Medicaid Provider Spending

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

NPI: 1427496777 · RAEFORD, NC 28376 · 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 1 total codes billed. Highly concentrated billing profile.

$2.28M
Total Medicaid Paid
18,268
Total Claims
894
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
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 3,878 $390K
2019 3,602 $414K
2020 1,022 $124K
2021 1,064 $103K
2022 2,838 $332K
2023 3,416 $476K
2024 2,448 $444K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 18,268 894 $2.28M