Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › High Point › NPI 1104982644
Agency

Advanced Home Care, INC.

Advanced Home Care, INC. was paid $2.37M by Medicaid between Jan 2018 and Mar 2020, across 6 billing codes. Its largest line is S9494, Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) — 49% of everything it billed.

33Billing provider infoADVANCED HOME CARE, INC.
HIGH POINT, NC 27265
33aNPI1104982644assigned 12/29/2006
33bProvider typeHome Infusion Agency
28Total paid$2.37M
24GClaims60,500
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Home Infusion Agency providers in North Carolina

Rank by total paid#8 of 18
Median peer was paid$1.55M
This provider vs. median1.5×

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 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
201827,108$1.06M
201929,174$1.16M
20204,218$156K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9494 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) 49% 23,688 1,348 $1.17M
T1030 Nursing care, in the home, by registered nurse, per diem 32% 20,129 1,369 $770K
B4224 Parenteral nutrition administration kit, per day 7.3% 7,778 373 $174K
B4185 Parenteral nutrition solution, not otherwise specified, 10 grams lipids 6.9% 854 230 $164K
B4220 Parenteral nutrition supply kit; premix, per day 2.3% 7,758 373 $55K
B4189 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix 1.6% 293 12 $39K

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.Charlotte, NC$2.58M
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.