Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Arcadia › NPI 1578949038
Physician

MCR Health, INC.

MCR Health, INC. was paid $259.82 by Medicaid between Jan 2018 and Mar 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoMCR HEALTH, INC.
ARCADIA, FL 34266
33aNPI1578949038assigned 08/07/2015
28Total paid$259.82
24GClaims2,679
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Family Medicine Physician providers in Florida

Rank by total paid#877 of 996
Median peer was paid$13K
This provider vs. median0.0×

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

$0$50$1002018201920202021202220232024
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
20181,073$0.00
20191,295$51.52
2020311$208.30
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51% 679 574 $131.38
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 49% 618 545 $128.44
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% 93 83 $0.00
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 0% 1,230 1,009 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 59 54 $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 officialCARNEGIE, PATRICK (PRESIDENT AND CEO)
Same official

Other billing entities under CARNEGIE, PATRICK

Full network →
ProviderLocationPaid
MCR Health, INC.Arcadia, FL$25.93M
MCR Health, INC.Venice, FL$699K
MCR Health, INC.Arcadia, FL$355K
MCR Health, INC.Wauchula, FL$23K
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.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.