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

Why is the Medicaid comparison limited to Iowa 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. Iowa (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 1649322579)

Field	Value
Entity Type	Organization
Organization	Mosaic
Address	1402 Settlers Ln
City	Denison
State	IA
ZIP	51442
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 18, 2007

Payer Source	Total Paid
Medicaid	$34.7M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all reported lifetime revenue comes from Medicaid, totaling $34.7M. The absence of Medicare claims indicates MOSAIC’s operations and reimbursement relationships are concentrated entirely within Medicaid funding streams.

Revenue is highly concentrated in a very small set of per-diem services: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with H2016 contributing $27.8M (80.1%) and S5136 contributing $6.9M (19.9%). This concentration means nearly all billed Medicaid dollars are driven by those two codes.

The top revenue-driving codes imply MOSAIC’s core business model is community- and residential-based supportive care rather than episodic clinical procedures: H2016 is Comprehensive community support services (per diem) and S5136 is Companion care, adult (per diem). These code descriptions align with the provider’s taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) and indicate ongoing, per-diem service delivery to individuals with developmental/intellectual disabilities.

Operational scale and unit economics differ by code: H2016 shows 16.4K claims with a $1698 avg paid/claim generating $27.8M in revenue, while S5136 shows 2.6K claims with a $2708 avg paid/claim generating $6.9M. In plain terms, H2016 drives the volume of service-days while S5136 pays a higher average per claim but contributes a smaller share of total revenue.

Competitive standing within Iowa is modest: H2016 ranks #76 of 176 providers in-state (57th percentile) and is described as typical, unremarkable volume for this code, while S5136 ranks #62 of 82 providers in-state (25th percentile) and is also described as typical, unremarkable volume for this code. These rankings suggest MOSAIC is neither a statewide leader nor an outlier on its principal Medicaid service lines, but a competent mid-level participant.

MOSAIC has an established presence, with its NPI enumerated on 2007-01-18 (~19 years ago), indicating long-standing enrollment that may reflect sustained provider–payer relationships and operational continuity in the Medicaid market.

Because nearly all Medicaid revenue is derived from per-diem community support and companion care, MOSAIC’s financial performance is sensitive to changes in per-diem rates, Medicaid policy, or utilization of residential/community-based services. The concentration in these service lines means reimbursement or eligibility shifts affecting H2016 or S5136 could materially impact the provider’s revenue.

The claim mix—large counts of per-diem claims rather than procedure-driven CPT activity—signals a utilization profile consistent with residential and custodial support services rather than episodic medical procedures, which should be taken into account when comparing MOSAIC to clinical or acute-care providers in competitive benchmarking or network planning.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	16,380	$1,700	$27.8M
S5136	Companion care, adult (e.g., iadl/adl); per diem	2,550	$2,710	$6.9M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Mosaic — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	62	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	76	180	10,790	$390	$15.2M

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
Wesco Industries	IA	Developmentally Disabled Services Day Training Agency	$0	$52.6M
Crawford County Memorial Hospital	IA	Rural Health Clinic/Center	$0	$19.5M
Mosaic	IA	Mental Illness Community Based Residential Treatment Facility	$0	$13.6M
Crawford County Memorial Hospital	IA	Critical Access Hospital	$0	$3M
Keith Schrunk	IA	Optometrist	$117.3K	$535.6K
Scott Bowker	IA	Optometrist	$167.6K	$299.1K
Jonathan Hoaglund	IA	Optometrist	$79.8K	$210.6K
Abigail Behrens	IA	Family Nurse Practitioner	$139.7K	$0
Steven Brownmiller	IA	Optometrist	$101.6K	$27.2K
White Drug Enterprises Inc	IA	Community/Retail Pharmacy	$104.4K	$1.5K

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