Supplier
Advanced Home Care, INC.
Advanced Home Care, INC. was paid $4.64M by Medicaid between Jan 2018 and Mar 2020, across 59 billing codes. Its largest line is E0465, Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) — 19% of everything it billed.
33Billing provider infoADVANCED HOME CARE, INC.
GREENVILLE, NC 27834
GREENVILLE, NC 27834
33aNPI1861466179assigned 02/14/2006
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$4.64M
24GClaims78,529
24DCodes billed59
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#8 of 61
Median peer was paid$1.02M
This provider vs. median4.5×
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 | 35,661 | $2.18M | |
| 2019 | 37,652 | $2.12M | |
| 2020 | 5,216 | $347K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 19% | 1,291 | 946 | $873K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 19% | 14,378 | 9,910 | $866K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 9.5% | 3,766 | 1,935 | $439K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 7.8% | 2,245 | 2,019 | $364K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 6.7% | 825 | 521 | $310K |
| A4623 | Tracheostomy, inner cannula | 3.0% | 1,710 | 1,056 | $137K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 2.8% | 1,428 | 984 | $131K |
| A4629 | Tracheostomy care kit for established tracheostomy | 2.6% | 2,022 | 1,396 | $122K |
| E0601 | Continuous positive airway pressure (cpap) device | 2.6% | 2,512 | 2,016 | $122K |
| 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 | 2.4% | 1,689 | 904 | $113K |
| B9002 | Enteral nutrition infusion pump, any type | 1.7% | 1,049 | 848 | $78K |
| 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) | 1.6% | 729 | 558 | $76K |
47 more codes
| A7030 | Full face mask used with positive airway pressure device, each | 1.5% | 829 | $70K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 1.5% | 2,331 | $68K |
| E1392 | Portable oxygen concentrator, rental | 1.4% | 3,260 | $65K |
| 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 | 1.3% | 311 | $62K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.3% | 1,826 | $61K |
| L8501 | Tracheostomy speaking valve | 1.3% | 1,131 | $58K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 1.1% | 2,905 | $51K |
| 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 | 1.0% | 770 | $48K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 1.0% | 1,007 | $48K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 2,361 | $38K |
| 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 | <1% | 2,269 | $38K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 1,095 | $35K |
| A4554 | Disposable underpads, all sizes | <1% | 664 | $33K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 187 | $29K |
| K0001 | Standard wheelchair | <1% | 1,767 | $28K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 1,006 | $27K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 2,014 | $26K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 620 | $24K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 885 | $21K |
| E0570 | Nebulizer, with compressor | <1% | 723 | $18K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 605 | $17K |
| A7035 | Headgear used with positive airway pressure device | <1% | 1,038 | $17K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 678 | $17K |
| A7037 | Tubing used with positive airway pressure device | <1% | 606 | $16K |
| B9998 | Noc for enteral supplies | <1% | 1,801 | $15K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 1,184 | $13K |
| K0003 | Lightweight wheelchair | <1% | 280 | $11K |
| E0149 | Walker, heavy duty, wheeled, rigid or folding, any type | <1% | 488 | $8K |
| E0565 | Compressor, air power source for equipment which is not self-contained or cylinder driven | <1% | 263 | $7K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 127 | $6K |
| A7002 | Tubing, used with suction pump, each | <1% | 1,992 | $6K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 1,241 | $5K |
| E0165 | Commode chair, mobile or stationary, with detachable arms | <1% | 288 | $4K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 1,333 | $3K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | <1% | 541 | $3K |
| E0240 | Bath/shower chair, with or without wheels, any size | <1% | 45 | $2K |
| K0007 | Extra heavy duty wheelchair | <1% | 53 | $2K |
| A7012 | Water collection device, used with large volume nebulizer | <1% | 981 | $2K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,262 | $2K |
| E0247 | Transfer bench for tub or toilet with or without commode opening | <1% | 14 | $1K |
| E2201 | Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches | <1% | 112 | $1K |
| E0156 | Seat attachment, walker | <1% | 105 | $760.64 |
| A7525 | Tracheostomy mask, each | <1% | 1,776 | $745.99 |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 12 | $587.00 |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 51 | $91.68 |
| E0184 | Dry pressure mattress | <1% | 20 | $57.38 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 28 | $38.23 |
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. | 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.