Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Monarch (NPI 1801116405)

Field	Value
Entity Type	Organization
Organization	Monarch
Address	350 Pee Dee Ave
City	Albemarle
State	NC
ZIP	28001
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 4, 2010

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	39,020	$220	$8.4M
T1017	Targeted case management, each 15 minutes	17,680	$250	$4.5M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	6,770	$90	$608.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	5,810	$80	$470.3K
H2023	Supported employment, per 15 minutes	2,370	$140	$329.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	5,470	$60	$300.8K
H2022	Community-based wrap-around services, per diem	650	$260	$167.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	690	$60	$42.1K
Q3014	Telehealth originating site facility fee	2,160	$10	$28.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	150	$130	$18.4K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

Monarch — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	23	120	15,180	$230	$5M
H2022	Community-based wrap-around services, per diem	168	220	3,330	$290	$3.3M
T1017	Targeted case management, each 15 minutes	22	220	1,700	$150	$1.3M
T1016	Case management, each 15 minutes	230	230	3,210	$110	$1.1M
H2023	Supported employment, per 15 minutes	30	70	1,950	$150	$679.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	217	1,710	810	$80	$274.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	774	4,400	960	$60	$271.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	681	4,130	670	$50	$219.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	946	1,130	160	$80	$75.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	174	620	210	$50	$63.1K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Monarch, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monarch	NC	Community/Behavioral Health Agency	$0	$19.9M
Monarch	NC	Community/Behavioral Health Agency	$0	$16.6M
Monarch	NC	Community/Behavioral Health Agency	$0	$13.2M
Monarch	NC	Community/Behavioral Health Agency	$0	$12.5M
Monarch	NC	Community/Behavioral Health Agency	$0	$12.4M
Monarch	NC	Case Management Agency	$0	$10.1M
Monarch	NC	Community/Behavioral Health Agency	$0	$9.6M
Alemu Mengistu	NC	Family Nurse Practitioner	$23K	$0

Nearby Providers

Other providers in the same ZIP code as Monarch, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rha Health Services Nc LLC	NC	Community/Behavioral Health Agency	$0	$15.2M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$15.1M
Uwharrie Regional Pediatrics, PA	NC	Pediatrics Physician	$0	$11.2M
Wp-albemarle Health Holdings, LLC	NC	Adult Care Home Facility	$0	$9.2M
Carolinas Physician Network Inc	NC	Pediatrics Physician	$0	$7.7M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$7.3M
County Of Stanly	NC	Land Ambulance	$871K	$2.5M
Kenneth Shank	NC	Family Medicine Physician	$201.1K	$0
Philip Veatch	NC	Internal Medicine Physician	$183.8K	$0
David Cotoni	NC	Cardiovascular Disease Physician	$143.7K	$0

Monarch — Billing Profile & Reimbursement Data

Sign up for Monarch — Billing Profile & Reimbursement Data policy alerts

Monarch — Billing Profile & Reimbursement Data

Sign up for Monarch — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References