Medicaid Provider Spending

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

MCR HEALTH, INC.

NPI: 1396775219 · BRADENTON, FL 34203 · Family Medicine Physician · NPI assigned 07/04/2006

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

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

$189K
Total Medicaid Paid
293,234
Total Claims
153,471
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRICE, MELVIN (PRESIDENT AND CEO)
NPI Enumeration Date07/04/2006

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 348 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 59,823 21,728 $82K
G0467 Federally 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 81,862 48,223 $79K
90832 Psychotherapy, 30 minutes with patient 56,295 20,755 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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 7,467 6,147 $5K
90792 Psychiatric diagnostic evaluation with medical services 4,831 3,743 $3K
99308 Subsequent nursing facility care, per day, straightforward 50,434 31,566 $2K
90791 Psychiatric diagnostic evaluation 3,460 2,923 $699.34
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 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 47 29 $235.72
90837 Psychotherapy, 53 minutes with patient 343 214 $156.70
99215 Prolong outpt/office vis 310 251 $127.53
99309 Subsequent nursing facility care, per day, low to moderate complexity 16,319 9,627 $44.87
99307 4,659 2,958 $10.14
90834 Psychotherapy, 45 minutes with patient 2,039 1,124 $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 206 189 $0.00
99334 300 180 $0.00
99336 37 26 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 90 82 $0.00
99335 378 234 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 168 154 $0.00
99000 28 18 $0.00