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

Advanced Home Care, INC

Advanced Home Care, INC was paid $305K by Medicaid between Apr 2018 and Dec 2019, across 2 billing codes. Its largest line is S9342, Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem — 88% of everything it billed.

33Billing provider infoADVANCED HOME CARE, INC
SALEM, VA 24153
33aNPI1336220235assigned 10/18/2006
33bProvider typeHome Infusion Agency
28Total paid$305K
24GClaims1,473
24DCodes billed2
24AFirst – last monthApr 2018 – Dec 2019
Compared with peers

Next to other Home Infusion Agency providers in Virginia

Rank by total paid#6 of 6
Median peer was paid$2.53M
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$10K$20K$30K2018201920202021202220232024
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
2018543$105K
2019930$200K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 88% 1,226 1,019 $267K
S9343 Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 12% 247 204 $38K

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, 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.