Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONARCH

NPI: 1346688694 · NEW BERN, NC 28560 · Community/Behavioral Health Agency · NPI assigned 06/10/2013

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T2021 with only 2 total codes billed. Highly concentrated billing profile.

$2.59M
Total Medicaid Paid
19,514
Total Claims
1,148
Beneficiaries
2
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialJONES, CINDY (CFO)
NPI Enumeration Date06/10/2013

Related Entities

Other providers sharing the same authorized official: JONES, CINDY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 19,421 1,134 $2.59M
H2022 Community-based wrap-around services, per diem 93 14 $0.00