Medicaid Provider Spending

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

MCR HEALTH, INC.

NPI: 1083246359 · VENICE, FL 34293 · Pediatrics Physician · NPI assigned 02/05/2020

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

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

$87K
Total Medicaid Paid
14,488
Total Claims
11,854
Beneficiaries
23
Codes Billed
2021-11
First Month
2024-01
Last Month

Provider Details

Authorized OfficialPRICE, MELVIN (PRESIDENT/CEO)
NPI Enumeration Date02/05/2020

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
2021 559 $79.56
2022 10,164 $25K
2023 3,726 $62K
2024 39 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,232 1,737 $41K
90832 Psychotherapy, 30 minutes with patient 2,809 1,534 $22K
99308 Subsequent nursing facility care, per day, straightforward 3,211 2,807 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 276 266 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 217 212 $3K
90792 Psychiatric diagnostic evaluation with medical services 1,208 1,149 $2K
99349 1,186 1,137 $1K
90791 Psychiatric diagnostic evaluation 526 507 $659.95
99335 1,259 1,058 $596.30
99348 135 129 $131.32
99307 228 205 $81.31
87428 17 16 $79.36
92558 159 157 $27.94
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 122 120 $20.00
99334 242 220 $19.83
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 52 48 $0.00
99173 125 121 $0.00
99336 163 120 $0.00
90472 Immunization administration, each additional vaccine (list separately) 12 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 179 175 $0.00
99000 78 73 $0.00
3074F 40 39 $0.00
85018 12 12 $0.00