Physician
Monarch Health and Recovery LLC
Monarch Health and Recovery LLC was paid $29K by Medicaid between Jan 2018 and Jun 2019, across 9 billing codes. Its largest line is 90838, — 29% of everything it billed.
33Billing provider infoMONARCH HEALTH AND RECOVERY LLC
WEST PORTSMOUTH, OH 45663
WEST PORTSMOUTH, OH 45663
33aNPI1548782816assigned 07/08/2017
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$29K
24GClaims1,114
24DCodes billed9
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Ohio
Rank by total paid#22 of 29
Median peer was paid$192K
This provider vs. median0.2×
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 | 987 | $29K | |
| 2019 | 127 | $5.88 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90838 | 29% | 131 | 69 | $8K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 28% | 263 | 105 | $8K |
| 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 | 17% | 82 | 56 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 93 | 61 | $3K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 6.3% | 17 | 17 | $2K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 4.4% | 93 | 53 | $1K |
| 80305 | 3.6% | 403 | 139 | $1K | |
| 90785 | <1% | 16 | 14 | $138.22 | |
| 90863 | <1% | 16 | 12 | $129.56 |
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 officialDUNCAN, DEBORAH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Fenton Medical Center | Fenton, MI | $1.31M |
| Fenton Late Hours Clinic PC | Fenton, MI | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.