Supplier
Advanced Home Care, INC.
Advanced Home Care, INC. was paid $8.95M by Medicaid between Jan 2018 and Mar 2020, across 104 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 — 19% of everything it billed.
33Billing provider infoADVANCED HOME CARE, INC.
HIGH POINT, NC 27265
HIGH POINT, NC 27265
33aNPI1740268614assigned 01/02/2006
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$8.95M
24GClaims175,926
24DCodes billed104
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in North Carolina
Rank by total paid#5 of 61
Median peer was paid$1.02M
This provider vs. median8.7×
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 | 71,341 | $3.91M | |
| 2019 | 88,676 | $4.29M | |
| 2020 | 15,909 | $759K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 19% | 29,031 | 20,980 | $1.68M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 5.4% | 1,420 | 822 | $480K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5.0% | 5,230 | 2,502 | $448K |
| A4554 | Disposable underpads, all sizes | 3.7% | 6,440 | 5,815 | $333K |
| 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 | 3.2% | 13,329 | 11,251 | $284K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 2.8% | 1,665 | 1,456 | $249K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.8% | 1,046 | 590 | $248K |
| 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 | 2.7% | 3,439 | 1,956 | $246K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 2.7% | 1,750 | 1,609 | $244K |
| S5165 | Home modifications; per service | 2.7% | 357 | 232 | $238K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 2.6% | 1,761 | 1,608 | $228K |
| E0601 | Continuous positive airway pressure (cpap) device | 2.5% | 5,053 | 4,241 | $226K |
92 more codes
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 2.3% | 7,437 | $203K |
| 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 | 2.2% | 3,103 | $198K |
| E2402 | Negative pressure wound therapy electrical pump, stationary or portable | 2.0% | 482 | $180K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 1.8% | 604 | $164K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 1.7% | 1,068 | $151K |
| K0003 | Lightweight wheelchair | 1.6% | 5,556 | $147K |
| A7030 | Full face mask used with positive airway pressure device, each | 1.6% | 2,047 | $145K |
| 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 | 1.6% | 1,798 | $141K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.5% | 3,142 | $139K |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each | 1.5% | 603 | $131K |
| 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 | 1.4% | 1,891 | $129K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 1.3% | 2,765 | $119K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 1.2% | 723 | $103K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 1.0% | 743 | $92K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 1.0% | 743 | $90K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | <1% | 723 | $89K |
| 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% | 1,020 | $78K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 1,548 | $74K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 1,246 | $73K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 1,751 | $71K |
| A4623 | Tracheostomy, inner cannula | <1% | 1,282 | $70K |
| E0277 | Powered pressure-reducing air mattress | <1% | 426 | $68K |
| E0570 | Nebulizer, with compressor | <1% | 3,122 | $62K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | <1% | 971 | $61K |
| E0247 | Transfer bench for tub or toilet with or without commode opening | <1% | 730 | $57K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 1,460 | $55K |
| K0007 | Extra heavy duty wheelchair | <1% | 963 | $53K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 381 | $49K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 367 | $47K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 1,353 | $46K |
| K0001 | Standard wheelchair | <1% | 2,980 | $45K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 1,113 | $45K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 5,467 | $44K |
| E1392 | Portable oxygen concentrator, rental | <1% | 2,205 | $43K |
| E0303 | Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress | <1% | 514 | $42K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 362 | $40K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 1,894 | $40K |
| A7035 | Headgear used with positive airway pressure device | <1% | 2,637 | $40K |
| E0240 | Bath/shower chair, with or without wheels, any size | <1% | 702 | $39K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 1,715 | $37K |
| A7037 | Tubing used with positive airway pressure device | <1% | 1,490 | $33K |
| E2601 | General use wheelchair seat cushion, width less than 22 inches, any depth | <1% | 1,089 | $27K |
| L8501 | Tracheostomy speaking valve | <1% | 374 | $27K |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 554 | $26K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 1,107 | $26K |
| K0006 | Heavy duty wheelchair | <1% | 870 | $26K |
| A6550 | Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories | <1% | 236 | $24K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 1,369 | $24K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 828 | $23K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | <1% | 576 | $23K |
| E0961 | Manual wheelchair accessory, wheel lock brake extension (handle), each | <1% | 1,124 | $23K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 228 | $22K |
| E0149 | Walker, heavy duty, wheeled, rigid or folding, any type | <1% | 722 | $21K |
| B9998 | Noc for enteral supplies | <1% | 2,444 | $20K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 1,523 | $20K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 1,587 | $20K |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | <1% | 1,083 | $14K |
| E0165 | Commode chair, mobile or stationary, with detachable arms | <1% | 624 | $13K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 94 | $11K |
| E2611 | General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware | <1% | 94 | $10K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 573 | $9K |
| E0156 | Seat attachment, walker | <1% | 1,029 | $9K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 1,574 | $9K |
| E0912 | Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar | <1% | 288 | $9K |
| E0565 | Compressor, air power source for equipment which is not self-contained or cylinder driven | <1% | 298 | $8K |
| E0185 | Gel or gel-like pressure pad for mattress, standard mattress length and width | <1% | 117 | $8K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 3,552 | $7K |
| B9004 | Parenteral nutrition infusion pump, portable | <1% | 40 | $7K |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each | <1% | 36 | $6K |
| K0002 | Standard hemi (low seat) wheelchair | <1% | 268 | $5K |
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | <1% | 14 | $4K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 309 | $4K |
| E0181 | Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty | <1% | 467 | $4K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 309 | $3K |
| A7002 | Tubing, used with suction pump, each | <1% | 1,327 | $3K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 863 | $3K |
| E0910 | Trapeze bars, a/k/a patient helper, attached to bed, with grab bar | <1% | 437 | $3K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,627 | $2K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 56 | $2K |
| E0776 | Iv pole | <1% | 43 | $2K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 860 | $1K |
| E2202 | Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches | <1% | 164 | $1K |
| E0168 | Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each | <1% | 17 | $1K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 871 | $985.79 |
| A7012 | Water collection device, used with large volume nebulizer | <1% | 422 | $979.66 |
| E0973 | Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each | <1% | 21 | $883.36 |
| T2025 | Waiver services not otherwise specified | <1% | 20 | $738.67 |
| E1020 | Residual limb support system for wheelchair, any type | <1% | 13 | $700.76 |
| E1038 | Transport chair, adult size, patient weight capacity up to and including 300 pounds | <1% | 157 | $674.02 |
| E1399 | Durable medical equipment, miscellaneous | <1% | 44 | $530.97 |
| A7525 | Tracheostomy mask, each | <1% | 1,117 | $421.08 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 819 | $374.35 |
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. | 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 | Winchester, VA | $395K |
| 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.