Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oregon for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oregon only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oregon (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Mosaic Community Health (NPI 1083633184)

Field	Value
Entity Type	Organization
Organization	Mosaic Community Health
Address	375 Nw Beaver Street
City	Prineville
State	OR
ZIP	97754
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

125 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	15,980	$60	$879.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	114,220	$10	$571.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	63,230	$10	$442.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,510	$90	$401.3K
D0150	Comprehensive oral evaluation – new or established patient	5,680	$40	$238.5K
D0140	Limited oral evaluation – problem focused	5,780	$40	$213.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,020	$40	$210.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,770	$110	$190.9K
D2392	Post 2 surface resin‑based composite	2,740	$60	$150.5K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	2,160	$70	$149.3K

Showing 1–10 of 125

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oregon Distribution

Mosaic Community Health — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

125 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	174	270	1,660	$90	$681K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	342	1,380	540	$140	$363.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	18	1,500	650	$70	$312.4K
T1015	Clinic visit/encounter, all-inclusive	42	60	480	$120	$291K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	7	1,590	590	$50	$236.5K
96153	N/A	3	10	150	$210	$160K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	163	400	230	$90	$153.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	77	170	300	$80	$133.1K
T1016	Case management, each 15 minutes	25	210	410	$50	$126.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	65	180	220	$90	$124.6K

Showing 1–10 of 125

Nearby Providers

Other providers in the same ZIP code as Mosaic Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rimrock Trails Treatment Services	OR	Children's Substance Abuse Rehabilitation Facility	$0	$5.4M
Choices Recovery Services, LLC	OR	Community/Behavioral Health Agency	$0	$3M
St. Charles Health System, Inc.	OR	Critical Access Hospital	$0	$1.4M
Crook County Fire And Rescue	OR	Land Ambulance	$415.1K	$949K
Imagine Freedom, LLC	OR	Mental Health Counselor	$0	$1M
Laura Gratton	OR	Family Medicine Physician	$68.1K	$0
Kelsee Sofich	OR	Physical Therapist	$62.5K	$0
Ryan Short	OR	Physical Therapist	$60.9K	$0
Matthew Giordanengo	OR	Family Medicine Physician	$57.2K	$0
Brian Lane	OR	Emergency Medicine Physician	$56.6K	$0

Mosaic Community Health — Billing Profile & Reimbursement Data

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Mosaic Community Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References