MCMC, INC.

MCMC, INC. was paid $3.17M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 100% of everything it billed.

33Billing provider infoMCMC, INC.
DURHAM, NC 27703

33aNPI1447561154assigned 06/28/2010

33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

28Total paid$3.17M

24GClaims49,561

24DCodes billed1

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in North Carolina

Rank by total paid#18 of 26

Median peer was paid$4.18M

This provider vs. median0.8×

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.

Single-Code Concentration100% of spending on code H0036 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

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

Year	Claims	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
2024incomplete	8,491	$546K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	100%	49,561	12,401	$3.17M

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 officialMONTALVO-COLLINS, MARIA (OWNER)