Carolina Home Medical, INC.
Carolina Home Medical, INC. was paid $4.67M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 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 — 15% of everything it billed.
SMITHFIELD, NC 27577
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 | 8,473 | $563K | |
| 2019 | 10,701 | $652K | |
| 2020 | 13,944 | $1.05M | |
| 2021 | 11,345 | $847K | |
| 2022 | 8,926 | $612K | |
| 2023 | 7,996 | $525K | |
| 2024incomplete | 4,622 | $415K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 15% | 9,189 | 7,905 | $713K |
| A4554 | Disposable underpads, all sizes | 13% | 12,204 | 11,214 | $596K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 12% | 4,822 | 4,484 | $580K |
| 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 | 11% | 6,182 | 4,616 | $497K |
| 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 | 9.8% | 4,104 | 2,832 | $455K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 8.5% | 3,603 | 3,393 | $399K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 6.5% | 2,545 | 2,370 | $304K |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | 3.4% | 1,287 | 1,082 | $157K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 2.9% | 4,323 | 3,185 | $134K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | 2.3% | 1,054 | 908 | $107K |
| 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 | 2.2% | 1,176 | 844 | $102K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | 1.9% | 543 | 528 | $88K |
19 more codes
| A4927 | Gloves, non-sterile, per 100 | 1.7% | 4,159 | $81K |
| A4670 | Automatic blood pressure monitor | 1.4% | 1,286 | $66K |
| E0570 | Nebulizer, with compressor | 1.4% | 1,010 | $64K |
| T2025 | Waiver services not otherwise specified | 1.3% | 2,108 | $60K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | 1.1% | 405 | $53K |
| T4531 | Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each | 1.0% | 447 | $47K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 448 | $37K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | <1% | 256 | $31K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 245 | $29K |
| B4103 | Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit | <1% | 272 | $19K |
| A4335 | Incontinence supply; miscellaneous | <1% | 1,644 | $12K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 493 | $11K |
| 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% | 318 | $7K |
| E0202 | Phototherapy (bilirubin) light with photometer | <1% | 171 | $6K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 246 | $4K |
| K0001 | Standard wheelchair | <1% | 520 | $4K |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 25 | $837.89 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 497 | $815.39 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 425 | $18.49 |
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. | 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. | Jacksonville, NC | $1.36M |
| 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.