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

Why is the Medicaid comparison limited to Delaware 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. Delaware (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 1689742439)

Field	Value
Entity Type	Organization
Organization	Mosaic
Address	261 Chapman Rd Ste 201
City	Newark
State	DE
ZIP	19702
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	December 1, 2006

Payer Source	Total Paid
Medicaid	$118.5M
Medicare	$0

Key Findings

MOSAIC is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $118.5M in lifetime Medicaid revenue, indicating its entire documented reimbursement base on this platform is Medicaid-driven. This concentration means Medicare market exposure or diversification is absent in the available data.

Revenue is highly concentrated in a single Medicaid code family: the precomputed top-three Medicaid codes account for 100.0% of MOSAIC’s Medicaid revenue, with T2025 alone representing $113.9M or 96.2% of the $118.5M total. That degree of concentration ties MOSAIC’s financial performance closely to waiver-services reimbursement under T2025.

The provider’s code mix is consistent with a community-based residential mental health operator: T2025 (Waiver services; nos) accounts for 81.4K claims at a $1400 avg paid/claim and $113.9M revenue, while T2016 (Habilitation, residential, waiver; per diem) contributes 2.5K claims at $895 avg paid/claim and $2.3M revenue. The presence of G0175 (Scheduled interdisciplinary team conference with patient present; 31.3K claims, $73 avg paid/claim, $2.3M) signals routine multidisciplinary care coordination activity alongside residential habilitation and waiver services.

T2025’s in-state competitive position is meaningful but not dominant: MOSAIC ranks #3 of 10 providers in-state (78th percentile) on T2025 volumes, described in the source as a typical, unremarkable volume for this code. In plain terms, MOSAIC is an above-average user of waiver-services billing in-state but not the top provider for this code.

For care-coordination billing under G0175, MOSAIC appears relatively strong in-state: it ranks #2 of 9 providers (88th percentile) for this code, though G0175 contributes a modest $2.3M or 1.9% of total Medicaid revenue. This suggests MOSAIC reports frequent interdisciplinary conferences relative to most peers even though the line item is a small share of overall revenue.

T2016 residential habilitation per diem billing is weak relative to peers: MOSAIC ranks #8 of 9 providers (13th percentile) on T2016 despite reporting $2.3M (1.9% of Medicaid revenue) from 2.5K claims. That low percentile implies MOSAIC is under-indexed on per-diem habilitation compared with in-state peers, even as it bills that code at material per-claim rates ($895 avg).

MOSAIC’s long tenure in the CMS NPI registry (enumerated 2006-12-01, ~20 years ago) indicates an established presence in the market and sustained participation in state Medicaid programs. This longevity, combined with the concentrated Medicaid revenue mix, points to an entrenched operational model centered on waiver-funded community residential services.

Operational and payer-concentration risk is notable: with no Medicare billing and 96.2% of Medicaid revenue tied to T2025 waiver services, MOSAIC’s revenue profile is heavily dependent on state waiver program policies and reimbursement stability. Any material changes to waiver rules or rates could disproportionately affect its financials given the limited diversification across other payers or major service codes.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2025	Waiver services; not otherwise specified (nos)	81,390	$1,400	$113.9M
G0175	Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present	31,310	$70	$2.3M
T2016	Habilitation, residential, waiver; per diem	2,520	$900	$2.3M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Mosaic — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	3	10	37,650	$670	$43M
T2016	Habilitation, residential, waiver; per diem	8	10	23,150	$620	$21.9M
G0175	Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present	2	10	20,370	$50	$986.1K

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
Community Systems, Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$96.7M
Resources For Human Development Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$86M
Epic Health Services (de), LLC	DE	Home Health Agency	$0	$33.7M
Jay J Harris Dmd PC	DE	Dentist	$0	$16.7M
Elite Home Health Care Inc	DE	In Home Supportive Care Agency	$0	$14.8M
Accredo Health Group Inc	DE	Pharmacy	$0	$10.2M
Bear-glasgow Dental, LLC	DE	General Practice Dentistry	$0	$8.2M
Center For Child Development, Incorporated	DE	Psychologist	$0	$4.9M
Comfort Care At Home, Inc.	DE	Home Health Agency	$0	$4M
Collins Dental LLC	DE	Dentist	$0	$2.9M

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