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 1942575972)

Field	Value
Entity Type	Organization
Organization	Mosaic
Address	102 W Park St
City	Forest City
State	IA
ZIP	50436
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	March 8, 2012

Payer Source	Total Paid
Medicaid	$56.2M
Medicare	$0

Key Findings

MOSAIC’s billing footprint is concentrated in community-based, per-diem support services consistent with its taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: the top-paid codes are H2016 (Comprehensive community support services, per diem), S5136 (Companion care, adult; per diem), and the smaller T2020 (Day habilitation, waiver; per diem). The presence of large per-diem codes and a minor day-habilitation code points to a business model built around ongoing residential/community supports rather than episodic medical procedures.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of MOSAIC’s total Medicaid revenue, with H2016 representing $41.6M (74.0% of total Medicaid revenue) and S5136 representing $14.3M (25.5% of total Medicaid revenue). This shows that nearly all of MOSAIC’s Medicaid income is driven by two per-diem service lines, leaving limited revenue diversity within Medicaid.

MOSAIC is effectively a single-payer Medicaid operation at scale: there is no Medicare revenue on file and lifetime Medicaid revenue is $56.2M. The absence of Medicare billing means the organization’s financial exposure and operational focus will be driven almost entirely by Medicaid policy, rates, and enrollment dynamics.

Competitive standing by code is middling within the state rather than dominant: H2016 ranks #47 of 176 providers in-state (74th percentile) and is labeled a typical, unremarkable volume for this code; S5136 ranks #35 of 82 (58th percentile) and is also described as typical. These ranks indicate MOSAIC is a solid but not leading in-state participant for its primary per-diem support services.

Operational scale and claim volumes underline the day-to-day service orientation: MOSAIC submitted 36.7K H2016 claims and 13.9K S5136 claims, contrasted with only 3.7K T2020 claims. High claim counts for H2016 and S5136 reinforce that the provider’s operations are driven by ongoing daily service delivery rather than low-frequency interventions.

Reimbursement profile is front-loaded toward higher per-diem payments for core residential supports: average paid per claim is $1135 for H2016 and $1034 for S5136, while T2020 pays $70 avg per claim. Those per-claim averages indicate materially higher per-day revenue from community support and companion care compared with day habilitation, which is a minor revenue contributor.

MOSAIC has an established tenure in the marketplace, with its NPI enumerated on 2012-03-08 (~14 years ago), suggesting an established operating history and likely long-standing relationships with state Medicaid programs and referral sources. This longevity supports continuity of service delivery even though the provider’s Medicaid revenue mix is highly concentrated.

Given the code mix and state ranks, MOSAIC’s strategic profile is that of a focused community/residential support provider rather than a broad multi-payer medical provider: its scale ($56.2M in Medicaid revenue) is substantial for a Medicaid-only operation, but its in-state percentiles and reliance on two per-diem codes indicate it is a consistent, typical operator rather than a statewide leader or outlier.

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
H2016	Comprehensive community support services, per diem	36,660	$1,140	$41.6M
S5136	Companion care, adult (e.g., iadl/adl); per diem	13,870	$1,030	$14.3M
T2020	Day habilitation, waiver; per diem	3,680	$70	$257.5K

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 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5136	Companion care, adult (e.g., iadl/adl); per diem	35	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	47	180	10,790	$390	$15.2M
T2020	Day habilitation, waiver; per diem	74	100	10,960	$110	$3M

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
Forest City Ambulance Service	IA	Land Ambulance	$195.4K	$34.1K
Hy-vee Inc	IA	Community/Retail Pharmacy	$160.9K	$5.3K
Byron Carlson	IA	Family Medicine Physician	$111.1K	$0
James Brockhohn	IA	Sports Physician Chiropractor	$23K	$0

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