Monarch Healthcare, a Medical Group, INC.
Monarch Healthcare, a Medical Group, INC. was paid $342K by Medicaid between Jan 2022 and Jan 2024, across 9 billing codes. Its largest line is G9008, Coordinated care fee, physician coordinated care oversight services — 64% of everything it billed.
33Billing provider infoMONARCH HEALTHCARE, A MEDICAL GROUP, INC.
IRVINE, CA 92618
IRVINE, CA 92618
33aNPI1053482745assigned 11/13/2006
33bProvider typeSpecialist
28Total paid$342K
24GClaims1,203
24DCodes billed9
24AFirst – last monthJan 2022 – Jan 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#335 of 1,230
Median peer was paid$51K
This provider vs. median6.7×
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
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 | |
|---|---|---|---|
| 2022 | 196 | $100K | |
| 2023 | 989 | $232K | |
| 2024incomplete | 18 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9008 | Coordinated care fee, physician coordinated care oversight services | 64% | 419 | 419 | $219K |
| G9012 | Other specified case management service not elsewhere classified | 36% | 232 | 232 | $123K |
| 99344 | 0% | 24 | 24 | $0.00 | |
| 99345 | Prolong home eval add 15m | 0% | 97 | 97 | $0.00 |
| 1111F | 0% | 145 | 144 | $0.00 | |
| 98967 | 0% | 90 | 80 | $0.00 | |
| 99350 | Prolong home eval add 15m | 0% | 13 | 12 | $0.00 |
| 98966 | 0% | 164 | 114 | $0.00 | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 19 | 12 | $0.00 |
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 officialCOHEN, JAY (PRESIDENT)