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 North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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 Group, LLC (NPI 1144682873)

Field	Value
Entity Type	Organization
Organization	Mosaic Group, LLC
Address	9101 Pineville Matthews Rd Ste S
City	Pineville
State	NC
ZIP	28134
Taxonomy	Behavior Analyst
NPI Enumerated	March 22, 2016

Payer Source	Total Paid
Medicaid	$83.9M
Medicare	$0

Key Findings

MOSAIC GROUP, LLC is effectively a Medicaid-focused Behavior Analyst practice: it has no Medicare billing on file and $83.9M in lifetime Medicaid revenue, indicating the business relies almost entirely on Medicaid as its payer base. The NPI was enumerated on 2016-03-22 (~10 years ago), so the entity has been operational under this NPI for about a decade.

Revenue is highly concentrated in a narrow set of ABA-related codes: the top 3 Medicaid codes account for 99.3% of this provider's total Medicaid revenue, with 97153 alone contributing $68.7M (81.9% of this provider's total Medicaid revenue). That concentration signals that most of the practice’s billing and revenue flows through a small number of adaptive behavior treatment services.

Operational mix is centered on technician-delivered and supervised adaptive behavior treatment: 97153 has 186.1K claims with an average paid/claim of $369 and is described as a technician service delivered face-to-face under supervision, while 97155 (70.6K claims, $189 avg paid/claim, $13.3M revenue) reflects provider-level treatment and modification of protocols. Together these two codes ($68.7M and $13.3M) account for the vast majority of billed clinical activity and imply a large technician workforce supported by clinician oversight and protocol management.

Assessment and family-training services are present but much smaller by revenue: 97151 (6.9K claims, $185 avg paid/claim, $1.3M revenue) and 97156 (9.6K claims, $60 avg paid/claim, $577.8K revenue) represent diagnostic/plan-of-care and caregiver training functions, respectively. These codes together make up a small share of revenue compared with the technician and direct-treatment codes, suggesting the practice’s revenue model emphasizes ongoing treatment delivery over initial assessments or caregiver-only sessions.

MOSAIC’s competitive standing within the state is dominant for its core ABA codes: it ranks #2 of 88 providers in-state for 97153 and #2 of 84 providers for 97155, both at the 99th percentile and labeled as extreme outliers (far above typical state volume for these codes). For 97151 it ranks #2 of 41 providers (98th percentile) and for 97156 it ranks #3 of 65 providers (97th percentile), both described as notably above typical state volume; these ranks indicate the provider is a major, high-volume Medicaid biller for behavior-analytic services in North Carolina.

The scale of claims activity underscores operational intensity: 97153 has 186.1K claims and 97155 has 70.6K claims, which—combined with the high average paid/claim for 97153 ($369)—explains the large revenue totals reported. High claim counts for technician-delivered services imply substantial scheduling, supervision, and documentation operations to sustain this volume.

The statistical labels in the data highlight that some volumes are exceptional: 97153 and 97155 are identified as extreme outliers and are far above typical state volume, while 97151 and 97156 are noted as notably above typical; these characterizations suggest MOSAIC operates at volumes well beyond most in-state peers for behavior-analytic service lines. Analysts should treat future policy, rate, or coverage changes for these specific codes as material to the provider’s revenue profile.

Revenue concentration creates business risk and operational leverage: because the top codes account for 99.3% of Medicaid revenue, any changes in authorization rules, reimbursement rates, or supervision requirements for 97153 and 97155 could materially affect the provider’s financials. Conversely, the concentration also implies scalability in the provider’s core service delivery model, which appears optimized for high-volume technician-delivered ABA services under clinician supervision.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	186,110	$370	$68.7M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	70,550	$190	$13.3M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	6,880	$190	$1.3M
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	9,630	$60	$577.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Mosaic Group, LLC — 4 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	2	90	5,820	$310	$6.4M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	2	80	2,260	$190	$1.4M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	2	40	580	$210	$309.6K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	3	70	1,020	$70	$152.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mosaic Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenneth Williams	MS	Internal Medicine Physician	$47.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Burbank	NC	Orthopaedic Surgery Physician	$201K	$0
Tony Connot	NC	Physician Assistant	$98.3K	$0
Samuel Services Corporation	ND	In Home Supportive Care Agency	$0	$88.8K
Waseem Ghannam	NC	Family Medicine Physician	$46.5K	$0

Mosaic Group, LLC — Billing Profile & Reimbursement Data

Sign up for Mosaic Group, LLC — Billing Profile & Reimbursement Data policy alerts

Mosaic Group, LLC — Billing Profile & Reimbursement Data

Sign up for Mosaic Group, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References