Carolina Home Medical, INC.
Carolina Home Medical, INC. was paid $1.36M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is T4527, Adult sized disposable incontinence product, protective underwear/pull-on, large size, each — 18% of everything it billed.
JACKSONVILLE, NC 28546
Next to other Emergency Response System Companies providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,315 | $155K | |
| 2019 | 3,517 | $175K | |
| 2020 | 4,422 | $208K | |
| 2021 | 3,642 | $192K | |
| 2022 | 4,359 | $211K | |
| 2023 | 4,696 | $201K | |
| 2024incomplete | 4,310 | $219K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 18% | 1,741 | 1,622 | $242K |
| A4554 | Disposable underpads, all sizes | 16% | 3,923 | 3,578 | $220K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 13% | 1,282 | 1,172 | $180K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 12% | 1,473 | 1,333 | $169K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 10% | 2,145 | 1,413 | $137K |
| E0601 | Continuous positive airway pressure (cpap) device | 8.9% | 3,480 | 2,370 | $122K |
| A7030 | Full face mask used with positive airway pressure device, each | 6.2% | 1,536 | 1,042 | $84K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 5.1% | 1,040 | 657 | $69K |
| E0570 | Nebulizer, with compressor | 2.0% | 1,875 | 1,052 | $28K |
| A7037 | Tubing used with positive airway pressure device | 1.9% | 2,388 | 1,626 | $26K |
| A4927 | Gloves, non-sterile, per 100 | 1.4% | 981 | 901 | $19K |
| A7035 | Headgear used with positive airway pressure device | 1.2% | 1,323 | 930 | $17K |
13 more codes
| 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 | 1.1% | 908 | $15K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 3,065 | $8K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 41 | $6K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 222 | $6K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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 | <1% | 24 | $3K |
| K0001 | Standard wheelchair | <1% | 256 | $3K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 16 | $2K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 78 | $2K |
| A4335 | Incontinence supply; miscellaneous | <1% | 267 | $2K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 74 | $1K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 49 | $89.38 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 55 | $54.92 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 19 | $26.57 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Carolina Home Medical, INC. | Smithfield, NC | $4.67M |
| Carolina Home Medical, INC. | Greenville, NC | $2.17M |
| Carolina Home Medical, INC. | New Bern, NC | $1.72M |
| Carolina Home Medical, INC. | Kinston, NC | $1.44M |
| Carolina Home Medical, INC. | Morehead City, NC | $657K |
| MT Carmel Veterans Service Center | Colorado Springs, CO | $59K |
| Access 365 Urgent Care LLC | Palm City, FL | $58K |
| Realo Discount Drug Stores of Eastern North Carolina INC | New Bern, NC | $13K |
| Realo Discount Drug Stores of Eastern North Carolina, INC. | Jacksonville, NC | $3K |
| Realo Discount Drug Stores of Eastern North Carolina INC | New Bern, NC | $2K |
| Realo Discount Drug Stores of Eastern North Carolina INC | New Bern, NC | $897.76 |
| Realo Discount Drug Stores of Enc, INC | Wallace, NC | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.