MAXIM HEALTHCARE SERVICES, INC.

NPI: 1609087485 · ORANGE, CA 92868 · Home Health Agency · NPI assigned 05/24/2007

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

97% 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

$3.02M

Total Medicaid Paid

12,326

Total Claims

903

Beneficiaries

Codes Billed

2023-05

First Month

2024-11

Last Month

Provider Details

Authorized Official	KOWALCZYK, DAVID (REGIONAL CONTROLLER)
NPI Enumeration Date	05/24/2007

Other providers sharing the same authorized official: KOWALCZYK, DAVID

Provider	City	State	Total Paid
CENTRUS PREMIER HOME CARE INC	PLYMOUTH	MA	$200.96M
MAXIM HEALTHCARE SERVICES, INC.	MAITLAND	FL	$124.50M
MAXIM OF NEW YORK, LLC	ROCHESTER	NY	$97.73M
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

Year	Claims	Total Paid
2023	2,867	$696K
2024	9,459	$2.32M

Code	Description	Claims	Beneficiaries	Total 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)	11,930	828	$2.94M
S5151	Unskilled respite care, not hospice; per diem	396	75	$83K