Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Raleigh › NPI 1790403095
Agency

Maxim Healthcare Services, INC

Maxim Healthcare Services, INC was paid $415K by Medicaid between Apr 2024 and Dec 2024, across 2 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 90% of everything it billed.

33Billing provider infoMAXIM HEALTHCARE SERVICES, INC
RALEIGH, NC 27615
33aNPI1790403095assigned 08/22/2022
28Total paid$415K
24GClaims1,498
24DCodes billed2
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in North Carolina

Rank by total paid#519 of 856
Median peer was paid$908K
This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KOWALCZYK, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2024incomplete1,498$415K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 90% 1,244 86 $373K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 10% 254 84 $42K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialKOWALCZYK, DAVID (CONTROLLER)
Same official

Other billing entities under KOWALCZYK, DAVID

Full network →
ProviderLocationPaid
Centrus Premier Home Care INCPlymouth, MA$200.96M
Maxim Healthcare Services, INC.Maitland, FL$124.50M
Maxim of New York, LLCRochester, 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, INCGreensboro, 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, LLCBuffalo, 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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.