Agency
Monarch
Monarch was paid $2.11M by Medicaid between Jan 2018 and Oct 2023, across 14 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 32% of everything it billed.
33Billing provider infoMONARCH
RALEIGH, NC 27609
RALEIGH, NC 27609
33aNPI1992143242assigned 06/10/2013
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$2.11M
24GClaims28,456
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#301 of 856
Median peer was paid$908K
This provider vs. median2.3×
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 | 2,430 | $139K | |
| 2019 | 3,807 | $286K | |
| 2020 | 4,197 | $343K | |
| 2021 | 5,061 | $454K | |
| 2022 | 5,293 | $356K | |
| 2023 | 7,668 | $529K |
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 | 32% | 10,059 | 5,604 | $685K |
| H2023 | Supported employment, per 15 minutes | 30% | 3,325 | 767 | $630K |
| 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 | 29% | 9,595 | 6,473 | $620K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 2,387 | 1,575 | $62K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.3% | 531 | 400 | $48K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 432 | 289 | $23K |
| Q3014 | Telehealth originating site facility fee | <1% | 973 | 774 | $15K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 127 | 99 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 835 | 578 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 42 | 27 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 28 | 24 | $1K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 41 | 40 | $990.22 |
2 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 officialJONES, CINDY (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.