Medicaid Provider Spending

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

MCR HEALTH, INC.

NPI: 1053061093 · BRADENTON, FL 34208 · Specialist · NPI assigned 03/24/2022

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PRICE, MELVIN controls 20+ related entities in our dataset. Read more

$19K
Total Medicaid Paid
3,879
Total Claims
3,792
Beneficiaries
19
Codes Billed
2023-07
First Month
2024-02
Last Month

Provider Details

Authorized OfficialPRICE, MELVIN (PRESIDENT & CEO)
NPI Enumeration Date03/24/2022

Related Entities

Other providers sharing the same authorized official: PRICE, MELVIN

ProviderCityStateTotal Paid
MCR HEALTH, INC. BRADENTON FL $1.99M
MCR HEALTH, INC. BRADENTON FL $1.47M
MCR HEALTH, INC. BRADENTON FL $1.41M
MCR HEALTH, INC. PARRISH FL $978K
MCR HEALTH, INC. BRADENTON FL $638K
MCR HEALTH, INC. BRADENTON FL $610K
MCR HEALTH, INC. BRADENTON FL $531K
MCR HEALTH, INC. BRADENTON FL $330K
MCR HEALTH, INC. BRADENTON FL $280K
MCR HEALTH, INC. ARCADIA FL $265K
MCR HEALTH, INC. BRADENTON FL $254K
MCR HEALTH, INC. BRADENTON FL $245K
MCR HEALTH, INC. BRADENTON FL $226K
MCR HEALTH, INC. BRADENTON FL $189K
MCR HEALTH, INC. BRADENTON FL $188K
MCR HEALTH, INC. BRADENTON FL $172K
MCR HEALTH, INC. BRADENTON FL $162K
MCR HEALTH, INC. VENICE FL $134K
MCR HEALTH, INC. BRADENTON FL $103K
MCR HEALTH, INC. BRADENTON FL $95K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 2,726 $15K
2024 1,153 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 287 282 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62 62 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $2K
94729 18 15 $969.21
94727 18 15 $164.61
94060 18 15 $155.79
1126F 284 282 $0.00
3074F 342 335 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 28 28 $0.00
1034F 110 109 $0.00
1125F 119 115 $0.00
3075F 59 57 $0.00
1036F 350 342 $0.00
3079F 149 145 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 427 417 $0.00
3078F 280 276 $0.00
1159F 400 391 $0.00
1160F 399 390 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 515 502 $0.00