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Stock Incentive Plans and Stock Purchase Plan - Additional Information (Detail) (USD $)
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Shares available for future grants and awards under Stock Incentive Plans 6,300,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant    
Stock-based compensation expense related to its stock incentive plans and stock purchase plan $ 31,700,000us-gaap_AllocatedShareBasedCompensationExpense $ 31,300,000us-gaap_AllocatedShareBasedCompensationExpense $ 28,400,000us-gaap_AllocatedShareBasedCompensationExpense
Aggregate fair value of restricted shares, vested 28,200,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue 33,300,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue 23,000,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
Weighted average grant-date fair value of restricted and deferred stock awards granted $ 57.73us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue $ 46.48us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue $ 30.06us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
Stock-based compensation cost related to non-vested stock options remaining to be recognized as compensation expense, weighted-average period in years 1 year 4 months 24 days    
Unrecognized Compensation Expense related to Nonvested Shares 26,100,000us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedShareBasedAwardsOtherThanOptions    
Aggregate intrinsic value of stock options exercised 38,800,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue 35,400,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue 18,100,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
Excess tax benefit related to employee stock incentive plans 17,479,000us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation 18,981,000us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation 6,198,000us-gaap_AdjustmentsToAdditionalPaidInCapitalTaxEffectFromShareBasedCompensation
Cash proceeds received from the exercise of stock options $ 30,100,000us-gaap_ProceedsAndExcessTaxBenefitFromSharebasedCompensation $ 18,900,000us-gaap_ProceedsAndExcessTaxBenefitFromSharebasedCompensation $ 20,800,000us-gaap_ProceedsAndExcessTaxBenefitFromSharebasedCompensation
Stock Option [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Number of years over which options become exercisable on a pro rata basis 3 years    
Stock Option [Member] | Maximum [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Vesting period of options, maximum years 10 years    
Restricted Stock [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Number of years over which options become exercisable on a pro rata basis 3 years    
1996 Non-Qualified Employee Stock Purchase Plan [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Percentage of market value of common stock at which employees are permitted to purchase 85.00%us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardPurchasePriceOfCommonStockPercent
/ us-gaap_AwardTypeAxis
= md_NineteenNinetySixNonQualifiedEmployeeStockPurchasePlanMember
   
Percentage of discount received by participating employees 15.00%md_ShareBasedCompensationArrangementByShareBasedDiscountReceivedByParticipatingEmployees
/ us-gaap_AwardTypeAxis
= md_NineteenNinetySixNonQualifiedEmployeeStockPurchasePlanMember
   
Shares reserved for issuance 335,000us-gaap_CommonStockCapitalSharesReservedForFutureIssuance
/ us-gaap_AwardTypeAxis
= md_NineteenNinetySixNonQualifiedEmployeeStockPurchasePlanMember
   
Shares issued under Stock Purchase Plan 260,000us-gaap_StockIssuedDuringPeriodSharesEmployeeStockPurchasePlans
/ us-gaap_AwardTypeAxis
= md_NineteenNinetySixNonQualifiedEmployeeStockPurchasePlanMember