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MAXIM HEALTHCARE SERVICES, INC.

Home Health·PITTSBURGH, PA·NPI: 1174610042Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $54.9M is at the below 25th percentile among 322 Home Health providers.

Active Billing Period:2018-012024-12(67 months)

Total Paid

$54.9M

$54,895,708

Total Claims

81K

Beneficiaries

5,688

14.3 claims/patient

Avg Cost/Claim

$675

Monthly Spending Trend

Yearly Spending

2018
$711K
-53%
2019
$333K
+1185%
2020
$4.3M
+188%
2021
$12.3M
-21%
2022
$9.7M
+19%
2023
$11.5M
+39%
2024
$16.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T1003 (LPN/LVN services, per 15 minutes)) accounts for 40% of total spending.

T1003Top 5%

LPN/LVN services, per 15 minutes

$22.1M

34K claims · 40.3%

Your Cost: $648.34/claim|Median: $24.24
26.7× median
S9124Top 5%

Nursing care, in the home; per hour

$21.1M

19K claims · 38.4%

Your Cost: $1,128.38/claim|Median: $400.25
2.8× median
T2025Top 25%

Waiver services, NOS; per 15 min

$9.0M

17K claims · 16.4%

Your Cost: $543.81/claim|Median: $124.39
4.4× median
W7060Top 25%

$1.1M

4,193 claims · 2.1%

Your Cost: $271.06/claim|Median: $238.39
1.1× median
W1793Normal range

State-defined waiver service

$975K

5,724 claims · 1.8%

Your Cost: $170.33/claim|Median: $170.32
1.0× median
T1002Top 10%

RN services, per 15 minutes

$378K

1,006 claims · 0.7%

Your Cost: $375.58/claim|Median: $37.42
10.0× median
T1019Top 25%

Personal care services, per 15 min

$149K

643 claims · 0.3%

Your Cost: $231.68/claim|Median: $82.47
2.8× median
S9122Top 25%

Home health aide or certified nurse, per hour

$77K

381 claims · 0.1%

Your Cost: $202.79/claim|Median: $116.67
1.7× median