Clinic
Mosaic Health, INC.
Mosaic Health, INC. was paid $13.29M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 13% of everything it billed.
33Billing provider infoMOSAIC HEALTH, INC.
RUSHVILLE, NY 14544
RUSHVILLE, NY 14544
33aNPI1912225236assigned 05/11/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$13.29M
24GClaims337,465
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#28 of 158
Median peer was paid$1.73M
This provider vs. median7.7×
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 65,832 | $2.72M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 29,887 | 18,559 | $1.79M |
| D1110 | Prophylaxis - adult | 13% | 33,754 | 18,701 | $1.74M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11% | 21,587 | 11,952 | $1.47M |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 48,282 | 20,889 | $1.46M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.3% | 42,697 | 19,884 | $1.24M |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 19,165 | 7,342 | $779K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.7% | 9,756 | 5,877 | $756K |
| D1206 | Topical application of fluoride varnish | 4.6% | 17,101 | 16,561 | $615K |
| D0330 | Panoramic radiographic image | 3.6% | 15,861 | 6,995 | $475K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 13,208 | 6,016 | $420K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.3% | 5,558 | 3,168 | $312K |
| D0274 | Bitewings - four radiographic images | 2.3% | 10,499 | 8,438 | $303K |
70 more codes
| T1013 | Sign language or oral interpretive services, per 15 minutes | 2.0% | 16,429 | $271K |
| D1351 | Sealant - per tooth | 1.9% | 5,116 | $258K |
| 90834 | Psychotherapy session, about 45 minutes | 1.7% | 2,830 | $221K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 2,308 | $140K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 7,229 | $117K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,640 | $95K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,123 | $70K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 899 | $58K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 610 | $55K |
| D0190 | <1% | 574 | $52K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,101 | $52K |
| D9990 | <1% | 2,138 | $48K | |
| D0272 | Bitewings - two radiographic images | <1% | 2,523 | $48K |
| 90686 | <1% | 3,756 | $34K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 548 | $34K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 322 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 535 | $33K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,708 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 563 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,332 | $23K |
| 82948 | <1% | 1,661 | $22K | |
| D4910 | <1% | 329 | $21K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 309 | $18K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,300 | $18K |
| 98968 | <1% | 123 | $17K | |
| G0467 | Community health center visit, returning patient | <1% | 822 | $17K |
| 0012A | <1% | 395 | $12K | |
| 99406 | <1% | 950 | $12K | |
| D9996 | <1% | 348 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 189 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 828 | $10K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 328 | $10K |
| 0011A | <1% | 379 | $7K | |
| 99443 | <1% | 99 | $7K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 103 | $6K |
| 99442 | <1% | 89 | $6K | |
| D2331 | <1% | 68 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 540 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 56 | $4K |
| D9995 | <1% | 162 | $4K | |
| D5110 | <1% | 24 | $4K | |
| 81002 | <1% | 223 | $3K | |
| 0001A | <1% | 95 | $3K | |
| 99441 | <1% | 49 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 105 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,187 | $1K |
| D1330 | <1% | 835 | $1K | |
| 0002A | <1% | 29 | $898.61 | |
| 90656 | <1% | 49 | $820.16 | |
| 90715 | <1% | 26 | $811.95 | |
| 90674 | <1% | 26 | $645.94 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 29 | $576.19 |
| 90685 | <1% | 34 | $428.20 | |
| 0013A | <1% | 12 | $378.69 | |
| 82947 | <1% | 93 | $304.76 | |
| D1320 | <1% | 18 | $175.45 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $161.05 |
| 81025 | <1% | 24 | $94.48 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $16.85 |
| 91300 | 0% | 51 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| 90655 | 0% | 52 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| 91301 | 0% | 450 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 105 | $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) | 0% | 116 | $0.00 |
| 91307 | 0% | 13 | $0.00 | |
| 90657 | 0% | 25 | $0.00 |
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 officialOLSCAMP, LISA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mosaic Health, INC. | Mount Morris, NY | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.