Agency
Monarch
Monarch was paid $623K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoMONARCH
WILSON, NC 27893
WILSON, NC 27893
33aNPI1619317823assigned 07/02/2013
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$623K
24GClaims16,103
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#476 of 856
Median peer was paid$908K
This provider vs. median0.7×
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 | 3,354 | $125K | |
| 2019 | 2,662 | $94K | |
| 2020 | 3,133 | $89K | |
| 2021 | 2,269 | $80K | |
| 2022 | 1,824 | $72K | |
| 2023 | 1,461 | $76K | |
| 2024incomplete | 1,400 | $87K |
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 | 36% | 3,872 | 3,216 | $226K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 4,076 | 3,189 | $145K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 18% | 1,395 | 874 | $111K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.4% | 1,775 | 1,264 | $46K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.7% | 512 | 425 | $35K |
| Q3014 | Telehealth originating site facility fee | 3.3% | 1,412 | 1,241 | $21K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.9% | 2,159 | 1,463 | $18K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.3% | 420 | 395 | $8K |
| 99443 | <1% | 167 | 124 | $5K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 80 | 59 | $4K |
| 99442 | <1% | 46 | 43 | $2K | |
| 99406 | <1% | 101 | 98 | $951.40 |
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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.