Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Monarch

Monarch was paid $2.96M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T2021, day program for adults with developmental disabilities, per 15 minutes — 100% of everything it billed.

33Billing provider infoMONARCH
ELIZABETH CITY, NC 27909
33aNPI1730527078assigned 06/10/2013
28Total paid$2.96M
24GClaims24,039
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

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

Rank by total paid#251 of 856
Median peer was paid$908K
This provider vs. median3.3×

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 T2021 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20184,093$410K
20194,081$450K
20203,538$392K
20212,163$259K
20223,544$486K
20233,389$490K
2024incomplete3,231$472K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes 100% 23,921 1,453 $2.95M
T2016 A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem <1% 118 12 $11K

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)
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.