Physician
MCR Health, INC.
MCR Health, INC. was paid $23K by Medicaid between Jan 2019 and Mar 2023, across 14 billing codes. Its largest line is G0467, community health center visit, returning patient — 41% of everything it billed.
33Billing provider infoMCR HEALTH, INC.
WAUCHULA, FL 33873
WAUCHULA, FL 33873
33aNPI1417437872assigned 08/15/2018
33bProvider typeInternal Medicine Physician
28Total paid$23K
24GClaims58,344
24DCodes billed14
24AFirst – last monthJan 2019 – Mar 2023
Compared with peers
Next to other Internal Medicine Physician providers in Florida
Rank by total paid#470 of 1,247
Median peer was paid$9K
This provider vs. median2.6×
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 CARNEGIE, PATRICK controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 22,965 | $13K | |
| 2020 | 34,177 | $9K | |
| 2021 | 692 | $214.03 | |
| 2022 | 409 | $230.19 | |
| 2023 | 101 | $26.80 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 16,665 | 10,165 | $9K |
| 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 | 30% | 12,544 | 4,801 | $7K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 14% | 10,581 | 4,340 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.8% | 3,593 | 2,346 | $865.95 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.7% | 9,190 | 6,518 | $830.25 |
| 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% | 1,542 | 1,261 | $587.36 |
| 99307 | 1.3% | 1,123 | 871 | $298.96 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.0% | 1,146 | 913 | $234.75 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 593 | 333 | $199.26 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 555 | 500 | $188.73 |
| 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 | <1% | 594 | 447 | $103.38 |
| 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% | 60 | 41 | $2.68 |
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 officialCARNEGIE, PATRICK (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| MCR Health, INC. | Arcadia, FL | $25.93M |
| MCR Health, INC. | Venice, FL | $699K |
| MCR Health, INC. | Arcadia, FL | $355K |
| MCR Health, INC. | Arcadia, FL | $10K |
| MCR Health, INC. | Bradenton, FL | $5K |
| MCR Health, INC. | Sarasota, FL | $807.91 |
| MCR Health, INC. | Bradenton, FL | $683.08 |
| MCR Health, INC. | Arcadia, FL | $259.82 |
| MCR Health, INC. | Bradenton, FL | $181.15 |
| MCR Health, INC. | Sarasota, FL | $0.00 |
| MCR Health, INC. | Bradenton, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.