MCMC, INC.
NPI: 1447561154
· DURHAM, NC 27703
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 06/28/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0036 with only 1 total codes billed. Highly concentrated billing profile.
$3.17M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,079 |
$452K |
| 2019 |
7,271 |
$465K |
| 2020 |
5,139 |
$334K |
| 2021 |
6,012 |
$389K |
| 2022 |
7,099 |
$448K |
| 2023 |
8,470 |
$530K |
| 2024 |
8,491 |
$546K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
49,561 |
12,401 |
$3.17M |