Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Advanced Home Care, Inc. (NPI 1740268614)

Field	Value
Entity Type	Organization
Organization	Advanced Home Care, Inc.
Address	4001 Piedmont Pkwy
City	High Point
State	NC
ZIP	27265
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	January 2, 2006

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

104 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	29,030	$60	$1.7M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1,420	$340	$480K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	5,230	$90	$449.8K
A4554	Disposable underpads, all sizes	6,440	$50	$334.9K
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	13,330	$20	$279.9K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	1,670	$150	$248.1K
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…	1,050	$240	$247.9K
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…	3,440	$70	$247.6K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	1,750	$140	$245K
S5165	Home modifications; per service	360	$670	$237.8K

Showing 1–10 of 104

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

Advanced Home Care, Inc. — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

104 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	8	20	1,290	$750	$2M
E2402	Negative pressure wound therapy electrical pump, stationary or portable	4	10	410	$480	$1.7M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	14	40	410	$110	$1.6M
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…	16	30	3,090	$330	$1.5M
E1399	Durable medical equipment, miscellaneous	20	20	470	$480	$1.2M
S5165	Home modifications; per service	3	10	130	$4,330	$999.5K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	17	50	3,660	$140	$902.9K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	21	40	590	$160	$747.6K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	20	60	530	$50	$669.2K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	31	100	860	$100	$640.4K

Showing 1–10 of 104

Nearby Providers

Other providers in the same ZIP code as Advanced Home Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Simoncic Dds PLLC	NC	Oral and Maxillofacial Surgery Clinic/Center	$0	$31.8M
Continuum Care Services, Inc.	NC	Community/Behavioral Health Agency	$0	$30.5M
Triad Pediatrics, PC	NC	Pediatrics Physician	$0	$8M
Horizon Internal Medicine PLLC	NC	Internal Medicine Physician	$0	$7.6M
Premier Home Health Care Services, Inc.	NC	Home Health Agency	$0	$7.3M
Imran Haque	NC	Internal Medicine Physician	$2.7M	$0
Premier Surgery Center, LLC	NC	Ambulatory Surgical Clinic/Center	$205.8K	$42.6K
Moogali Arvind	NC	Internal Medicine Physician	$218.9K	$0
Karla Smith	NC	Family Medicine Physician	$114K	$0
Lisa Wooding	NC	Occupational Therapist	$56.8K	$0

Advanced Home Care, Inc. — Billing Profile & Reimbursement Data

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Advanced Home Care, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References