Physician
Monarch Healthcare PLLC
Monarch Healthcare PLLC was paid $390K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 36% of everything it billed.
33Billing provider infoMONARCH HEALTHCARE PLLC
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
33aNPI1346653862assigned 06/03/2014
33bProvider typeObstetrics & Gynecology Physician
28Total paid$390K
24GClaims9,593
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Idaho
Rank by total paid#3 of 17
Median peer was paid$85K
This provider vs. median4.6×
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.
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 | 1,055 | $50K | |
| 2019 | 1,064 | $50K | |
| 2020 | 1,817 | $76K | |
| 2021 | 2,044 | $106K | |
| 2022 | 1,911 | $66K | |
| 2023 | 940 | $22K | |
| 2024incomplete | 762 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 36% | 111 | 109 | $139K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 1,750 | 1,639 | $105K |
| 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 | 11% | 531 | 505 | $44K |
| 76801 | 9.7% | 422 | 368 | $38K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.4% | 291 | 259 | $25K |
| 36415 | Collection of venous blood by venipuncture | 4.8% | 6,068 | 5,488 | $19K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.8% | 174 | 125 | $11K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.5% | 41 | 41 | $6K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 15 | 15 | $2K |
| 82951 | <1% | 50 | 50 | $628.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | 27 | $520.83 |
| 90715 | <1% | 13 | 13 | $362.18 |
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 officialHUGGINS, MARGARET (OWNER)