Agency
Monarch
Monarch was paid $806K by Medicaid between Oct 2023 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoMONARCH
RALEIGH, NC 27603
RALEIGH, NC 27603
33aNPI1497530281assigned 08/29/2023
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$806K
24GClaims9,564
24DCodes billed11
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#445 of 856
Median peer was paid$908K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2023 | 1,204 | $79K | |
| 2024incomplete | 8,360 | $727K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 4,716 | 3,403 | $380K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 26% | 2,073 | 1,279 | $208K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 13% | 844 | 669 | $105K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.5% | 614 | 443 | $44K |
| H2023 | Supported employment, per 15 minutes | 2.9% | 19 | 12 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 471 | 327 | $20K |
| Q3014 | Telehealth originating site facility fee | 1.2% | 646 | 514 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 62 | 39 | $7K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 45 | 36 | $6K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 52 | 39 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 22 | 14 | $239.78 |
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 officialMANESS, LORI (CONTROLLER)
| Provider | Location | Paid |
|---|---|---|
| Monarch | Albemarle, NC | $16.59M |
| Monarch | Charlotte, NC | $467K |
| Monarch | Reidsville, NC | $266K |
| Monarch | Lincolnton, NC | $67K |
| Monarach | Pittsboro, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.