Medicaid Provider Spending

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

MONARCH

NPI: 1164860417 · SOUTHERN PINES, NC 28387 · Community/Behavioral Health Agency · NPI assigned 06/10/2013

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

100% of spending on code T2021 with only 2 total codes billed. Highly concentrated billing profile.

$5.93M
Total Medicaid Paid
42,375
Total Claims
2,318
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, CINDY (CFO)
NPI Enumeration Date06/10/2013

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 5,668 $781K
2019 5,909 $879K
2020 4,173 $708K
2021 6,158 $794K
2022 6,470 $677K
2023 7,897 $1.00M
2024 6,100 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 42,179 2,306 $5.93M
YP620 196 12 $0.00