Agency
Monarch
Monarch was paid $2.46M by Medicaid between Aug 2018 and Dec 2024, across 5 billing codes. Its largest line is S9484, Crisis intervention mental health services, per hour — 76% of everything it billed.
33Billing provider infoMONARCH
LUMBERTON, NC 28358
LUMBERTON, NC 28358
33aNPI1700175015assigned 04/07/2011
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$2.46M
24GClaims7,347
24DCodes billed5
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#279 of 856
Median peer was paid$908K
This provider vs. median2.7×
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 | 218 | $48K | |
| 2019 | 672 | $162K | |
| 2020 | 299 | $84K | |
| 2021 | 555 | $210K | |
| 2022 | 460 | $187K | |
| 2023 | 877 | $329K | |
| 2024incomplete | 4,266 | $1.44M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9484 | Crisis intervention mental health services, per hour | 76% | 4,496 | 817 | $1.87M |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 20% | 1,446 | 293 | $501K |
| H0038 | Self-help/peer services, per 15 minutes | 1.4% | 555 | 199 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 554 | 244 | $28K |
| 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 | <1% | 296 | 197 | $21K |
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.