Nursing facility
Fondren Cove Relay, INC.
Fondren Cove Relay, INC. was paid $1.04M by Medicaid between Jan 2018 and Jun 2022, across 1 billing code. Its largest line is T1020, help at home with daily living, billed per day — 100% of everything it billed.
33Billing provider infoFONDREN COVE RELAY, INC.
JACKSON, MS 39206
JACKSON, MS 39206
33aNPI1811232135assigned 11/28/2012
33bProvider typeAssisted Living Facility (Mental Illness)
28Total paid$1.04M
24GClaims798
24DCodes billed1
24AFirst – last monthJan 2018 – Jun 2022
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code T1020 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 | 107 | $150K | |
| 2019 | 185 | $213K | |
| 2020 | 202 | $261K | |
| 2021 | 210 | $279K | |
| 2022 | 94 | $140K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, 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% | 798 | 687 | $1.04M |
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 officialKITCHENS, CAMMIE (EXECUTIVE DIRECTOR)