Medicaid Provider Spending

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

MCR HEALTH, INC.

NPI: 1598158446 · BRADENTON, FL 34208 · Federally Qualified Health Center (FQHC) · NPI assigned 03/16/2015

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

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

$226K
Total Medicaid Paid
30,727
Total Claims
25,368
Beneficiaries
32
Codes Billed
2022-03
First Month
2024-02
Last Month

Provider Details

Authorized OfficialPRICE, MELVIN (PRESIDENT AND CEO)
NPI Enumeration Date03/16/2015

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 $189K
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
2022 10,107 $69K
2023 18,719 $140K
2024 1,901 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,087 2,903 $113K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 593 562 $60K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,322 1,216 $24K
93970 126 121 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 49 43 $5K
94729 41 41 $2K
93015 76 72 $2K
93923 27 27 $2K
94060 42 42 $723.88
94727 42 42 $656.91
11104 13 13 $405.33
11102 63 45 $161.87
36415 Collection of venous blood by venipuncture 64 62 $126.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 46 42 $78.24
3074F 3,123 2,654 $75.00
93017 58 47 $68.38
3079F 2,063 1,509 $62.94
93242 13 12 $11.54
3077F 727 490 $0.00
1159F 2,670 2,040 $0.00
3078F 2,861 2,117 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,523 2,815 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,361 1,077 $0.00
1160F 1,725 1,622 $0.00
1036F 3,626 2,909 $0.00
3080F 208 139 $0.00
1125F 85 84 $0.00
1034F 547 389 $0.00
1126F 1,445 1,344 $0.00
99000 34 29 $0.00
3075F 665 579 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 402 281 $0.00