MCR Health, INC.
MCR Health, INC. was paid $189K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 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 — 43% of everything it billed.
BRADENTON, FL 34203
Next to other Family Medicine Physician providers in Florida
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,658 | $180.79 | |
| 2019 | 1,072 | $128.32 | |
| 2020 | 1,920 | $1K | |
| 2021 | 187,620 | $137K | |
| 2022 | 98,728 | $44K | |
| 2023 | 888 | $5K | |
| 2024incomplete | 348 | $2K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 59,823 | 21,728 | $82K |
| 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 | 42% | 81,862 | 48,223 | $79K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.5% | 56,295 | 20,755 | $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 | 3.6% | 2,956 | 2,340 | $7K |
| 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 | 2.6% | 7,467 | 6,147 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.4% | 4,831 | 3,743 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 50,434 | 31,566 | $2K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 3,460 | 2,923 | $699.34 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,182 | 960 | $284.17 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 47 | 29 | $235.72 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 343 | 214 | $156.70 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 310 | 251 | $127.53 |
10 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 16,319 | $44.87 |
| 99307 | <1% | 4,659 | $10.14 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,039 | $3.30 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 206 | $0.00 |
| 99334 | 0% | 300 | $0.00 | |
| 99336 | 0% | 37 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 90 | $0.00 |
| 99335 | 0% | 378 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 168 | $0.00 |
| 99000 | 0% | 28 | $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.
Who's on the registration
| 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 | $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 |
| MCR Health, INC. | Arcadia, FL | $84K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.