Agency
Monarch
Monarch was paid $321K by Medicaid between Jan 2018 and Sep 2023, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoMONARCH
LINCOLNTON, NC 28092
LINCOLNTON, NC 28092
33aNPI1255769618assigned 10/23/2013
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$321K
24GClaims6,502
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#554 of 856
Median peer was paid$908K
This provider vs. median0.4×
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 | 1,223 | $58K | |
| 2019 | 1,103 | $50K | |
| 2020 | 820 | $36K | |
| 2021 | 1,134 | $64K | |
| 2022 | 1,753 | $87K | |
| 2023 | 469 | $27K |
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 | 50% | 2,533 | 1,973 | $159K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 25% | 1,030 | 629 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,173 | 901 | $44K |
| Q3014 | Telehealth originating site facility fee | 2.8% | 668 | 521 | $9K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 214 | 160 | $8K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.0% | 186 | 121 | $7K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 68 | 57 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 470 | 319 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 29 | 26 | $2K |
| 99406 | <1% | 131 | 106 | $1K |
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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.