Supplier
Advanced Home Care, INC
Advanced Home Care, INC was paid $144K by Medicaid between Jan 2018 and Feb 2020, across 18 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 — 46% of everything it billed.
33Billing provider infoADVANCED HOME CARE, INC
GAINESVILLE, VA 20155
GAINESVILLE, VA 20155
33aNPI1982944393assigned 02/21/2013
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$144K
24GClaims9,159
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Virginia
Rank by total paid#76 of 229
Median peer was paid$17K
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 | 4,373 | $58K | |
| 2019 | 4,579 | $79K | |
| 2020 | 207 | $7K |
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 | 46% | 2,825 | 2,271 | $67K |
| E0601 | Continuous positive airway pressure (cpap) device | 18% | 881 | 745 | $26K |
| E0570 | Nebulizer, with compressor | 6.1% | 833 | 706 | $9K |
| 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 | 6.1% | 898 | 742 | $9K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 5.4% | 559 | 381 | $8K |
| E1392 | Portable oxygen concentrator, rental | 4.4% | 733 | 616 | $6K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 2.4% | 499 | 445 | $3K |
| A7030 | Full face mask used with positive airway pressure device, each | 2.2% | 116 | 103 | $3K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 1.9% | 237 | 189 | $3K |
| K0001 | Standard wheelchair | 1.7% | 447 | 344 | $3K |
| A7035 | Headgear used with positive airway pressure device | 1.5% | 323 | 265 | $2K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 1.3% | 80 | 67 | $2K |
6 more codes
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 498 | $1K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 64 | $954.02 |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | <1% | 19 | $509.14 |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 15 | $185.61 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 119 | $116.71 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 13 | $3.64 |
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 | 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. | 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.