Agency
Mosaic Group, LLC
Mosaic Group, LLC was paid $83.92M by Medicaid between Jul 2019 and Dec 2024, across 4 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 82% of everything it billed.
33Billing provider infoMOSAIC GROUP, LLC
PINEVILLE, NC 28134
PINEVILLE, NC 28134
33aNPI1144682873assigned 03/22/2016
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$83.92M
24GClaims273,175
24DCodes billed4
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#5 of 856
Median peer was paid$908K
This provider vs. median92×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,691 | $391K | |
| 2020 | 11,195 | $2.50M | |
| 2021 | 29,890 | $7.49M | |
| 2022 | 43,542 | $13.31M | |
| 2023 | 92,877 | $27.86M | |
| 2024incomplete | 93,980 | $32.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 82% | 186,109 | 9,902 | $68.74M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 16% | 70,553 | 9,589 | $13.32M |
| 97151 | 1.5% | 6,883 | 2,238 | $1.27M | |
| 97156 | <1% | 9,630 | 6,121 | $580K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMACHOSE, MICHAEL (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Delta Behavioral Group, PLLC | Charlotte, NC | $8.10M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.