Agency
Monarch
Monarch was paid $12.37M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is H0040, Assertive community treatment program, per diem — 81% of everything it billed.
33Billing provider infoMONARCH
LEXINGTON, NC 27292
LEXINGTON, NC 27292
33aNPI1518008861assigned 02/09/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$12.37M
24GClaims62,000
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#72 of 856
Median peer was paid$908K
This provider vs. median14×
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 | 10,549 | $1.88M | |
| 2019 | 10,344 | $1.89M | |
| 2020 | 7,884 | $1.62M | |
| 2021 | 7,149 | $1.46M | |
| 2022 | 6,321 | $1.59M | |
| 2023 | 10,050 | $2.01M | |
| 2024incomplete | 9,703 | $1.92M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0040 | Assertive community treatment program, per diem | 81% | 47,597 | 6,511 | $9.99M |
| H2022 | Community-based wrap-around services, per diem | 15% | 7,602 | 1,211 | $1.88M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.2% | 3,504 | 2,322 | $278K |
| 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 | <1% | 733 | 666 | $77K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 791 | 708 | $55K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 471 | 91 | $31K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 131 | 124 | $30K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,125 | 1,079 | $23K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | 13 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 18 | 14 | $861.66 |
| 98968 | <1% | 14 | 13 | $456.44 |
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 officialJONES, CINDY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Monarch | Charlotte, NC | $19.88M |
| Monarch | Albemarle, NC | $14.87M |
| 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.