Medicaid Provider Spending

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

MCR HEALTH, INC.

NPI: 1770989683 · ARCADIA, FL 34266 · Mental Health Counselor · NPI assigned 11/05/2014

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

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

$265K
Total Medicaid Paid
578,670
Total Claims
296,879
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRICE, MELVIN (PRESIDENT AND CEO)
NPI Enumeration Date11/05/2014

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. BRADENTON FL $254K
MCR HEALTH, INC. BRADENTON FL $245K
MCR HEALTH, INC. BRADENTON FL $226K
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
2018 2,547 $14K
2019 1,191 $7K
2020 2,181 $14K
2021 2,849 $26K
2022 2,919 $11K
2023 189,797 $68K
2024 377,186 $124K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 194,800 113,040 $121K
H0004 Behavioral health counseling and therapy, per 15 minutes 488 407 $62K
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 98,606 34,181 $39K
99309 Subsequent nursing facility care, per day, low to moderate complexity 139,472 79,835 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,185 1,660 $7K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,860 1,382 $6K
90832 Psychotherapy, 30 minutes with patient 90,788 30,305 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,909 1,593 $2K
99308 Subsequent nursing facility care, per day, straightforward 25,565 17,551 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,843 1,533 $2K
90792 Psychiatric diagnostic evaluation with medical services 6,442 4,850 $2K
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 2,950 2,251 $775.66
90791 Psychiatric diagnostic evaluation 2,083 1,587 $773.20
99349 8,088 5,734 $641.91
99348 347 260 $72.98
90834 Psychotherapy, 45 minutes with patient 844 422 $56.53
99307 292 221 $36.49
90837 Psychotherapy, 53 minutes with patient 45 26 $0.00
99347 63 41 $0.00