Monarch
Monarch was paid $14.87M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is H0040, Assertive community treatment program, per diem — 56% of everything it billed.
33Billing provider infoMONARCH
ALBEMARLE, NC 28001
ALBEMARLE, NC 28001
33aNPI1801116405assigned 06/04/2010
33bProvider typeOccupational Therapist
28Total paid$14.87M
24GClaims82,401
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Occupational Therapist providers in North Carolina
Rank by total paid#1 of 94
Median peer was paid$261K
This provider vs. median57×
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 | 9,515 | $1.53M | |
| 2019 | 10,113 | $1.67M | |
| 2020 | 11,662 | $1.67M | |
| 2021 | 10,129 | $1.61M | |
| 2022 | 8,965 | $1.47M | |
| 2023 | 15,767 | $3.02M | |
| 2024incomplete | 16,250 | $3.88M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0040 | Assertive community treatment program, per diem | 56% | 39,017 | 6,598 | $8.40M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 30% | 17,675 | 12,074 | $4.45M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.1% | 6,766 | 3,662 | $612K |
| 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 | 3.2% | 5,806 | 4,521 | $469K |
| H2023 | Supported employment, per 15 minutes | 2.2% | 2,370 | 520 | $328K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 5,469 | 4,112 | $301K |
| H2022 | Community-based wrap-around services, per diem | 1.1% | 649 | 179 | $168K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 690 | 485 | $42K |
| Q3014 | Telehealth originating site facility fee | <1% | 2,162 | 1,575 | $29K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 147 | 131 | $18K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 393 | 327 | $14K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 488 | 164 | $13K |
8 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 259 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 345 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 22 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $2K |
| 99443 | <1% | 29 | $1K | |
| 99442 | <1% | 38 | $1K | |
| T1016 | Case management, each 15 minutes | <1% | 19 | $630.00 |
| 99406 | <1% | 30 | $310.73 |
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 | 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.