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

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.

33Billing provider infoMCR HEALTH, INC.
BRADENTON, FL 34203
33aNPI1396775219assigned 07/04/2006
28Total paid$189K
24GClaims293,234
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#164 of 996
Median peer was paid$13K
This provider vs. median14×

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$10K$20K$30K2018201920202021202220232024
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
20182,658$180.79
20191,072$128.32
20201,920$1K
2021187,620$137K
202298,728$44K
2023888$5K
2024incomplete348$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialPRICE, MELVIN (PRESIDENT AND 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$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.