Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Monarch Diagnostics INC.

Monarch Diagnostics INC. was paid $4.00M by Medicaid between May 2021 and Apr 2023, across 6 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 71% of everything it billed.

33Billing provider infoMONARCH DIAGNOSTICS INC.
IRVINE, CA 92614
33aNPI1003437500assigned 05/06/2020
28Total paid$4.00M
24GClaims131,520
24DCodes billed6
24AFirst – last monthMay 2021 – Apr 2023
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#119 of 561
Median peer was paid$222K
This provider vs. median18×

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.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
20212,193$63K
2022128,572$3.90M
2023755$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 71% 45,597 17,212 $2.83M
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 22% 41,436 15,776 $871K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6.7% 43,479 16,440 $266K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 793 620 $25K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 12 12 $2K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge <1% 203 102 $224.77

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 officialVANDINTER, JULIA (EXECUTIVE DIRECTOR OF BILLING)