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Consolidated Statements of Income and Comprehensive Income (Unaudited) (Parenthetical) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
	Sep. 30, 2024	Sep. 30, 2024	Sep. 30, 2023
Income Statement [Abstract]
Unrealized holding gain (loss) on investments, net of tax	$ 571	$ 657	$ 100

X

- Definition

Net Of Tax, Unrealized Holding Gain (Loss) on Investments

+ References

No definition available.

+ Details

Name:	md_NetOfTaxUnrealizedHoldingGainLossOnInvestments
Namespace Prefix:	md_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

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- References

No definition available.

+ Details

Name:	us-gaap_IncomeStatementAbstract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration