Medicaid Provider Spending

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

MONARCH

NPI: 1730527078 · ELIZABETH CITY, NC 27909 · Community/Behavioral Health Agency · NPI assigned 06/10/2013

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

100% of spending on code T2021 with only 2 total codes billed. Highly concentrated billing profile.

$2.96M
Total Medicaid Paid
24,039
Total Claims
1,465
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, CINDY (CFO)
NPI Enumeration Date06/10/2013

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 4,093 $410K
2019 4,081 $450K
2020 3,538 $392K
2021 2,163 $259K
2022 3,544 $486K
2023 3,389 $490K
2024 3,231 $472K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 23,921 1,453 $2.95M
T2016 Habilitation, residential, waiver; per diem 118 12 $11K