Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

MCR Health, INC.

MCR Health, INC. was paid $58K by Medicaid between Mar 2022 and Jun 2023, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoMCR HEALTH, INC.
BRADENTON, FL 34208
33aNPI1972165025assigned 06/28/2019
33bProvider typePediatrics Physician
28Total paid$58K
24GClaims7,486
24DCodes billed25
24AFirst – last monthMar 2022 – Jun 2023
Compared with peers

Next to other Pediatrics Physician providers in Florida

Rank by total paid#645 of 971
Median peer was paid$238K
This provider vs. median0.2×

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 PRICE, MELVIN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
20223,852$33K
20233,634$25K
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 47% 1,525 1,348 $27K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 22% 401 380 $13K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16% 254 237 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.7% 232 230 $4K
87428 2.4% 421 407 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.8% 868 848 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 30 30 $763.33
90472 Immunization administration, each additional vaccine (list separately) <1% 435 415 $456.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 13 13 $371.98
92558 <1% 523 513 $195.53
85018 <1% 267 262 $19.28
83655 <1% 26 26 $8.53
13 more codes
90686 <1% 131 $5.00
96160 <1% 166 $2.47
90670 <1% 150 $0.04
36416 0% 192 $0.00
90651 0% 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 825 $0.00
90647 0% 91 $0.00
90723 0% 46 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 168 $0.00
99000 0% 13 $0.00
99173 0% 594 $0.00
90633 0% 64 $0.00
90710 0% 39 $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 officialPRICE, MELVIN (PRESIDENT AND CEO)
Same official

Other billing entities under PRICE, MELVIN

Full network →
ProviderLocationPaid
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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.