Mosaic Senior Services INC
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $393.96 per claim for S5125 (Attendant care services, per 15 min), which is 4.8× the national median of $82.34.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 562% from 2018 to 2019.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to In Home Supportive Care Peers
Total spending distribution among 57 providers in this specialty
This provider's total spending of $74.4M is at the 50th percentile among 57 In Home Supportive Care providers.
Total Paid
$74.4M
$74,376,327
Total Claims
197K
Beneficiaries
37K
5.4 claims/patient
Avg Cost/Claim
$378
🔍 Analysis
Provider Overview
Mosaic Senior Services INC is a In Home Supportive Care provider based in Tucson, AZ. From the 2018–2024 period, this provider received $74.4M in Medicaid payments across 197K claims.
Why This Matters
At $74.4M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
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