Supplier
Advanced Home Care INC
Advanced Home Care INC was paid $395K by Medicaid between Jan 2018 and Jun 2022, across 28 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 — 25% of everything it billed.
33Billing provider infoADVANCED HOME CARE INC
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1457707713assigned 05/05/2016
33bProvider typeOxygen Equipment & Supplies (DME)
28Total paid$395K
24GClaims10,004
24DCodes billed28
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Oxygen Equipment & Supplies (DME) providers in Virginia
Rank by total paid#6 of 26
Median peer was paid$64K
This provider vs. median6.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,310 | $97K | |
| 2019 | 3,654 | $138K | |
| 2020 | 1,643 | $66K | |
| 2021 | 1,536 | $61K | |
| 2022 | 861 | $34K |
Box 24 · Service lines
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 | 25% | 399 | 316 | $99K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 24% | 2,213 | 1,863 | $95K |
| E0601 | Continuous positive airway pressure (cpap) device | 12% | 1,102 | 965 | $46K |
| 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 | 7.0% | 743 | 463 | $28K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 6.4% | 445 | 297 | $25K |
| 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 | 3.7% | 195 | 145 | $15K |
| E0570 | Nebulizer, with compressor | 3.0% | 583 | 512 | $12K |
| A7030 | Full face mask used with positive airway pressure device, each | 2.7% | 151 | 137 | $11K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 2.6% | 342 | 303 | $10K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 2.6% | 181 | 169 | $10K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 2.2% | 457 | 382 | $9K |
| K0001 | Standard wheelchair | 1.6% | 596 | 493 | $6K |
16 more codes
| E1392 | Portable oxygen concentrator, rental | 1.5% | 378 | $6K |
| B9002 | Enteral nutrition infusion pump, any type | 1.1% | 237 | $4K |
| K0003 | Lightweight wheelchair | <1% | 122 | $3K |
| A7035 | Headgear used with positive airway pressure device | <1% | 236 | $3K |
| 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% | 438 | $3K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 66 | $2K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 37 | $1K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 127 | $1K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 28 | $1K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 451 | $1K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 168 | $1K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 14 | $761.28 |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 31 | $680.71 |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 15 | $286.67 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 143 | $259.36 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 106 | $38.13 |
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)
| Provider | Location | Paid |
|---|---|---|
| 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 INC | Salem, 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, INC | Salem, VA | $305K |
| Advanced Home Care, INC. | Aberdeen, NC | $245K |
| Advanced Home Care, INC. | Christiansburg, VA | $159K |
| Advanced Home Care, INC | Gainesville, VA | $144K |
| Advanced Home Care, INC. | Sylva, NC | $105K |
| Advanced Home Care INC | High Point, NC | $56K |
| Advanced Home Care INC | Kingsport, 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.