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MCR HEALTH, INC.

Family Medicine·ARCADIA, FL·NPI: 1689055758Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.9M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.9M

$25,931,793

Total Claims

2.2M

Beneficiaries

1.7M

1.3 claims/patient

Avg Cost/Claim

$12

Monthly Spending Trend

Yearly Spending

2018
$40K
+9445%
2019
$3.8M
+14%
2020
$4.3M
+21%
2021
$5.2M
-17%
2022
$4.3M
-34%
2023
$2.9M
+84%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 22% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$5.7M

137K claims · 21.9%

Your Cost: $41.53/claim|Median: $53.41
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$3.1M

260K claims · 12.0%

Your Cost: $11.92/claim|Median: $41.28
0.3× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$2.8M

103K claims · 10.8%

Your Cost: $27.13/claim|Median: $37.81
0.7× median
99309Normal range

Nursing facility care, subsequent, low complexity

$1.8M

156K claims · 6.9%

Your Cost: $11.47/claim|Median: $14.00
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.6M

22K claims · 6.0%

Your Cost: $69.96/claim|Median: $75.18
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.4M

20K claims · 5.6%

Your Cost: $73.20/claim|Median: $69.35
1.1× median
H1000Normal range

Prenatal care, at-risk assessment

$1.4M

28K claims · 5.5%

Your Cost: $51.07/claim|Median: $50.36
1.0× median
99308Normal range

Nursing facility care, subsequent, straightforward

$1.0M

111K claims · 4.0%

Your Cost: $9.46/claim|Median: $9.79
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1000K

15K claims · 3.9%

Your Cost: $67.97/claim|Median: $74.82
0.9× median
59410Top 25%

$625K

645 claims · 2.4%

Your Cost: $968.85/claim|Median: $781.64
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$571K

8,277 claims · 2.2%

Your Cost: $68.96/claim|Median: $80.15
0.9× median
90791Normal range

Psychiatric diagnostic evaluation

$334K

10K claims · 1.3%

Your Cost: $32.43/claim|Median: $99.21
0.3× median
99349Normal range

$296K

8,194 claims · 1.1%

Your Cost: $36.16/claim|Median: $24.29
1.5× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$288K

10K claims · 1.1%

Your Cost: $28.21/claim|Median: $39.63
0.7× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$265K

52K claims · 1.0%

Your Cost: $5.10/claim|Median: $9.80
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$240K

11K claims · 0.9%

Your Cost: $21.72/claim|Median: $108.91
0.2× median
90472Normal range

Immunization administration, each additional vaccine

$211K

26K claims · 0.8%

Your Cost: $7.97/claim|Median: $11.79
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$204K

13K claims · 0.8%

Your Cost: $16.01/claim|Median: $63.65
0.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$199K

2,711 claims · 0.8%

Your Cost: $73.48/claim|Median: $72.71
1.0× median
90853Normal range

Group psychotherapy

$177K

8,978 claims · 0.7%

Your Cost: $19.70/claim|Median: $25.02
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$169K

7,493 claims · 0.7%

Your Cost: $22.60/claim|Median: $25.06
0.9× median
59430Normal range

$169K

2,720 claims · 0.7%

Your Cost: $62.13/claim|Median: $80.32
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$167K

1,659 claims · 0.6%

Your Cost: $100.92/claim|Median: $54.68
1.8× median
99307Normal range

$138K

30K claims · 0.5%

Your Cost: $4.57/claim|Median: $6.57
0.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$134K

5,097 claims · 0.5%

Your Cost: $26.32/claim|Median: $23.99
1.1× median
H1001Top 25%

$94K

1,103 claims · 0.4%

Your Cost: $85.33/claim|Median: $60.48
1.4× median
99335Normal range

$87K

4,668 claims · 0.3%

Your Cost: $18.54/claim|Median: $14.90
1.2× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$83K

196 claims · 0.3%

Your Cost: $422.50/claim|Median: $106.14
4.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$79K

1,138 claims · 0.3%

Your Cost: $69.26/claim|Median: $58.55
1.2× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$78K

2,651 claims · 0.3%

Your Cost: $29.35/claim|Median: $21.28
1.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$75K

989 claims · 0.3%

Your Cost: $76.17/claim|Median: $76.06
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$66K

1,671 claims · 0.3%

Your Cost: $39.70/claim|Median: $35.30
1.1× median
92558Normal range

$61K

26K claims · 0.2%

Your Cost: $2.32/claim|Median: $6.67
0.3× median
D0330Normal range

Panoramic radiographic image

$61K

1,453 claims · 0.2%

Your Cost: $41.86/claim|Median: $37.36
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$60K

1,523 claims · 0.2%

Your Cost: $39.15/claim|Median: $43.38
0.9× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$59K

767 claims · 0.2%

Your Cost: $76.79/claim|Median: $57.85
1.3× median
59025Top 25%

Fetal non-stress test

$57K

1,079 claims · 0.2%

Your Cost: $52.93/claim|Median: $26.45
2.0× median
G0470Normal range

Chronic care management services, FQHC/RHC

$54K

92K claims · 0.2%

Your Cost: $0.59/claim|Median: $45.95
0.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$53K

786 claims · 0.2%

Your Cost: $67.90/claim|Median: $84.03
0.8× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$50K

3,053 claims · 0.2%

Your Cost: $16.27/claim|Median: $30.04
0.5× median
D0274Normal range

Bitewings, four radiographic images

$47K

2,664 claims · 0.2%

Your Cost: $17.57/claim|Median: $22.54
0.8× median
99211Normal range

Office/outpatient visit, minimal complexity

$45K

4,160 claims · 0.2%

Your Cost: $10.88/claim|Median: $12.93
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$45K

921 claims · 0.2%

Your Cost: $48.47/claim|Median: $74.09
0.7× median
36475Normal range

$43K

96 claims · 0.2%

Your Cost: $449.97/claim|Median: $902.80
0.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$42K

403 claims · 0.2%

Your Cost: $103.11/claim|Median: $106.79
1.0× median
G0467Normal range

Federally qualified health center visit, mental health

$39K

62K claims · 0.2%

Your Cost: $0.63/claim|Median: $21.91
0.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$32K

1,847 claims · 0.1%

Your Cost: $17.20/claim|Median: $9.56
1.8× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$29K

11K claims · 0.1%

Your Cost: $2.66/claim|Median: $5.50
0.5× median
59515Normal range

$24K

27 claims · 0.1%

Your Cost: $887.79/claim|Median: $786.24
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$23K

1,546 claims · 0.1%

Your Cost: $15.10/claim|Median: $24.34
0.6× median

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