Agency
Monarch
Monarch was paid $6.42M by Medicaid between Mar 2018 and Dec 2024, across 2 billing codes. Its largest line is T2021, day program for adults with developmental disabilities, per 15 minutes — 84% of everything it billed.
33Billing provider infoMONARCH
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
33aNPI1093855249assigned 02/07/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$6.42M
24GClaims44,906
24DCodes billed2
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#138 of 856
Median peer was paid$908K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2018 | 2,321 | $363K | |
| 2019 | 3,212 | $496K | |
| 2020 | 3,237 | $512K | |
| 2021 | 5,167 | $728K | |
| 2022 | 9,282 | $1.07M | |
| 2023 | 12,129 | $1.74M | |
| 2024incomplete | 9,558 | $1.51M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 84% | 36,622 | 1,711 | $5.42M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 16% | 8,284 | 487 | $1.01M |
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 officialJONES, CINDY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Monarch | Charlotte, NC | $19.88M |
| Monarch | Albemarle, NC | $14.87M |
| Monarch | Lexington, NC | $12.37M |
| Monarch | Rockingham, NC | $1.45M |
| Monarch | Lillington, NC | $1.27M |
| Monarch | Monroe, NC | $830K |
| Fife Dermatology, P.C. | Las Vegas, NV | $681K |
| Monarch | Sanford, NC | $469K |
| Monarch | Albemarle, NC | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.