Medicaid Provider Spending

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

MCR HEALTH, INC.

NPI: 1962129924 · BRADENTON, FL 34209 · Orthopaedic Surgery Physician · NPI assigned 10/20/2022

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

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

$78K
Total Medicaid Paid
8,271
Total Claims
7,553
Beneficiaries
20
Codes Billed
2023-07
First Month
2024-02
Last Month

Provider Details

Authorized OfficialPRICE, MELVIN (INTERIM PRESIDENT & CEO)
NPI Enumeration Date10/20/2022

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 6,735 $64K
2024 1,536 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 811 773 $40K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 828 770 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 102 97 $11K
11721 12 12 $164.55
3074F 661 632 $25.00
96160 13 12 $2.83
3079F 329 305 $0.01
3075F 174 168 $0.01
1125F 593 559 $0.01
1159F 692 658 $0.01
1160F 601 570 $0.01
1036F 863 730 $0.00
3080F 43 42 $0.00
1126F 66 64 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 42 41 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 927 791 $0.00
2028F 65 58 $0.00
3078F 571 500 $0.00
3077F 165 152 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 713 619 $0.00