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 1972655991)

Field	Value
Entity Type	Organization
Organization	Mosaic
Address	11141 Aurora Ave
City	Urbandale
State	IA
ZIP	50322
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 18, 2007

Payer Source	Total Paid
Medicaid	$177.4M
Medicare	$0

Key Findings

Payer mix and scale: MOSAIC reports no Medicare billing on file and $177.4M in lifetime Medicaid revenue, making it effectively a Medicaid-focused provider. The absence of Medicare activity means all analyzed billing and competitive dynamics are driven by Medicaid program design and reimbursement in Iowa.

Revenue concentration: the provider’s Medicaid revenue is overwhelmingly concentrated in a very small set of codes — the precomputed top-3 codes account for 100.0% of Medicaid revenue, with H2016 representing $151.8M (85.6% of Medicaid revenue) and S5136 representing $25.5M (14.4% of Medicaid revenue). This concentration indicates that nearly all cashflow is tied to these specific service categories.

Service-line implications: MOSAIC’s taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) aligns with its dominant codes: H2016 (Comprehensive community support services, per diem) and S5136 (Companion care, adult; per diem). The code mix suggests the organization operates as a per-diem, residential/community-support provider focused on ongoing ADL/IADL assistance and comprehensive community supports rather than episodic clinical procedures.

Operational volume and unit economics: the dataset shows 106.5K claims for H2016 with an average paid/claim of $1426 and 17.7K claims for S5136 with an average paid/claim of $1440. Those claim counts and per-diem payment levels are consistent with sustained, high-volume service delivery models (long-stay or recurring community support days) rather than low-frequency, high-acuity encounters.

Competitive standing for H2016: MOSAIC ranks #18 of 176 providers in-state for H2016 (90th percentile; typical, unremarkable volume for this code). While the rank places MOSAIC toward the higher end of statewide volume for this service, the accompanying label characterizes the volume as typical rather than an extreme outlier.

Competitive standing for S5136: MOSAIC ranks #31 of 82 providers in-state for S5136 (63th percentile; typical, unremarkable volume for this code), indicating a middle-tier market position for companion care within Iowa rather than a dominant statewide role in that specific service.

Business risk and strategic implications: the near-total reliance on H2016 and S5136 for Medicaid revenue creates concentration risk — payment policy changes, rate adjustments, or eligibility shifts affecting comprehensive community supports or companion care could meaningfully impact MOSAIC’s revenue. Diversification within Medicaid service lines or expansion of payer mix would be the primary levers to reduce that exposure given the absence of Medicare activity.

Tenure and market establishment: MOSAIC’s NPI was enumerated on 2007-01-18 (~19 years ago), indicating long-standing presence in the market. That tenure, combined with large Medicaid volumes, suggests established operational capacity in Iowa’s community-based residential and support services sector.

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	106,460	$1,430	$151.8M
S5136	Companion care, adult (e.g., iadl/adl); per diem	17,740	$1,440	$25.5M

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	31	80	9,410	$490	$17.9M
H2016	Comprehensive community support services, per diem	18	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
The Respite Connection, Inc.	IA	Community/Behavioral Health Agency	$0	$38.1M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$16.5M
Unitypoint At Home	IA	Home Infusion Therapy Pharmacy	$0	$15.4M
New Beginnings Counseling Service, LLC	IA	Community/Behavioral Health Agency	$0	$6.3M
A-1 Iowa Dental PLLC	IA	Dentist	$0	$5.4M
Urbandale Community School District	IA	Local Education Agency (LEA)	$0	$4.4M
Primary Health Care, Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$3.9M
Acs Medical LLC	IA	Durable Medical Equipment & Medical Supplies	$0	$3.6M
Wellserve Health, Inc.	IA	Community/Behavioral Health Agency	$0	$2.8M
Mosaic Family Counseling Center, Inc.	IA	Mental Health Counselor	$0	$2.5M

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