Medicaid Provider Spending

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

MONARCH

NPI: 1811306400 · WINSTON SALEM, NC 27103 · Community/Behavioral Health Agency · NPI assigned 08/07/2014

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

99% of spending on code H2017 with only 2 total codes billed. Highly concentrated billing profile.

$2.55M
Total Medicaid Paid
33,581
Total Claims
2,390
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJONES, CINDY (CFO)
NPI Enumeration Date08/07/2014

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 3,786 $250K
2019 5,236 $362K
2020 3,376 $229K
2021 5,603 $394K
2022 5,557 $456K
2023 5,230 $440K
2024 4,793 $420K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 33,265 2,303 $2.53M
T1016 Case management, each 15 minutes 316 87 $20K