Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Raleigh › NPI 1699246967
Agency

Monarch

Monarch was paid $1.02M by Medicaid between Apr 2019 and Dec 2024, across 1 billing code. Its largest line is T2016, a day of residential support for a person with a developmental disability — 100% of everything it billed.

33Billing provider infoMONARCH
RALEIGH, NC 27603
33aNPI1699246967assigned 12/16/2018
28Total paid$1.02M
24GClaims2,693
24DCodes billed1
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in North Carolina

Rank by total paid#411 of 856
Median peer was paid$908K
This provider vs. median1.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2016 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2019156$67K
2020137$58K
2021535$178K
2022427$148K
2023721$275K
2024incomplete717$291K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2016 A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem 100% 2,693 2,138 $1.02M

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 (EVP/CFO)
Same official

Other billing entities under JONES, CINDY

Full network →
ProviderLocationPaid
MonarchCharlotte, NC$19.88M
MonarchAlbemarle, NC$14.87M
MonarchLexington, NC$12.37M
MonarchWinston Salem, NC$6.42M
MonarchRockingham, NC$1.45M
MonarchLillington, NC$1.27M
MonarchMonroe, NC$830K
Fife Dermatology, P.C.Las Vegas, NV$681K
MonarchSanford, NC$469K
MonarchAlbemarle, NC$15K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.