Medicaid Provider Spending

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

MAXIM OF NEW YORK, LLC

NPI: 1265543706 · ROCHESTER, NY 14614 · 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 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official KOWALCZYK, DAVID controls 20+ related entities in our dataset. Read more

$97.73M
Total Medicaid Paid
570,342
Total Claims
29,307
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOWALCZYK, DAVID (VP OF FINANCE)
NPI Enumeration Date08/31/2006

Related Entities

Other providers sharing the same authorized official: KOWALCZYK, DAVID

ProviderCityStateTotal Paid
CENTRUS PREMIER HOME CARE INC PLYMOUTH MA $200.96M
MAXIM HEALTHCARE SERVICES, INC. MAITLAND FL $124.50M
MAXIM HEALTHCARE SERVICES, INC. DORAL FL $74.60M
MAXIM HEALTHCARE SERVICES, INC. GLEN ALLEN VA $72.71M
MAXIM HEALTHCARE SERVICES, INC. BLUE ASH OH $63.65M
MAXIM HEALTHCARE SERVICES, INC. RALEIGH NC $56.68M
MAXIM HEALTHCARE SERVICES, INC GREENSBORO NC $54.79M
MAXIM HEALTHCARE SERVICES, INC. TAMPA FL $45.26M
MAXIM HEALTHCARE SERVICES, INC. VIENNA VA $45.13M
MAXIM HEALTHCARE SERVICES, INC. ORANGE CA $37.37M
MAXIM HEALTHCARE SERVICES, INC. COLUMBUS OH $36.62M
MAXIM HEALTHCARE SERVICES, INC. FAYETTEVILLE NC $36.07M
MAXIM HEALTHCARE SERVICES, INC. GREENVILLE NC $34.94M
MAXIM HEALTHCARE SERVICES, INC. WILMINGTON NC $33.86M
MAXIM HEALTHCARE SERVICES, INC. PROVIDENCE RI $32.05M
MAXIM OF NEW YORK, LLC BUFFALO NY $31.52M
MAXIM HEALTHCARE SERVICES, INC. SAN BERNARDINO CA $30.25M
MAXIM HEALTHCARE SERVICES, INC. FT LAUDERDALE FL $29.95M
MAXIM HEALTHCARE SERVICES, INC. MOREHEAD CITY NC $28.79M
MAXIM HEALTHCARE SERVICES, INC. PORTLAND ME $28.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76,537 $11.97M
2019 76,528 $11.48M
2020 93,711 $15.26M
2021 87,148 $14.24M
2022 79,729 $13.75M
2023 82,777 $16.14M
2024 73,912 $14.88M

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) 570,023 29,263 $97.73M
T1020 Personal care services, per diem, 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) 319 44 $0.00