Clinic
Monarch Health and Recovery LLC
Monarch Health and Recovery LLC was paid $7.50M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 31% of everything it billed.
33Billing provider infoMONARCH HEALTH AND RECOVERY LLC
WEST PORTSMOUTH, OH 45663
WEST PORTSMOUTH, OH 45663
33aNPI1790284958assigned 02/02/2018
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$7.50M
24GClaims126,075
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Ohio
Rank by total paid#25 of 97
Median peer was paid$1.34M
This provider vs. median5.6×
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.
Entity ProliferationAuthorized official DEAN, BRIAN controls 18+ related entities in our dataset. Read more
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 | 18,793 | $797K | |
| 2019 | 26,829 | $1.55M | |
| 2020 | 23,578 | $1.63M | |
| 2021 | 12,175 | $764K | |
| 2022 | 16,202 | $1.01M | |
| 2023 | 15,072 | $821K | |
| 2024incomplete | 13,426 | $920K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 31% | 21,927 | 7,331 | $2.32M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 22% | 28,931 | 9,584 | $1.64M |
| H0006 | Alcohol and/or drug services; case management | 14% | 19,972 | 8,951 | $1.04M |
| T1003 | Lpn/lvn services, up to 15 minutes | 6.8% | 13,084 | 4,842 | $512K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 6,216 | 3,259 | $478K |
| H2036 | Alcohol and/or other drug treatment program, per diem | 5.7% | 1,964 | 154 | $426K |
| 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 | 4.2% | 3,012 | 1,719 | $318K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 4.1% | 22,022 | 6,495 | $305K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 3.2% | 2,222 | 611 | $241K |
| 90839 | <1% | 656 | 452 | $55K | |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | <1% | 99 | 12 | $39K |
| 80305 | <1% | 4,299 | 1,781 | $30K |
9 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 490 | $28K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 109 | $12K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 63 | $11K |
| 99354 | <1% | 109 | $10K | |
| T1002 | Rn services, up to 15 minutes | <1% | 132 | $8K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 157 | $6K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 77 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 444 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | $4K |
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 officialDEAN, BRIAN (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Southwestern Recovery Center, LLC | Grove City, OH | $5.47M |
| Reach for Tomorrow INC | Greenfield, OH | $4.00M |
| Memorial Hermann Health System | Houston, TX | $3.31M |
| Blue Jackets Braces | Delaware, OH | $916K |
| Southwestern Recovery Center, LLC | Columbus, OH | $657K |
| Addiction Angels of America, LLC | Columbus, OH | $521K |
| First Step Recovery Center | Lancaster, OH | $406K |
| First Step Recovery Center | Reynoldsburg, OH | $264K |
| Quest Recovery Center, LLC | Mount Vernon, OH | $181K |
| Moon Family & Behavioral Health LLC | Pickerington, OH | $144K |
| Reach for Tomorrow INC | Greenfield, OH | $106K |
| Southwestern Recovery Center, LLC | Grove City, OH | $53K |
| Southwestern Recovery Center, LLC | Columbus, OH | $49K |
| Pain Evaluation and Management Center of Ohio, INC. | Washington Township, OH | $44K |
| Cardinal Treatment Centers INC | Portsmouth, OH | $38K |
| Monarch Health and Recovery LLC | West Portsmouth, OH | $27K |
| Columbus Obstetric and Gynecology Center | Columbus, OH | $22K |
| Cornerstone Project | Dayton, OH | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.