Medicaid Provider Spending

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

NPI: 1588067367 · RALEIGH, NC 27603 · Community/Behavioral Health Agency · NPI assigned 10/07/2014

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

100% of spending on code H2017 with only 1 total codes billed. Highly concentrated billing profile.

$3.17M
Total Medicaid Paid
37,790
Total Claims
3,273
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, CINDY (EVP/CFO)
NPI Enumeration Date10/07/2014

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 4,781 $366K
2019 4,673 $379K
2020 7,094 $459K
2021 5,774 $553K
2022 2,817 $296K
2023 6,351 $495K
2024 6,300 $623K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 37,790 3,273 $3.17M