Is MCT, INC. flagged for Medicaid fraud?

MCT, INC. (NPI: 1881005387) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does MCT, INC. bill Medicaid?

MCT, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Developmental Disabilities provider. Located in LITTLE ROCK, AR.

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MCT, INC.

Clinic/Center, Developmental Disabilities·LITTLE ROCK, AR·NPI: 1881005387Share

Compared to Clinic/Center, Developmental Disabilities Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.6M is at the below 25th percentile among 8 Clinic/Center, Developmental Disabilities providers.

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

Total Paid

$30.6M

$30,595,719

Total Claims

471K

Beneficiaries

65K

7.3 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018

$2.8M

+1%

2019

$2.8M

+4%

2020

$3.0M

+70%

2021

$5.0M

+8%

2022

$5.4M

+21%

2023

$6.6M

-24%

2024

$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 47% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$14.4M

228K claims

$63.20

$121.16

0.5×

Normal range

T1015Normal range

Clinic visit/encounter, all-inclusive

$14.4M

228K claims · 47.2%

Your Cost: $63.20/claim|Median: $121.16

0.5× median

92507Speech/hearing/language treatmentSee all providers →

$5.0M

77K claims

$65.47

$49.45

1.3×

Normal range

92507Normal range

Speech/hearing/language treatment

$5.0M

77K claims · 16.4%

Your Cost: $65.47/claim|Median: $49.45

1.3× median

H2016Comprehensive community support services, per 15 minSee all providers →

$4.1M

35K claims

$117.25

$321.53

0.4×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$4.1M

35K claims · 13.4%

Your Cost: $117.25/claim|Median: $321.53

0.4× median

97530Therapeutic activities, each 15 minSee all providers →

$3.9M

67K claims

$58.35

$33.11

1.8×

Normal range

97530Normal range

Therapeutic activities, each 15 min

$3.9M

67K claims · 12.7%

Your Cost: $58.35/claim|Median: $33.11

1.8× median

97110Therapeutic exercises, each 15 minSee all providers →

$2.4M

35K claims

$69.20

$24.49

2.8×

Top 10%

97110Top 10%

Therapeutic exercises, each 15 min

$2.4M

35K claims · 7.9%

Your Cost: $69.20/claim|Median: $24.49

2.8× median

97535Self-care/home management training, per 15 minutesSee all providers →

$339K

13K claims

$25.45

$18.18

1.4×

Normal range

97535Normal range

Self-care/home management training, per 15 minutes

$339K

13K claims · 1.1%

Your Cost: $25.45/claim|Median: $18.18

1.4× median

97532 See all providers →

$297K

11K claims

$26.73

$28.76

0.9×

Normal range

97532Normal range

$297K

11K claims · 1.0%

Your Cost: $26.73/claim|Median: $28.76

0.9× median

G0515 See all providers →

$33K

1,780 claims

$18.67

$23.57

0.8×

Normal range

G0515Normal range

$33K

1,780 claims · 0.1%

Your Cost: $18.67/claim|Median: $23.57

0.8× median

96101 See all providers →

$23K

584 claims

$39.61

$196.08

0.2×

Normal range

96101Normal range

$23K

584 claims · 0.1%

Your Cost: $39.61/claim|Median: $196.08

0.2× median

90791Psychiatric diagnostic evaluationSee all providers →

$15K

482 claims

$31.49

$99.21

0.3×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$15K

482 claims · 0.0%

Your Cost: $31.49/claim|Median: $99.21

0.3× median

T1002RN services, per 15 minutesSee all providers →

$10K

870 claims

$11.67

$37.42

0.3×

Normal range

T1002Normal range

RN services, per 15 minutes

$10K

870 claims · 0.0%

Your Cost: $11.67/claim|Median: $37.42

0.3× median

96112Developmental test administrationSee all providers →

$6K

71 claims

$88.23

$102.95

0.9×

Normal range

96112Normal range

Developmental test administration

$6K

71 claims · 0.0%

Your Cost: $88.23/claim|Median: $102.95

0.9× median

99212Office/outpatient visit, low complexitySee all providers →

$3K

167 claims

$20.25

$25.06

0.8×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$3K

167 claims · 0.0%

Your Cost: $20.25/claim|Median: $25.06

0.8× median

T1027Family training and counseling, per 15 minutesSee all providers →

$3K

480 claims

$6.55

$53.00

0.1×

Normal range

T1027Normal range

Family training and counseling, per 15 minutes

$3K

480 claims · 0.0%

Your Cost: $6.55/claim|Median: $53.00

0.1× median

90887Interpretation/explanation of resultsSee all providers →

$2K

77 claims

$26.93

$47.55

0.6×

Normal range

90887Normal range

Interpretation/explanation of results

$2K

77 claims · 0.0%

Your Cost: $26.93/claim|Median: $47.55

0.6× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$2K

19 claims

$96.63

$106.70

0.9×

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

$2K

19 claims · 0.0%

Your Cost: $96.63/claim|Median: $106.70

0.9× median

92587 See all providers →

$1K

16 claims

$67.24

$19.24

3.5×

Top 10%

92587Top 10%

$1K

16 claims · 0.0%

Your Cost: $67.24/claim|Median: $19.24

3.5× median

96113Developmental test admin, each additional 30 minSee all providers →

$702

17 claims

$41.29

$77.06

0.5×

Normal range

96113Normal range

Developmental test admin, each additional 30 min

$702

17 claims · 0.0%

Your Cost: $41.29/claim|Median: $77.06

0.5× median

92550 See all providers →

$460

17 claims

$27.04

$14.15

1.9×

Top 25%

92550Top 25%

$460

17 claims · 0.0%

Your Cost: $27.04/claim|Median: $14.15

1.9× median

92552Pure tone audiometry, air only, each earSee all providers →

$356

18 claims

$19.80

$12.63

1.6×

Normal range

92552Normal range

Pure tone audiometry, air only, each ear

$356

18 claims · 0.0%

Your Cost: $19.80/claim|Median: $12.63

1.6× median

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