Medicaid Provider Spending

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

NPI: 1699246967 · RALEIGH, NC 27603 · Community/Behavioral Health Agency · NPI assigned 12/16/2018

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

100% of spending on code T2016 with only 1 total codes billed. Highly concentrated billing profile.

$1.02M
Total Medicaid Paid
2,693
Total Claims
2,138
Beneficiaries
1
Codes Billed
2019-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, CINDY (EVP/CFO)
NPI Enumeration Date12/16/2018

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
2019 156 $67K
2020 137 $58K
2021 535 $178K
2022 427 $148K
2023 721 $275K
2024 717 $291K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 2,693 2,138 $1.02M