Hailes, Latonya

Hailes, Latonya was paid $7.95M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 93% of everything it billed.

33Billing provider infoHAILES, LATONYA
HATTIESBURG, MS 39402

33aNPI1487800710assigned 08/18/2008

33bProvider typeAdult Day Care Clinic/Center

28Total paid$7.95M

24GClaims92,839

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Adult Day Care Clinic/Center providers in Mississippi

Rank by total paid#2 of 61

Median peer was paid$798K

This provider vs. median10.0×

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 Concentration93% of spending on code T1019 with only 2 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	23,721	$1.39M
2019	25,049	$1.54M
2020	16,213	$1.05M
2021	12,689	$884K
2022	8,265	$824K
2023	3,635	$1.10M
2024incomplete	3,267	$1.17M

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)	93%	81,994	7,042	$7.37M
S5150	Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes	7.3%	10,845	823	$579K

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.