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

Advanced Home Care, INC.

Advanced Home Care, INC. was paid $773K by Medicaid between Jan 2018 and Mar 2020, across 35 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 — 43% of everything it billed.

33Billing provider infoADVANCED HOME CARE, INC.
CARY, NC 27513
33aNPI1619935913assigned 05/03/2006
28Total paid$773K
24GClaims17,063
24DCodes billed35
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in North Carolina

Rank by total paid#79 of 780
Median peer was paid$5K
This provider vs. median156×

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
20189,768$455K
20196,459$279K
2020836$39K
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 43% 5,839 4,050 $332K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 15% 796 659 $115K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 6.4% 485 241 $50K
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 5.9% 2,196 1,877 $46K
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 3.5% 274 154 $27K
A4629 Tracheostomy care kit for established tracheostomy 3.3% 265 223 $26K
A4554 Disposable underpads, all sizes 2.8% 436 395 $22K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 2.8% 816 643 $22K
A4623 Tracheostomy, inner cannula 2.7% 179 136 $20K
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 1.9% 13 12 $14K
E1392 Portable oxygen concentrator, rental 1.5% 700 589 $11K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1.4% 216 122 $11K
23 more codes
A7526 Tracheostomy tube collar/holder, each 1.3% 420 $10K
E0601 Continuous positive airway pressure (cpap) device 1.3% 282 $10K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 1.1% 535 $9K
A7000 Canister, disposable, used with suction pump, each <1% 502 $7K
A7030 Full face mask used with positive airway pressure device, each <1% 93 $6K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) <1% 141 $6K
K0003 Lightweight wheelchair <1% 134 $5K
A4624 Tracheal suction catheter, any type other than closed system, each <1% 35 $5K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 105 $3K
K0001 Standard wheelchair <1% 313 $2K
A7035 Headgear used with positive airway pressure device <1% 143 $2K
A7002 Tubing, used with suction pump, each <1% 459 $2K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 15 $2K
E0570 Nebulizer, with compressor <1% 247 $2K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 210 $1K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 207 $1K
A7038 Filter, disposable, used with positive airway pressure device <1% 365 $712.96
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 13 $513.94
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 276 $500.34
K0004 High strength, lightweight wheelchair <1% 28 $184.42
A7031 Face mask interface, replacement for full face mask, each <1% 19 $172.36
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 30 $159.82
A7525 Tracheostomy mask, each <1% 276 $159.08

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.Kingsport, TN$1.02M
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.