Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Advanced Home Care, INC.

Advanced Home Care, INC. was paid $2.58M by Medicaid between Jan 2018 and Mar 2020, across 71 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 29% of everything it billed.

33Billing provider infoADVANCED HOME CARE, INC.
CHARLOTTE, NC 28273
33aNPI1063492726assigned 01/19/2006
33bProvider typeHome Infusion Agency
28Total paid$2.58M
24GClaims71,950
24DCodes billed71
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Home Infusion Agency providers in North Carolina

Rank by total paid#7 of 18
Median peer was paid$1.55M
This provider vs. median1.7×

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 KALBAUGH, MIKE controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
201830,246$1.16M
201935,750$1.22M
20205,954$207K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 29% 14,080 10,154 $738K
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing 5.1% 6,592 5,745 $132K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 5.0% 5,231 3,803 $130K
E0601 Continuous positive airway pressure (cpap) device 4.2% 2,445 2,012 $109K
E2402 Negative pressure wound therapy electrical pump, stationary or portable 4.0% 218 169 $103K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 3.8% 1,661 879 $99K
A4554 Disposable underpads, all sizes 3.7% 1,861 1,713 $96K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 3.5% 631 589 $89K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 3.1% 1,245 591 $79K
E0143 Walker, folding, wheeled, adjustable or fixed height 2.7% 1,676 1,509 $69K
K0003 Lightweight wheelchair 2.3% 2,554 2,092 $60K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 2.2% 1,521 759 $58K
59 more codes
A7030 Full face mask used with positive airway pressure device, each 2.1% 858 $55K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 2.0% 433 $52K
E0570 Nebulizer, with compressor 1.8% 2,161 $46K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 1.7% 300 $43K
E0163 Commode chair, mobile or stationary, with fixed arms 1.6% 1,037 $43K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 1.6% 602 $41K
A4623 Tracheostomy, inner cannula 1.4% 682 $36K
K0007 Extra heavy duty wheelchair 1.3% 450 $34K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) 1.2% 1,191 $31K
K0001 Standard wheelchair 1.1% 2,563 $29K
E0562 Humidifier, heated, used with positive airway pressure device 1.1% 235 $28K
E1392 Portable oxygen concentrator, rental 1.0% 1,405 $26K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 3,625 $24K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 686 $24K
A4629 Tracheostomy care kit for established tracheostomy <1% 633 $23K
B9002 Enteral nutrition infusion pump, any type <1% 456 $20K
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) <1% 38 $18K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 348 $18K
E2611 General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware <1% 187 $17K
A7035 Headgear used with positive airway pressure device <1% 1,053 $16K
A7037 Tubing used with positive airway pressure device <1% 673 $15K
A7031 Face mask interface, replacement for full face mask, each <1% 680 $14K
E0240 Bath/shower chair, with or without wheels, any size <1% 239 $13K
K0006 Heavy duty wheelchair <1% 560 $13K
A7000 Canister, disposable, used with suction pump, each <1% 741 $13K
E0149 Walker, heavy duty, wheeled, rigid or folding, any type <1% 495 $12K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 527 $11K
E0247 Transfer bench for tub or toilet with or without commode opening <1% 130 $10K
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth <1% 437 $9K
E0445 Oximeter device for measuring blood oxygen levels non-invasively <1% 60 $9K
A4624 Tracheal suction catheter, any type other than closed system, each <1% 138 $9K
E0185 Gel or gel-like pressure pad for mattress, standard mattress length and width <1% 93 $6K
A7526 Tracheostomy tube collar/holder, each <1% 639 $6K
E0277 Powered pressure-reducing air mattress <1% 44 $6K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 227 $6K
E2201 Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches <1% 639 $6K
E0156 Seat attachment, walker <1% 711 $5K
A6550 Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories <1% 45 $5K
E0961 Manual wheelchair accessory, wheel lock brake extension (handle), each <1% 263 $5K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 593 $4K
A7038 Filter, disposable, used with positive airway pressure device <1% 1,507 $3K
E0303 Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress <1% 32 $3K
E2202 Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches <1% 112 $3K
E0165 Commode chair, mobile or stationary, with detachable arms <1% 132 $2K
E0910 Trapeze bars, a/k/a patient helper, attached to bed, with grab bar <1% 283 $2K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 857 $1K
A7002 Tubing, used with suction pump, each <1% 464 $1K
L8501 Tracheostomy speaking valve <1% 23 $900.81
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 74 $751.75
A7015 Aerosol mask, used with dme nebulizer <1% 566 $654.39
E0181 Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty <1% 79 $539.24
E0565 Compressor, air power source for equipment which is not self-contained or cylinder driven <1% 26 $483.49
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 204 $458.07
E0978 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each <1% 40 $436.14
A4628 Oral and/or oropharyngeal suction catheter, each <1% 103 $398.63
E1038 Transport chair, adult size, patient weight capacity up to and including 300 pounds <1% 73 $345.97
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator <1% 559 $255.50
A7012 Water collection device, used with large volume nebulizer <1% 49 $56.55
A7525 Tracheostomy mask, each <1% 175 $38.98

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 officialKALBAUGH, MIKE (CREDENTIALING SPECIALIST)
Same official

Other billing entities under KALBAUGH, MIKE

Full network →
ProviderLocationPaid
Advanced Home Care, INC.High Point, NC$8.95M
Advanced Home Care, INC.Greenville, NC$4.64M
Advanced Home Care, INC.High Point, NC$2.37M
Advanced Home Care INCSalem, VA$2.12M
Advanced Home Care, INC.Asheville, NC$1.67M
Advanced Home Care, INC.Kingsport, TN$1.02M
Advanced Home Care, INC.Cary, NC$773K
Advanced Home Care INCWinchester, VA$395K
Advanced Home Care, INCSalem, VA$305K
Advanced Home Care, INC.Aberdeen, NC$245K
Advanced Home Care, INC.Christiansburg, VA$159K
Advanced Home Care, INCGainesville, VA$144K
Advanced Home Care, INC.Sylva, NC$105K
Advanced Home Care INCHigh Point, NC$56K
Advanced Home Care INCKingsport, TN$47K
Advanced Home Care, INC.Wise, VA$3K

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