Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Kingsport › NPI 1619172236
Supplier

Advanced Home Care, INC.

Advanced Home Care, INC. was paid $1.02M by Medicaid between Jan 2018 and Jun 2021, across 44 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 — 31% of everything it billed.

33Billing provider infoADVANCED HOME CARE, INC.
KINGSPORT, TN 37664
33aNPI1619172236assigned 06/15/2007
28Total paid$1.02M
24GClaims45,684
24DCodes billed44
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers

Next to other Customized Equipment (DME) providers in Tennessee

Rank by total paid#10 of 32
Median peer was paid$171K
This provider vs. median5.9×

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$20K$40K$60K2018201920202021202220232024
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
201818,753$449K
201918,745$465K
20205,988$101K
20212,198$393.58
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 31% 11,310 9,745 $320K
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 11% 408 317 $113K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 7.2% 730 571 $74K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 5.2% 581 513 $53K
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 4.5% 146 110 $45K
E1392 Portable oxygen concentrator, rental 4.4% 4,644 4,162 $45K
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 4.3% 4,336 3,872 $43K
E0601 Continuous positive airway pressure (cpap) device 4.1% 1,928 1,495 $41K
A7030 Full face mask used with positive airway pressure device, each 2.7% 1,058 726 $27K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 2.5% 1,459 1,097 $25K
K0003 Lightweight wheelchair 2.2% 1,450 1,083 $23K
A4629 Tracheostomy care kit for established tracheostomy 2.0% 435 333 $20K
32 more codes
E0562 Humidifier, heated, used with positive airway pressure device 1.7% 1,006 $17K
E0143 Walker, folding, wheeled, adjustable or fixed height 1.6% 905 $16K
E0570 Nebulizer, with compressor 1.5% 1,451 $15K
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 1.5% 379 $15K
A4604 Tubing with integrated heating element for use with positive airway pressure device 1.3% 1,223 $13K
E0163 Commode chair, mobile or stationary, with fixed arms 1.2% 639 $12K
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 1.1% 284 $11K
A7526 Tracheostomy tube collar/holder, each <1% 367 $10K
A7031 Face mask interface, replacement for full face mask, each <1% 957 $10K
B9002 Enteral nutrition infusion pump, any type <1% 199 $9K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 1,812 $8K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 392 $8K
A7035 Headgear used with positive airway pressure device <1% 1,064 $7K
A7000 Canister, disposable, used with suction pump, each <1% 663 $6K
K0001 Standard wheelchair <1% 821 $6K
A4623 Tracheostomy, inner cannula <1% 88 $5K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) <1% 32 $3K
E2201 Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches <1% 225 $3K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 140 $2K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 119 $2K
A7038 Filter, disposable, used with positive airway pressure device <1% 1,738 $2K
A7002 Tubing, used with suction pump, each <1% 540 $2K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 403 $2K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 423 $1K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 738 $1K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 48 $517.65
E0156 Seat attachment, walker <1% 94 $354.36
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth <1% 24 $229.46
A7015 Aerosol mask, used with dme nebulizer <1% 152 $94.09
E1399 Durable medical equipment, miscellaneous <1% 62 $64.00
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator <1% 198 $41.33
A7525 Tracheostomy mask, each <1% 13 $15.08

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.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, 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.