Monarque Health and Wellness LLC

Monarque Health and Wellness LLC was paid $558K by Medicaid between Jul 2018 and Mar 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoMONARQUE HEALTH AND WELLNESS LLC
ASHLAND, OR 97520

33aNPI1245789338assigned 09/29/2016

33bProvider typeFamily Medicine Physician

28Total paid$558K

24GClaims8,047

24DCodes billed6

24AFirst – last monthJul 2018 – Mar 2024

Compared with peers

Next to other Family Medicine Physician providers in Oregon

Rank by total paid#35 of 208

Median peer was paid$49K

This provider vs. median11×

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	151	$14K
2019	858	$71K
2020	1,533	$135K
2021	2,103	$113K
2022	1,718	$84K
2023	1,487	$117K
2024incomplete	197	$24K

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	72%	4,301	3,507	$403K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	19%	800	640	$108K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.4%	477	428	$36K
99072		1.7%	2,439	2,153	$10K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	13	13	$1K
99443		<1%	17	14	$847.97

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 officialFRANTZEN, KRISTEN (QA DIRECTOR)