Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAXIM OF NEW YORK, LLC

NPI: 1164533543 · WHITE PLAINS, NY 10604 · Home Health Agency · NPI assigned 08/31/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official SIPES, CHRIS controls 14+ related entities in our dataset. Read more

$36.51M
Total Medicaid Paid
172,840
Total Claims
8,458
Beneficiaries
1
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIPES, CHRIS (REGIONAL VP OF FINANCE)
NPI Enumeration Date08/31/2006

Related Entities

Other providers sharing the same authorized official: SIPES, CHRIS

ProviderCityStateTotal Paid
MAXIM OF NEW YORK, LLC COLONIE NY $92.45M
MAXIM HEALTHCARE SERVICES, INC. WOODBRIDGE VA $42.17M
MAXIM HEALTHCARE SERVICES, INC. HEBRON OH $34.49M
MAXIM HEALTHCARE SERVICES INC HARRISBURG PA $20.87M
MAXIM HEALTHCARE SERVICES, INC. YORK PA $20.29M
MAXIM HEALTHCARE SERVICES, INC. ALLENTOWN PA $15.98M
MAXIM HEALTHCARE SERVICES, INC. EDISON NJ $15.80M
MAXIM HEALTHCARE SERVICES, INC. WASHINGTON DC $12.41M
MAXIM HEALTHCARE SERVICES, INC. EXTON PA $8.86M
MAXIM HEALTHCARE SERVICES, INC. WEST ORANGE NJ $8.12M
MAXIM HEALTHCARE SERVICES, INC. WILLIAMSPORT PA $7.71M
MAXIM HEALTHCARE SERVICES INC LAKEWOOD NJ $1.46M
MAXIM HEALTHCARE SERVICES, INC. HACKENSACK NJ $1.27M
MAXIM HEALTHCARE SERVICES INC HACKENSACK NJ $349K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 9,173 $1.66M
2020 27,668 $5.37M
2021 31,816 $6.34M
2022 34,123 $7.08M
2023 36,969 $8.54M
2024 33,091 $7.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 services provided by home health aide or certified nurse assistant) 172,840 8,458 $36.51M