Clinic
Monarch Health, LLC
Monarch Health, LLC was paid $65K by Medicaid between Jan 2018 and May 2019, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoMONARCH HEALTH, LLC
OTSEGO, MI 49078
OTSEGO, MI 49078
33aNPI1205255536assigned 04/15/2014
33bProvider typeClinic/Center
28Total paid$65K
24GClaims2,019
24DCodes billed6
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Clinic/Center providers in Michigan
Rank by total paid#63 of 121
Median peer was paid$71K
This provider vs. median0.9×
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 | 1,344 | $43K | |
| 2019 | 675 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 68% | 831 | 702 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 528 | 445 | $21K |
| 81002 | <1% | 12 | 12 | $23.04 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 243 | 221 | $0.00 |
| 99000 | 0% | 390 | 338 | $0.00 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 15 | 13 | $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 officialHARMON, DANA (PROVIDER)