Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Monarch

Monarch was paid $1.56M by Medicaid between Jan 2020 and Dec 2024, across 1 billing code. Its largest line is T2016, a day of residential support for a person with a developmental disability — 100% of everything it billed.

33Billing provider infoMONARCH
WHITEVILLE, NC 28472
33aNPI1285072520assigned 06/10/2013
28Total paid$1.56M
24GClaims13,096
24DCodes billed1
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in North Carolina

Rank by total paid#82 of 125
Median peer was paid$2.75M
This provider vs. median0.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2016 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
2020742$62K
20211,858$179K
20223,773$315K
20232,855$450K
2024incomplete3,868$558K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2016 A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem 100% 13,096 779 $1.56M

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)
Same official

Other billing entities under JONES, CINDY

Full network →
ProviderLocationPaid
MonarchCharlotte, NC$19.88M
MonarchAlbemarle, NC$14.87M
MonarchLexington, NC$12.37M
MonarchWinston Salem, NC$6.42M
MonarchRockingham, NC$1.45M
MonarchLillington, NC$1.27M
MonarchMonroe, NC$830K
Fife Dermatology, P.C.Las Vegas, NV$681K
MonarchSanford, NC$469K
MonarchAlbemarle, NC$15K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.