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

Why is the Medicaid comparison limited to Colorado 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. Colorado (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 (NPI 1497970008)

Field	Value
Entity Type	Organization
Organization	Mosaic
Address	5131 S College Ave Unit B
City	Fort Collins
State	CO
ZIP	80525
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	April 17, 2007

Payer Source	Total Paid
Medicaid	$40.1M
Medicare	$0

Key Findings

MOSAIC reports $40.1M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) operator at the recorded scale. The absence of Medicare activity means comparisons across payers are not possible; all observed billing patterns and competitive positioning derive from Medicaid claims.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 99.9% of this provider's total Medicaid revenue, with T2016 alone representing $39.7M (98.9% of total Medicaid revenue). This concentration indicates that the provider’s financial footprint is overwhelmingly driven by a single service line rather than a diversified mix of Medicaid billable activities.

The dominant code, T2016 (T2016 – Habilitation, residential, waiver; per diem), shows 268.1K claims at an average paid/claim of $148, supporting the interpretation that MOSAIC primarily operates as a community-based residential habilitation provider for individuals with intellectual and/or developmental disabilities. The per-diem, waiver-based nature of T2016 billing is consistent with the provider taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) and suggests day-to-day residential supports are the core delivery model.

MOSAIC’s competitive standing for its core service is strong in-state: it ranks #9 of 191 providers for T2016 (96th percentile) and is described as notably above typical state volume for this code. That rank positions MOSAIC as a major provider of residential habilitation services within Colorado, indicating significant scale relative to most peers for the same code.

Secondary Medicaid codes contribute only marginally to revenue: H2019 ($237.8K, 0.6% of Medicaid revenue) and S5150 ($189.3K, 0.5% of Medicaid revenue) reflect adjunct therapeutic behavioral services and unskilled respite care rather than substantial independent revenue streams. Both H2019 (ranks #32 of 99, 68th percentile) and S5150 (ranks #34 of 86, 61st percentile) are characterized as typical, unremarkable volumes statewide, implying these services supplement but do not materially diversify MOSAIC’s revenue base.

MOSAIC shows limited engagement in other support-service lines: S5130 (428 claims, $33 avg, $14.1K revenue) ranks #284 of 342 (17th percentile), T1019 (180 claims, $32 avg, $5.8K revenue) ranks #438 of 475 (8th percentile), and T2003 (313 claims, $17 avg, $5.3K revenue) ranks #245 of 283 (13th percentile). These low ranks and minimal revenue shares indicate the organization does not compete strongly on homemaker, personal care, or non-emergency transportation services compared with many in-state peers.

With an NPI enumerated on 2007-04-17 (~19 years ago), MOSAIC has a long-tenured presence in the market, which aligns with its high-volume T2016 position; longevity likely supports established referral relationships and operational experience in residential habilitation. The combination of long tenure and concentrated service delivery suggests operational expertise in its core Medicaid-funded residential program.

Because T2016 accounts for the vast majority of Medicaid revenue (98.9%) and the top three codes together account for 99.9% of Medicaid revenue, MOSAIC’s financial performance is highly sensitive to changes in reimbursement, waiver policy, or utilization for residential habilitation. Any payor policy shifts, eligibility changes, or rate adjustments affecting T2016 would likely have an outsized impact on overall revenue, while growth opportunities appear constrained unless the provider diversifies beyond the current code mix.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	268,070	$150	$39.7M
H2019	Therapeutic behavioral services, per 15 minutes	3,450	$70	$237.8K
S5150	Unskilled respite care, not hospice; per 15 minutes	2,700	$70	$189.3K
S5130	Homemaker service, nos; per 15 minutes	430	$30	$14.1K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	180	$30	$5.8K
T2003	Non-emergency transportation; encounter/trip	310	$20	$5.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Mosaic — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	9	190	3,890	$290	$12.4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	438	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	284	340	3,530	$80	$1.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	34	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	245	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	32	100	1,090	$90	$600.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Foothills Gateway Inc.	CO	In Home Supportive Care Agency	$0	$34.6M
Rocky Mountain Clinics LLC	CO	Clinical Medical Laboratory	$0	$13.1M
Foothills Gateway, Inc.	CO	Case Manager/Care Coordinator	$0	$10.8M
Svc Dental Group, LLC	CO	Pediatric Dentistry	$0	$8.4M
Summitstone Health Partners	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.4M
The Residence At Oakridge, LLC	CO	Assisted Living Facility	$0	$6.9M
Fort Collins Radiologic Associates PC	CO	Diagnostic Radiology Physician	$0	$6.4M
Reyes Corporation	CO	Community/Behavioral Health Agency	$0	$5.2M
Highpointe Services	CO	Developmentally Disabled Services Day Training Agency	$0	$5.1M
Alexander Home Healthcare LLC	CO	In Home Supportive Care Agency	$0	$3.8M

Mosaic — Billing Profile & Reimbursement Data

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Mosaic — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References