Supplier
Advanced Home Care INC
Advanced Home Care INC was paid $2.12M by Medicaid between Jan 2018 and Dec 2021, across 55 billing codes. Its largest line is 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 — 21% of everything it billed.
33Billing provider infoADVANCED HOME CARE INC
SALEM, VA 24153
SALEM, VA 24153
33aNPI1790752251assigned 03/03/2006
33bProvider typeCustomized Equipment (DME)
28Total paid$2.12M
24GClaims39,615
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Customized Equipment (DME) providers in Virginia
Rank by total paid#6 of 22
Median peer was paid$631K
This provider vs. median3.4×
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 | 16,256 | $969K | |
| 2019 | 19,038 | $949K | |
| 2020 | 3,939 | $186K | |
| 2021 | 382 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 21% | 1,169 | 887 | $452K |
| 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 | 15% | 1,428 | 1,173 | $322K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 14% | 7,046 | 5,845 | $302K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 8.6% | 2,056 | 1,544 | $182K |
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 4.9% | 506 | 393 | $103K |
| 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 | 2.9% | 873 | 627 | $62K |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 2.8% | 163 | 91 | $60K |
| 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 | 2.7% | 688 | 521 | $57K |
| 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 | 2.3% | 2,461 | 2,143 | $50K |
| E0601 | Continuous positive airway pressure (cpap) device | 2.0% | 1,019 | 910 | $43K |
| A4629 | Tracheostomy care kit for established tracheostomy | 1.6% | 566 | 379 | $34K |
| E1392 | Portable oxygen concentrator, rental | 1.5% | 1,638 | 1,416 | $31K |
43 more codes
| B9002 | Enteral nutrition infusion pump, any type | 1.5% | 927 | $31K |
| K0003 | Lightweight wheelchair | 1.4% | 1,085 | $29K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.3% | 426 | $28K |
| S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 1.2% | 178 | $25K |
| A7030 | Full face mask used with positive airway pressure device, each | 1.2% | 596 | $25K |
| E0570 | Nebulizer, with compressor | 1.0% | 785 | $22K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 835 | $21K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 694 | $20K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 508 | $19K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | <1% | 153 | $18K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 822 | $17K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 1,330 | $16K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 682 | $14K |
| K0001 | Standard wheelchair | <1% | 653 | $11K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 1,530 | $11K |
| E0619 | Apnea monitor, with recording feature | <1% | 77 | $11K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 411 | $10K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 463 | $10K |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 40 | $10K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 954 | $9K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 379 | $8K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 498 | $7K |
| A7035 | Headgear used with positive airway pressure device | <1% | 663 | $6K |
| 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% | 114 | $5K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 160 | $5K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | <1% | 71 | $5K |
| 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% | 56 | $5K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 774 | $4K |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | <1% | 202 | $4K |
| A7002 | Tubing, used with suction pump, each | <1% | 923 | $4K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 102 | $3K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 58 | $2K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,058 | $1K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 992 | $1K |
| A4623 | Tracheostomy, inner cannula | <1% | 18 | $1K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 48 | $900.61 |
| E0149 | Walker, heavy duty, wheeled, rigid or folding, any type | <1% | 12 | $466.48 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 120 | $464.32 |
| A4606 | Oxygen probe for use with oximeter device, replacement | <1% | 65 | $409.44 |
| E0245 | Tub stool or bench | <1% | 15 | $344.40 |
| E2601 | General use wheelchair seat cushion, width less than 22 inches, any depth | <1% | 16 | $281.79 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 287 | $226.10 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 222 | $78.61 |
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. | 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.