Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › RUSHVILLE › MOSAIC HEALTH, INC.

MOSAIC HEALTH, INC.

NPI: 1912225236 · RUSHVILLE, NY 14544 · Federally Qualified Health Center (FQHC) · NPI assigned 05/11/2010

$13.29M
Total Medicaid Paid
337,465
Total Claims
194,969
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOLSCAMP, LISA (CFO)
NPI Enumeration Date05/11/2010

Related Entities

Other providers sharing the same authorized official: OLSCAMP, LISA

ProviderCityStateTotal Paid
MOSAIC HEALTH, INC. MOUNT MORRIS NY $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,990 $669K
2019 51,632 $1.68M
2020 40,571 $1.74M
2021 59,271 $2.41M
2022 46,831 $1.87M
2023 53,338 $2.22M
2024 65,832 $2.72M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,887 18,559 $1.79M
D1110 Prophylaxis - adult 33,754 18,701 $1.74M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,587 11,952 $1.47M
D1120 Prophylaxis - child 48,282 20,889 $1.46M
D0120 Periodic oral evaluation - established patient 42,697 19,884 $1.24M
D0150 Comprehensive oral evaluation - new or established patient 19,165 7,342 $779K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9,756 5,877 $756K
D1206 Topical application of fluoride varnish 17,101 16,561 $615K
D0330 Panoramic radiographic image 15,861 6,995 $475K
D0140 Limited oral evaluation - problem focused 13,208 6,016 $420K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5,558 3,168 $312K
D0274 Bitewings - four radiographic images 10,499 8,438 $303K
T1013 Sign language or oral interpretive services, per 15 minutes 16,429 10,201 $271K
D1351 Sealant - per tooth 5,116 2,379 $258K
90834 Psychotherapy, 45 minutes with patient 2,830 1,295 $221K
D7140 Extraction, erupted tooth or exposed root 2,308 1,172 $140K
D0220 Intraoral - periapical first radiographic image 7,229 6,135 $117K
90832 Psychotherapy, 30 minutes with patient 1,640 1,043 $95K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,123 530 $70K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 899 427 $58K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 610 410 $55K
D0190 574 546 $52K
90460 Immunization administration through 18 years of age via any route, first or only component 4,101 3,884 $52K
D9990 2,138 2,043 $48K
D0272 Bitewings - two radiographic images 2,523 2,400 $48K
90686 3,756 3,715 $34K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 548 277 $34K
90792 Psychiatric diagnostic evaluation with medical services 322 191 $33K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 535 302 $33K
D0210 Intraoral - complete series of radiographic images 1,708 1,679 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 563 363 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,332 2,055 $23K
82948 1,661 804 $22K
D4910 329 166 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 309 96 $18K
83036 Hemoglobin; glycosylated (A1C) 1,300 849 $18K
98968 123 87 $17K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 822 359 $17K
0012A 395 391 $12K
99406 950 760 $12K
D9996 348 299 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 189 68 $11K
D0230 Intraoral - periapical each additional radiographic image 828 695 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 328 325 $10K
0011A 379 376 $7K
99443 99 53 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 103 58 $6K
99442 89 44 $6K
D2331 68 39 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 540 448 $4K
D0145 Oral evaluation for a patient under three years of age 56 45 $4K
D9995 162 145 $4K
D5110 24 14 $4K
81002 223 113 $3K
0001A 95 95 $3K
99441 49 24 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 105 105 $2K
90791 Psychiatric diagnostic evaluation 13 13 $2K
36415 Collection of venous blood by venipuncture 1,187 1,158 $1K
D1330 835 801 $1K
0002A 29 29 $898.61
90656 49 15 $820.16
90715 26 26 $811.95
90674 26 26 $645.94
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 29 14 $576.19
90685 34 34 $428.20
0013A 12 12 $378.69
82947 93 93 $304.76
D1320 18 15 $175.45
90472 Immunization administration, each additional vaccine (list separately) 13 13 $161.05
81025 24 24 $94.48
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15 15 $16.85
91300 51 48 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13 13 $0.00
90655 52 52 $0.00
90633 12 12 $0.00
90670 12 12 $0.00
91301 450 418 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 105 95 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 116 106 $0.00
91307 13 13 $0.00
90657 25 25 $0.00