Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › ARCADIA › MCR HEALTH, INC.

MCR HEALTH, INC.

NPI: 1689055758 · ARCADIA, FL 34266 · Psychologist · NPI assigned 06/15/2015

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

Authorized official CARNEGIE, PATRICK controls 11+ related entities in our dataset. Read more

$25.93M
Total Medicaid Paid
2,174,057
Total Claims
1,667,689
Beneficiaries
255
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARNEGIE, PATRICK (PRESIDENT AND CEO)
NPI Enumeration Date06/15/2015

Related Entities

Other providers sharing the same authorized official: CARNEGIE, PATRICK

ProviderCityStateTotal Paid
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 155,690 $40K
2019 439,394 $3.80M
2020 331,116 $4.33M
2021 361,662 $5.24M
2022 297,436 $4.35M
2023 191,274 $2.88M
2024 397,485 $5.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 136,856 123,793 $5.68M
90832 Psychotherapy, 30 minutes with patient 260,292 103,284 $3.10M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 102,781 92,224 $2.79M
99309 Subsequent nursing facility care, per day, low to moderate complexity 155,619 97,852 $1.79M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 22,323 21,474 $1.56M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 19,721 18,423 $1.44M
H1000 Prenatal care, at-risk assessment 27,908 19,267 $1.43M
99308 Subsequent nursing facility care, per day, straightforward 110,933 82,421 $1.05M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14,711 13,983 $1000K
59410 645 584 $625K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8,277 7,888 $571K
90791 Psychiatric diagnostic evaluation 10,286 9,196 $334K
99349 8,194 6,325 $296K
87428 10,217 9,694 $288K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 51,881 49,374 $265K
90792 Psychiatric diagnostic evaluation with medical services 11,040 9,321 $240K
90472 Immunization administration, each additional vaccine (list separately) 26,492 25,073 $211K
90834 Psychotherapy, 45 minutes with patient 12,737 7,474 $204K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,711 2,509 $199K
90853 Group psychotherapy (other than of a multiple-family group) 8,978 4,276 $177K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,493 6,660 $169K
59430 2,720 2,413 $169K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,659 1,506 $167K
99307 30,191 23,255 $138K
99232 Subsequent hospital care, per day, moderate complexity 5,097 1,320 $134K
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,103 1,031 $94K
99335 4,668 3,775 $87K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 196 168 $83K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,138 1,051 $79K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 2,651 2,584 $78K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 989 952 $75K
99233 Prolong inpt eval add15 m 1,671 550 $66K
92558 26,394 25,062 $61K
D0330 Panoramic radiographic image 1,453 1,446 $61K
D1110 Prophylaxis - adult 1,523 1,509 $60K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 767 729 $59K
59025 Fetal non-stress test 1,079 742 $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 91,704 34,309 $54K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 786 734 $53K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,053 2,797 $50K
D0274 Bitewings - four radiographic images 2,664 2,660 $47K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,160 3,435 $45K
99215 Prolong outpt/office vis 921 843 $45K
36475 96 50 $43K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 403 386 $42K
G0467 Federally 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 61,958 48,594 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,847 1,635 $32K
83036 Hemoglobin; glycosylated (A1C) 10,980 9,324 $29K
59515 27 25 $24K
D0120 Periodic oral evaluation - established patient 1,546 1,539 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,901 8,139 $22K
99238 Hospital discharge day management, 30 minutes or less 449 417 $21K
99336 905 585 $21K
99460 399 386 $20K
93970 285 272 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,505 2,371 $20K
83655 4,333 4,075 $19K
36415 Collection of venous blood by venipuncture 24,712 22,730 $19K
99381 234 230 $17K
81025 8,037 7,465 $17K
90474 3,248 3,147 $17K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 444 433 $16K
90837 Psychotherapy, 53 minutes with patient 1,094 763 $15K
85018 15,627 14,863 $14K
93224 267 248 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 150 145 $13K
99239 Hospital discharge day management, more than 30 minutes 267 234 $13K
99222 Initial hospital care, per day, moderate complexity 189 166 $13K
36465 16 12 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 186 164 $11K
11981 14 14 $10K
D0140 Limited oral evaluation - problem focused 770 753 $10K
D2391 Resin-based composite - one surface, posterior, primary or permanent 254 188 $10K
3074F 69,711 59,729 $9K
99223 Prolong inpt eval add15 m 107 92 $9K
D0150 Comprehensive oral evaluation - new or established patient 1,012 1,011 $7K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 175 152 $7K
D1206 Topical application of fluoride varnish 1,813 1,798 $6K
D1330 1,800 1,785 $6K
93015 403 348 $6K
D1351 Sealant - per tooth 362 115 $6K
L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each 13 13 $5K
90686 11,879 11,164 $4K
90847 Family psychotherapy with the patient present, 50 minutes 52 43 $4K
11102 54 53 $4K
17110 53 41 $3K
D0230 Intraoral - periapical each additional radiographic image 8,370 3,081 $3K
90633 5,771 5,560 $3K
99383 32 26 $3K
D0220 Intraoral - periapical first radiographic image 3,885 3,848 $3K
96160 33,231 30,330 $3K
11721 334 324 $2K
90681 3,275 3,186 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 38 21 $2K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 14 14 $2K
90715 440 418 $2K
D1354 242 51 $2K
0071A 146 123 $2K
G0127 Trimming of dystrophic nails, any number 807 743 $2K
0002A 140 109 $2K
0072A 66 62 $2K
93923 29 27 $2K
3075F 8,202 7,462 $2K
90651 3,242 3,134 $2K
81002 12,981 8,765 $1K
81003 1,059 934 $1K
11104 18 13 $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 3,492 3,147 $1K
93000 780 723 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 42 39 $1K
96136 25 13 $1K
90656 2,307 2,302 $1K
94729 32 29 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 535 363 $1K
99384 14 12 $1K
99348 123 96 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 573 510 $1K
0001A 115 91 $1K
94060 42 41 $1K
93244 88 79 $992.57
J2785 Injection, regadenoson, 0.1 mg 150 126 $986.83
94727 54 49 $982.80
86850 221 201 $976.88
0011A 43 42 $945.30
90723 7,691 7,482 $936.66
73630 194 149 $865.08
D1120 Prophylaxis - child 50 50 $840.44
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 32 25 $704.55
90710 3,698 3,566 $678.79
92015 Determination of refractive state 337 333 $628.42
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $606.86
3079F 21,435 19,075 $600.10
99173 26,243 23,842 $595.14
11056 30 29 $590.23
99441 131 123 $561.39
99000 32,340 28,682 $497.98
92340 Fitting of spectacles, except for aphakia; monofocal 43 43 $454.63
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician 424 312 $443.20
1160F 61,010 52,707 $436.89
99334 16 16 $420.00
80305 706 589 $419.85
92250 42 40 $368.94
90647 7,740 7,482 $345.03
0012A 12 12 $344.00
85610 58 43 $338.11
96127 609 559 $300.64
99442 17 16 $297.39
90662 15 15 $275.00
1125F 17,234 15,174 $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 93 69 $233.94
1126F 58,122 49,412 $207.07
97802 15 14 $195.72
0500F 796 691 $188.07
90670 8,256 7,986 $184.03
D0190 18 18 $180.00
99406 44 37 $172.86
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,098 5,221 $152.57
99483 Prolong outpt/office vis 469 327 $146.86
82962 442 351 $142.70
93242 129 107 $131.63
1036F 48,172 42,132 $131.22
90685 206 195 $126.62
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 60,334 49,893 $115.72
1124F 1,685 1,412 $109.12
G8754 Most recent diastolic blood pressure < 90 mmhg 2,637 2,047 $109.06
1158F 773 685 $107.65
90460 Immunization administration through 18 years of age via any route, first or only component 16 16 $100.00
3080F 2,897 2,572 $92.72
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 506 467 $89.36
87807 129 126 $85.50
0502F 21,308 14,147 $84.96
92228 78 76 $76.68
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 16 13 $64.96
3046F 2,433 2,135 $58.05
36410 556 473 $55.01
3078F 55,060 45,943 $51.55
90674 168 167 $50.05
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 30 29 $46.80
90620 640 614 $40.00
3044F 239 201 $40.00
81001 34 24 $37.10
1159F 21,255 18,709 $36.86
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 13 $35.31
93017 55 27 $32.38
90696 549 527 $30.03
D0272 Bitewings - two radiographic images 49 49 $30.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 119 116 $23.40
90734 1,561 1,501 $20.00
82043 21 16 $15.81
99421 34 33 $15.00
90700 749 732 $10.04
D0603 237 236 $5.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 51,781 45,496 $3.83
3008F 7,132 6,334 $2.84
J1050 Injection, medroxyprogesterone acetate, 1 mg 37 34 $0.56
G8510 Screening for depression is documented as negative, a follow-up plan is not required 20,267 18,343 $0.08
2028F 1,464 1,207 $0.04
3016F 6,234 5,518 $0.02
G8753 Most recent systolic blood pressure >= 140 mmhg 644 493 $0.01
0503F 2,675 2,165 $0.01
3077F 5,599 4,821 $0.00
0521F 5,203 4,479 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,540 1,154 $0.00
99177 2,735 2,643 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 855 791 $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) 393 359 $0.00
90671 630 612 $0.00
G8598 Aspirin or another antiplatelet therapy used 998 665 $0.00
4013F 634 576 $0.00
V2020 Frames, purchases 99 91 $0.00
99310 Prolong nursin fac eval 15m 106 83 $0.00
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 12 12 $0.00
G8935 Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 833 588 $0.00
1100F 165 135 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 158 155 $0.00
90461 12 12 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 101 86 $0.00
99080 28 28 $0.00
80061 Lipid panel 84 79 $0.00
80074 13 12 $0.00
91300 22 12 $0.00
99306 Prolong nursin fac eval 15m 31 31 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 20 12 $0.00
84439 13 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 36,372 32,531 $0.00
36416 4,990 4,448 $0.00
1034F 8,772 7,841 $0.00
4000F 2,361 2,146 $0.00
4008F 531 479 $0.00
D1310 1,160 1,158 $0.00
90677 1,809 1,769 $0.00
0501F 1,526 1,386 $0.00
2010F 2,012 1,789 $0.00
80053 Comprehensive metabolic panel 135 125 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 76 73 $0.00
1170F 148 93 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 103 99 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 143 133 $0.00
1111F 196 156 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 108 87 $0.00
G9432 Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented 204 192 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13 13 $0.00
2023F 84 81 $0.00
87536 13 12 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 68 52 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 13 12 $0.00
87081 42 41 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 28 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 24 24 $0.00
91307 67 55 $0.00
84443 Thyroid stimulating hormone (TSH) 39 37 $0.00
0513F 18 12 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 64 61 $0.00
3060F 28 13 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13 13 $0.00