Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Asheville › NPI 1861472094
Supplier

Advanced Home Care, INC.

Advanced Home Care, INC. was paid $1.67M by Medicaid between Jan 2018 and Mar 2020, across 46 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 — 36% of everything it billed.

33Billing provider infoADVANCED HOME CARE, INC.
ASHEVILLE, NC 28803
33aNPI1861472094assigned 01/23/2006
28Total paid$1.67M
24GClaims37,177
24DCodes billed46
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#21 of 61
Median peer was paid$1.02M
This provider vs. median1.6×

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$50K$100K2018201920202021202220232024
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
201816,188$727K
201917,979$798K
20203,010$146K
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 36% 9,763 6,835 $601K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 12% 1,300 1,145 $201K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 11% 1,653 831 $191K
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 4.7% 3,698 3,068 $79K
E0601 Continuous positive airway pressure (cpap) device 3.8% 1,557 1,304 $64K
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 3.8% 699 375 $64K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 2.4% 798 407 $41K
K0003 Lightweight wheelchair 2.3% 1,085 939 $38K
B9002 Enteral nutrition infusion pump, any type 2.3% 469 400 $38K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 2.1% 1,336 998 $35K
E0143 Walker, folding, wheeled, adjustable or fixed height 2.1% 734 666 $35K
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 2.1% 518 281 $35K
34 more codes
E1392 Portable oxygen concentrator, rental 1.7% 1,354 $28K
A4554 Disposable underpads, all sizes 1.7% 579 $28K
A7030 Full face mask used with positive airway pressure device, each 1.6% 366 $27K
K0001 Standard wheelchair 1.1% 1,431 $19K
E0163 Commode chair, mobile or stationary, with fixed arms 1.1% 423 $18K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 1,011 $16K
E0570 Nebulizer, with compressor <1% 997 $16K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 1,727 $13K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) <1% 441 $13K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 381 $10K
A7035 Headgear used with positive airway pressure device <1% 581 $10K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 210 $9K
B9998 Noc for enteral supplies <1% 1,031 $8K
A7037 Tubing used with positive airway pressure device <1% 303 $7K
A7031 Face mask interface, replacement for full face mask, each <1% 265 $7K
A7000 Canister, disposable, used with suction pump, each <1% 394 $6K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 90 $3K
E0562 Humidifier, heated, used with positive airway pressure device <1% 26 $3K
A7038 Filter, disposable, used with positive airway pressure device <1% 882 $2K
K0006 Heavy duty wheelchair <1% 31 $1K
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% 15 $1K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 191 $1K
E0240 Bath/shower chair, with or without wheels, any size <1% 12 $740.19
A7526 Tracheostomy tube collar/holder, each <1% 71 $722.25
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth <1% 24 $653.39
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 347 $441.12
E0156 Seat attachment, walker <1% 52 $405.25
E0149 Walker, heavy duty, wheeled, rigid or folding, any type <1% 12 $393.66
E2201 Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches <1% 42 $367.80
K0004 High strength, lightweight wheelchair <1% 99 $344.86
A7032 Cushion for use on nasal mask interface, replacement only, each <1% 16 $272.87
A7002 Tubing, used with suction pump, each <1% 69 $195.11
A7015 Aerosol mask, used with dme nebulizer <1% 26 $39.09
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator <1% 68 $32.84

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.Kingsport, TN$1.02M
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.