Mosaic
Community Based Residential Treatment Facility Mental Illness
Newark, Delaware
NPI: 1689742439
Risk Tier
Elevated
Total Paid
$113.9M
$113,910,966
Total Claims
0
Beneficiaries
0
Avg Cost/Claim
$0.00
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $1,399.60 per claim for T2025 (Waiver services, NOS; per 15 min), which is 11.3× the national median of $124.39.
Advanced Detection Signals
Suspicious Concentration
Herfindahl-Hirschman Index of 1 across 3 procedure codes — billing is highly concentrated in very few services.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024