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

Advanced Home Care, INC.

Advanced Home Care, INC. was paid $245K by Medicaid between Jan 2018 and Feb 2020, across 20 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 — 66% of everything it billed.

33Billing provider infoADVANCED HOME CARE, INC.
ABERDEEN, NC 28315
33aNPI1568436657assigned 02/15/2006
28Total paid$245K
24GClaims5,728
24DCodes billed20
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#55 of 61
Median peer was paid$1.02M
This provider vs. median0.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
20182,136$108K
20193,117$114K
2020475$23K
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 66% 2,486 1,772 $162K
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 9.7% 1,005 859 $24K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 7.9% 646 448 $19K
K0003 Lightweight wheelchair 5.1% 367 311 $12K
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 3.0% 102 61 $7K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) 1.6% 410 343 $4K
E0601 Continuous positive airway pressure (cpap) device 1.4% 96 76 $3K
A4554 Disposable underpads, all sizes 1.3% 56 54 $3K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 1.1% 154 130 $3K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 56 24 $2K
E1392 Portable oxygen concentrator, rental <1% 47 42 $1K
K0001 Standard wheelchair <1% 70 51 $976.53
8 more codes
E0570 Nebulizer, with compressor <1% 73 $974.90
A7030 Full face mask used with positive airway pressure device, each <1% 14 $697.35
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) <1% 23 $566.98
E0143 Walker, folding, wheeled, adjustable or fixed height <1% 13 $531.89
A7035 Headgear used with positive airway pressure device <1% 14 $190.59
A7038 Filter, disposable, used with positive airway pressure device <1% 69 $159.00
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 14 $116.95
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 13 $20.80

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.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.