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

MC Medical Group of DC, PC

MC Medical Group of DC, PC was paid $442K by Medicaid between Jan 2018 and Oct 2024, across 26 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 34% of everything it billed.

33Billing provider infoMC MEDICAL GROUP OF DC, PC
WASHINGTON, DC 20019
33aNPI1063644466assigned 08/18/2009
33bProvider typeClinical Social Worker
28Total paid$442K
24GClaims15,245
24DCodes billed26
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Clinical Social Worker providers in District of Columbia

Rank by total paid#7 of 19
Median peer was paid$78K
This provider vs. median5.6×

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

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20181,537$66K
2019970$51K
20201,286$30K
20216,303$147K
20223,330$96K
20231,161$39K
2024incomplete658$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 34% 4,635 3,831 $152K
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 17% 932 875 $77K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.9% 655 630 $44K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9.8% 3,646 3,039 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6.6% 875 713 $29K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5.0% 1,049 897 $22K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 4.3% 373 359 $19K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.3% 221 216 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3.8% 1,139 1,102 $17K
90674 1.2% 300 296 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 139 108 $4K
86580 <1% 290 284 $3K
14 more codes
90480 <1% 64 $2K
90686 <1% 201 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 82 $918.15
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 77 $746.92
0002A <1% 13 $565.20
0064A <1% 12 $471.00
90715 <1% 12 $287.88
G0008 Administration of influenza virus vaccine 0% 74 $0.00
1036F 0% 95 $0.00
3074F 0% 74 $0.00
1160F 0% 116 $0.00
3078F 0% 27 $0.00
1159F 0% 127 $0.00
90662 0% 17 $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 officialPINCINCE, DEBORAH (ADMINISTRATOR)
Same official

Other billing entities under PINCINCE, DEBORAH

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