Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Arcadia › NPI 1689055758
Behavioral

MCR Health, INC.

MCR Health, INC. was paid $25.93M by Medicaid between Jan 2018 and Dec 2024, across 255 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.

33Billing provider infoMCR HEALTH, INC.
ARCADIA, FL 34266
33aNPI1689055758assigned 06/15/2015
33bProvider typePsychologist
28Total paid$25.93M
24GClaims2,174,057
24DCodes billed255
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychologist providers in Florida

Rank by total paid#1 of 60
Median peer was paid$79K
This provider vs. median330×

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$250K$500K$750K2018201920202021202220232024
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
2018155,690$40K
2019439,394$3.80M
2020331,116$4.33M
2021361,662$5.24M
2022297,436$4.35M
2023191,274$2.88M
2024incomplete397,485$5.30M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 22% 136,856 123,793 $5.68M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 12% 260,292 103,284 $3.10M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 102,781 92,224 $2.79M
99309 Subsequent nursing facility care, per day, low to moderate complexity 6.9% 155,619 97,852 $1.79M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.0% 22,323 21,474 $1.56M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.6% 19,721 18,423 $1.44M
H1000 Prenatal care, at-risk assessment 5.5% 27,908 19,267 $1.43M
99308 Subsequent nursing facility care, per day, straightforward 4.0% 110,933 82,421 $1.05M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.9% 14,711 13,983 $1000K
59410 2.4% 645 584 $625K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.2% 8,277 7,888 $571K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.3% 10,286 9,196 $334K
243 more codes
99349 1.1% 8,194 $296K
87428 1.1% 10,217 $288K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.0% 51,881 $265K
90792 Psychiatric diagnostic evaluation with medical services <1% 11,040 $240K
90472 Immunization administration, each additional vaccine (list separately) <1% 26,492 $211K
90834 Psychotherapy session, about 45 minutes <1% 12,737 $204K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 2,711 $199K
90853 Group psychotherapy (other than of a multiple-family group) <1% 8,978 $177K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 7,493 $169K
59430 <1% 2,720 $169K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,659 $167K
99307 <1% 30,191 $138K
99232 Hospital visit by a doctor, follow-up day <1% 5,097 $134K
H1001 Prenatal care, at-risk enhanced service; antepartum management <1% 1,103 $94K
99335 <1% 4,668 $87K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 196 $83K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,138 $79K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination <1% 2,651 $78K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 989 $75K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,671 $66K
92558 <1% 26,394 $61K
D0330 Panoramic radiographic image <1% 1,453 $61K
D1110 Prophylaxis - adult <1% 1,523 $60K
99203 Doctor's office visit, new patient (routine) <1% 767 $59K
59025 Fetal non-stress test <1% 1,079 $57K
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 <1% 91,704 $54K
99204 Doctor's office visit, new patient (more involved) <1% 786 $53K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 3,053 $50K
D0274 Bitewings - four radiographic images <1% 2,664 $47K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 4,160 $45K
99215 Doctor's office visit, returning patient (complex) <1% 921 $45K
36475 <1% 96 $43K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 403 $42K
G0467 Community health center visit, returning patient <1% 61,958 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,847 $32K
83036 Hemoglobin; glycosylated (A1C) <1% 10,980 $29K
59515 <1% 27 $24K
D0120 Dental checkup, returning patient <1% 1,546 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 8,901 $22K
99238 Hospital discharge day management, 30 minutes or less <1% 449 $21K
99336 <1% 905 $21K
99460 <1% 399 $20K
93970 <1% 285 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,505 $20K
83655 <1% 4,333 $19K
36415 Collection of venous blood by venipuncture <1% 24,712 $19K
99381 <1% 234 $17K
81025 <1% 8,037 $17K
90474 <1% 3,248 $17K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 444 $16K
90837 Psychotherapy session, about an hour <1% 1,094 $15K
85018 <1% 15,627 $14K
93224 <1% 267 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 150 $13K
99239 Hospital discharge day management, more than 30 minutes <1% 267 $13K
99222 Initial hospital care, per day, moderate complexity <1% 189 $13K
36465 <1% 16 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 186 $11K
11981 <1% 14 $10K
D0140 Limited oral evaluation - problem focused <1% 770 $10K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 254 $10K
3074F <1% 69,711 $9K
99223 Prolong inpt eval add15 m <1% 107 $9K
D0150 Comprehensive oral evaluation - new or established patient <1% 1,012 $7K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 175 $7K
D1206 Topical application of fluoride varnish <1% 1,813 $6K
D1330 <1% 1,800 $6K
93015 <1% 403 $6K
D1351 Sealant - per tooth <1% 362 $6K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each <1% 13 $5K
90686 <1% 11,879 $4K
90847 Family psychotherapy with the patient present, 50 minutes <1% 52 $4K
11102 <1% 54 $4K
17110 <1% 53 $3K
D0230 Intraoral - periapical each additional radiographic image <1% 8,370 $3K
90633 <1% 5,771 $3K
99383 <1% 32 $3K
D0220 Intraoral - periapical first radiographic image <1% 3,885 $3K
96160 <1% 33,231 $3K
11721 <1% 334 $2K
90681 <1% 3,275 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 38 $2K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 14 $2K
90715 <1% 440 $2K
D1354 <1% 242 $2K
0071A <1% 146 $2K
G0127 Trimming of dystrophic nails, any number <1% 807 $2K
0002A <1% 140 $2K
0072A <1% 66 $2K
93923 <1% 29 $2K
3075F <1% 8,202 $2K
90651 <1% 3,242 $2K
81002 <1% 12,981 $1K
81003 <1% 1,059 $1K
11104 <1% 18 $1K
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 <1% 3,492 $1K
93000 <1% 780 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 42 $1K
96136 <1% 25 $1K
90656 <1% 2,307 $1K
94729 <1% 32 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 535 $1K
99384 <1% 14 $1K
99348 <1% 123 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 573 $1K
0001A <1% 115 $1K
94060 <1% 42 $1K
93244 <1% 88 $992.57
J2785 Injection, regadenoson, 0.1 mg <1% 150 $986.83
94727 <1% 54 $982.80
86850 <1% 221 $976.88
0011A <1% 43 $945.30
90723 <1% 7,691 $936.66
73630 <1% 194 $865.08
D1120 Dental cleaning, child <1% 50 $840.44
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 32 $704.55
90710 <1% 3,698 $678.79
92015 Determination of refractive state <1% 337 $628.42
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 $606.86
3079F <1% 21,435 $600.10
99173 <1% 26,243 $595.14
11056 <1% 30 $590.23
99441 <1% 131 $561.39
99000 <1% 32,340 $497.98
92340 Fitting of spectacles, except for aphakia; monofocal <1% 43 $454.63
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician <1% 424 $443.20
1160F <1% 61,010 $436.89
99334 <1% 16 $420.00
80305 <1% 706 $419.85
92250 <1% 42 $368.94
90647 <1% 7,740 $345.03
0012A <1% 12 $344.00
85610 <1% 58 $338.11
96127 <1% 609 $300.64
99442 <1% 17 $297.39
90662 <1% 15 $275.00
1125F <1% 17,234 $274.67
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 93 $233.94
1126F <1% 58,122 $207.07
97802 <1% 15 $195.72
0500F <1% 796 $188.07
90670 <1% 8,256 $184.03
D0190 <1% 18 $180.00
99406 <1% 44 $172.86
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 6,098 $152.57
99483 Prolong outpt/office vis <1% 469 $146.86
82962 <1% 442 $142.70
93242 <1% 129 $131.63
1036F <1% 48,172 $131.22
90685 <1% 206 $126.62
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 60,334 $115.72
1124F <1% 1,685 $109.12
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 2,637 $109.06
1158F <1% 773 $107.65
90460 Immunization administration through 18 years of age via any route, first or only component <1% 16 $100.00
3080F <1% 2,897 $92.72
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 506 $89.36
87807 <1% 129 $85.50
0502F <1% 21,308 $84.96
92228 <1% 78 $76.68
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 16 $64.96
3046F <1% 2,433 $58.05
36410 <1% 556 $55.01
3078F <1% 55,060 $51.55
90674 <1% 168 $50.05
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 30 $46.80
90620 <1% 640 $40.00
3044F <1% 239 $40.00
81001 <1% 34 $37.10
1159F <1% 21,255 $36.86
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 15 $35.31
93017 <1% 55 $32.38
90696 <1% 549 $30.03
D0272 Bitewings - two radiographic images <1% 49 $30.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 119 $23.40
90734 <1% 1,561 $20.00
82043 <1% 21 $15.81
99421 <1% 34 $15.00
90700 <1% 749 $10.04
D0603 <1% 237 $5.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 51,781 $3.83
3008F <1% 7,132 $2.84
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 37 $0.56
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 20,267 $0.08
2028F <1% 1,464 $0.04
3016F <1% 6,234 $0.02
G8753 Most recent systolic blood pressure >= 140 mmhg <1% 644 $0.01
0503F <1% 2,675 $0.01
3077F 0% 5,599 $0.00
0521F 0% 5,203 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 1,540 $0.00
99177 0% 2,735 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 855 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 393 $0.00
90671 0% 630 $0.00
G8598 Aspirin or another antiplatelet therapy used 0% 998 $0.00
4013F 0% 634 $0.00
V2020 Frames, purchases 0% 99 $0.00
99310 Prolong nursin fac eval 15m 0% 106 $0.00
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 0% 12 $0.00
G8935 Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 0% 833 $0.00
1100F 0% 165 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 0% 158 $0.00
90461 0% 12 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 0% 101 $0.00
99080 0% 28 $0.00
80061 Lipid panel 0% 84 $0.00
80074 0% 13 $0.00
91300 0% 22 $0.00
99306 Prolong nursin fac eval 15m 0% 31 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 0% 20 $0.00
84439 0% 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 36,372 $0.00
36416 0% 4,990 $0.00
1034F 0% 8,772 $0.00
4000F 0% 2,361 $0.00
4008F 0% 531 $0.00
D1310 0% 1,160 $0.00
90677 0% 1,809 $0.00
0501F 0% 1,526 $0.00
2010F 0% 2,012 $0.00
80053 Comprehensive metabolic panel 0% 135 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 0% 76 $0.00
1170F 0% 148 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 103 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 143 $0.00
1111F 0% 196 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 108 $0.00
G9432 Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented 0% 204 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 0% 13 $0.00
2023F 0% 84 $0.00
87536 0% 13 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 68 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 0% 13 $0.00
87081 0% 42 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 0% 28 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 0% 24 $0.00
91307 0% 67 $0.00
84443 Thyroid stimulating hormone (TSH) 0% 39 $0.00
0513F 0% 18 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 0% 64 $0.00
3060F 0% 28 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 13 $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.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.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.