Mcpc-12, LLC
Mcpc-12, LLC was paid $859K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 38% of everything it billed.
PINEHURST, NC 28374
Next to other Specialist providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,607 | $42K | |
| 2019 | 2,018 | $49K | |
| 2020 | 1,569 | $40K | |
| 2021 | 12,036 | $129K | |
| 2022 | 22,013 | $189K | |
| 2023 | 18,667 | $186K | |
| 2024incomplete | 17,152 | $224K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 38% | 53,836 | 29,613 | $329K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 6,249 | 5,266 | $289K |
| 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 | 11% | 1,466 | 1,258 | $91K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 4.1% | 787 | 695 | $35K |
| 76830 | Ultrasound, transvaginal | 3.3% | 432 | 378 | $28K |
| 59025 | Fetal non-stress test | 2.3% | 1,007 | 765 | $20K |
| 36415 | Collection of venous blood by venipuncture | 1.6% | 6,671 | 5,586 | $14K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.1% | 139 | 127 | $10K |
| 99401 | <1% | 257 | 196 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 84 | 69 | $7K |
| 99218 | <1% | 103 | 95 | $5K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 81 | 61 | $4K |
22 more codes
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 55 | $4K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 41 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 184 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 15 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 90674 | <1% | 89 | $2K | |
| 87210 | <1% | 448 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | $1K |
| 99459 | <1% | 125 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $931.44 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $775.32 |
| 81025 | <1% | 115 | $688.41 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $675.06 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $530.29 |
| 82950 | <1% | 26 | $131.52 | |
| 85018 | <1% | 15 | $28.45 | |
| 81002 | <1% | 14 | $15.78 | |
| 99072 | 0% | 309 | $0.00 | |
| 0502F | 0% | 648 | $0.00 | |
| 0503F | 0% | 17 | $0.00 | |
| 99000 | 0% | 1,715 | $0.00 | |
| 0501F | 0% | 14 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Firsthealth of the Carolinas, INC. | Pinehurst, NC | $61.58M |
| FHPG, LLC | Pinehurst, NC | $3.50M |
| Firsthealth of the Carolinas, INC | Pinehurst, NC | $2.94M |
| Firsthealth of the Carolinas, INC | Troy, NC | $2.91M |
| Firsthealth of the Carolinas, INC. | Southern Pines, NC | $2.91M |
| FHPG, LLC | Rockingham, NC | $1.66M |
| Mcpc-9, LLC | Rockingham, NC | $1.58M |
| Mcpc-7, LLC | Hamlet, NC | $1.37M |
| Mcpc-8, LLC | Raeford, NC | $1.31M |
| Mcpc-8, LLC | Hamlet, NC | $1.25M |
| Mcpc-1 LLC | Rockingham, NC | $1.22M |
| FHPG, LLC | Raeford, NC | $1.03M |
| Mcpc-11, LLC | Pinehurst, NC | $994K |
| Mcpc-8, LLC | Asheboro, NC | $893K |
| Mcpc-8, LLC | Sanford, NC | $862K |
| Mcpc-16, LLC | Raeford, NC | $803K |
| FHPG, LLC | Carthage, NC | $697K |
| Mcpc-2, LLC | Rockingham, NC | $607K |
| Mcpc-8, LLC | Pinehurst, NC | $587K |
| Mcpc-8, LLC | Sanford, NC | $573K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.