Physician
MCR Health, INC.
MCR Health, INC. was paid $87K by Medicaid between Nov 2021 and Jan 2024, across 23 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 47% of everything it billed.
33Billing provider infoMCR HEALTH, INC.
VENICE, FL 34293
VENICE, FL 34293
33aNPI1083246359assigned 02/05/2020
33bProvider typePediatrics Physician
28Total paid$87K
24GClaims14,488
24DCodes billed23
24AFirst – last monthNov 2021 – Jan 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#603 of 971
Median peer was paid$238K
This provider vs. median0.4×
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.
Entity ProliferationAuthorized official PRICE, MELVIN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 559 | $79.56 | |
| 2022 | 10,164 | $25K | |
| 2023 | 3,726 | $62K | |
| 2024incomplete | 39 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 47% | 2,232 | 1,737 | $41K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 25% | 2,809 | 1,534 | $22K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 11% | 3,211 | 2,807 | $10K |
| 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 | 6.6% | 276 | 266 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 217 | 212 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.8% | 1,208 | 1,149 | $2K |
| 99349 | 1.3% | 1,186 | 1,137 | $1K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 526 | 507 | $659.95 |
| 99335 | <1% | 1,259 | 1,058 | $596.30 | |
| 99348 | <1% | 135 | 129 | $131.32 | |
| 99307 | <1% | 228 | 205 | $81.31 | |
| 87428 | <1% | 17 | 16 | $79.36 |
11 more codes
| 92558 | <1% | 159 | $27.94 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 122 | $20.00 |
| 99334 | <1% | 242 | $19.83 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 52 | $0.00 |
| 99173 | 0% | 125 | $0.00 | |
| 99336 | 0% | 163 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 179 | $0.00 |
| 99000 | 0% | 78 | $0.00 | |
| 3074F | 0% | 40 | $0.00 | |
| 85018 | 0% | 12 | $0.00 |
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 officialPRICE, MELVIN (PRESIDENT/CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.