Monarch
Monarch was paid $2.59M by Medicaid between Jan 2018 and Jul 2023, across 2 billing codes. Its largest line is T2021, day program for adults with developmental disabilities, per 15 minutes — 100% of everything it billed.
NEW BERN, NC 28560
Next to other Community/Behavioral Health Agency providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,472 | $524K | |
| 2019 | 4,312 | $545K | |
| 2020 | 3,513 | $474K | |
| 2021 | 3,122 | $438K | |
| 2022 | 2,663 | $366K | |
| 2023 | 1,432 | $242K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 100% | 19,421 | 1,134 | $2.59M |
| H2022 | Community-based wrap-around services, per diem | 0% | 93 | 14 | $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.
Who's on the registration
| 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.