Dalton, Carolyn
Dalton, Carolyn was paid $2.03M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoDALTON, CAROLYN
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
33aNPI1184822009assigned 07/03/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$2.03M
24GClaims34,544
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in Louisiana
Rank by total paid#6 of 36
Median peer was paid$52K
This provider vs. median39×
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.
Single-Code Concentration100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
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 | 9,426 | $399K | |
| 2019 | 5,830 | $315K | |
| 2020 | 4,677 | $272K | |
| 2021 | 4,229 | $255K | |
| 2022 | 3,026 | $228K | |
| 2023 | 3,398 | $254K | |
| 2024incomplete | 3,958 | $308K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 100% | 34,544 | 1,471 | $2.03M |
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.