Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONARCH

NPI: 1104264191 · ALBEMARLE, NC 28001 · Community/Behavioral Health Agency · NPI assigned 06/12/2013

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

92% of spending on code T2021 with only 2 total codes billed. Highly concentrated billing profile.

$4.13M
Total Medicaid Paid
50,577
Total Claims
2,391
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, CINDY (CFO)
NPI Enumeration Date06/12/2013

Related Entities

Other providers sharing the same authorized official: JONES, CINDY

ProviderCityStateTotal Paid
MONARCH CHARLOTTE NC $19.88M
MONARCH ALBEMARLE NC $14.87M
MONARCH LEXINGTON NC $12.37M
MONARCH WINSTON SALEM NC $6.42M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,900 $700K
2019 8,631 $641K
2020 7,032 $574K
2021 8,104 $620K
2022 5,942 $451K
2023 6,057 $600K
2024 4,911 $549K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 43,049 1,785 $3.80M
H2015 Comprehensive community support services, per 15 minutes 7,528 606 $331K