Agency
Monarch
Monarch was paid $16.59M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is T2033, Residential care, not otherwise specified (nos), waiver; per diem — 25% of everything it billed.
33Billing provider infoMONARCH
ALBEMARLE, NC 28001
ALBEMARLE, NC 28001
33aNPI1972644334assigned 02/09/2007
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$16.59M
24GClaims122,850
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in North Carolina
Rank by total paid#19 of 125
Median peer was paid$2.75M
This provider vs. median6.0×
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 | 15,343 | $1.81M | |
| 2019 | 25,441 | $3.01M | |
| 2020 | 20,383 | $2.80M | |
| 2021 | 18,500 | $2.70M | |
| 2022 | 13,320 | $1.70M | |
| 2023 | 18,460 | $2.81M | |
| 2024incomplete | 11,403 | $1.76M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 25% | 20,864 | 773 | $4.18M |
| T2013 | Habilitation, educational, waiver; per hour | 18% | 25,188 | 1,600 | $3.02M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 15% | 15,099 | 631 | $2.52M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 9.8% | 19,429 | 1,490 | $1.62M |
| H2023 | Supported employment, per 15 minutes | 9.7% | 10,301 | 1,084 | $1.61M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 8.9% | 10,656 | 1,187 | $1.48M |
| H2026 | Ongoing support to maintain employment, per diem | 5.0% | 8,567 | 1,841 | $838K |
| T2012 | Habilitation, educational; waiver, per diem | 3.4% | 4,314 | 238 | $564K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | 3.0% | 4,435 | 561 | $491K |
| 99509 | Home visit for assistance with activities of daily living and personal care | <1% | 546 | 70 | $81K |
| H0040 | Assertive community treatment program, per diem | <1% | 704 | 66 | $65K |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | <1% | 987 | 189 | $63K |
6 more codes
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 officialMANESS, LORI (CONTROLLER)
| Provider | Location | Paid |
|---|---|---|
| Monarch | Raleigh, NC | $806K |
| Monarch | Charlotte, NC | $467K |
| Monarch | Reidsville, NC | $266K |
| Monarch | Lincolnton, NC | $67K |
| Monarach | Pittsboro, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.