Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Sylva › NPI 1154472405
Supplier

Advanced Home Care, INC.

Advanced Home Care, INC. was paid $105K by Medicaid between Jan 2018 and Feb 2020, across 3 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 — 88% of everything it billed.

33Billing provider infoADVANCED HOME CARE, INC.
SYLVA, NC 28779
33aNPI1154472405assigned 01/15/2007
28Total paid$105K
24GClaims2,926
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers

Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in North Carolina

Rank by total paid#57 of 61
Median peer was paid$1.02M
This provider vs. median0.1×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,467$54K
20191,343$43K
2020116$7K
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 88% 2,189 1,402 $92K
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 8.3% 484 420 $9K
E1392 Portable oxygen concentrator, rental 3.5% 253 210 $4K

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, 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 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.