Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DALTON, CAROLYN

NPI: 1184822009 · BATON ROUGE, LA 70806 · Case Manager/Care Coordinator · NPI assigned 07/03/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$2.03M
Total Medicaid Paid
34,544
Total Claims
1,471
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,958 $308K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal 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) 34,544 1,471 $2.03M