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

Monarch

Monarch was paid $1.51M by Medicaid between Jan 2018 and Jun 2021, across 1 billing code. Its largest line is T2021, day program for adults with developmental disabilities, per 15 minutes — 100% of everything it billed.

33Billing provider infoMONARCH
WINSTON SALEM, NC 27127
33aNPI1881076446assigned 06/19/2015
28Total paid$1.51M
24GClaims15,014
24DCodes billed1
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers

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

Rank by total paid#355 of 856
Median peer was paid$908K
This provider vs. median1.7×

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 1 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
20185,380$530K
20195,497$557K
20202,226$234K
20211,911$194K
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% 15,014 691 $1.51M

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.