alegent Health Bergan Mercy Health SystemNEGeneral Acute Care Hospital$0$45.8M
    Alegent Creighton ClinicNEFamily Medicine Physician$0$43.2M
    Childrens Home HealthcareNEHome Health Agency$0$40M
    Lutheran Family Services Of Ne, IncNEMental Health Counselor$0$5.8M
    Epn Of Nebraska LLCNEEmergency Medicine Physician$0$5.6M
    Ralph HaukeNEHematology & Oncology Physician$2.5M$0
    Pediatric Dental Specialists Of Greater Nebraska - Omaha, LLCNEPediatric Dentistry$0$2.5M
    Osc LLCNEAmbulatory Surgical Clinic/Center$1.3M$799.9K
    Shoptikal LLCNEEyewear Supplier$0$1.9M
    Yungpo SuNEHematology & Oncology Physician$1.9M$0

    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. Nebraska Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Maxim Healthcare Services, Inc. — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska