Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

MCR Health, INC.

MCR Health, INC. was paid $134K by Medicaid between Jan 2020 and Sep 2020, across 13 billing codes. Its largest line is G0467, community health center visit, returning patient — 41% of everything it billed.

33Billing provider infoMCR HEALTH, INC.
VENICE, FL 34293
33aNPI1295388239assigned 07/18/2019
28Total paid$134K
24GClaims91,673
24DCodes billed13
24AFirst – last monthJan 2020 – Sep 2020
Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#198 of 996
Median peer was paid$13K
This provider vs. median10×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
202091,673$134K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 41% 23,371 15,515 $54K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 24% 22,126 8,673 $32K
99308 Subsequent nursing facility care, per day, straightforward 10% 13,201 9,438 $14K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 9.1% 18,028 7,325 $12K
99307 4.5% 3,733 2,730 $6K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4.3% 5,479 3,646 $6K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 3.8% 977 708 $5K
G0469 Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 1.4% 821 721 $2K
90792 Psychiatric diagnostic evaluation with medical services 1.0% 1,198 1,060 $1K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 1,098 647 $1K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 1,099 966 $859.50
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 286 156 $137.84
1 more codes
99499 0% 256 $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)
Same official

Other billing entities under PRICE, MELVIN

Full network →
ProviderLocationPaid
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.Bradenton, FL$103K
MCR Health, INC.Bradenton, FL$95K
MCR Health, INC.Arcadia, FL$84K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.