Mosaic
Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities
Urbandale, Iowa
NPI: 1972655991
Risk Tier
High
Total Paid
$177.4M
$177,402,111
Total Claims
124K
Beneficiaries
16K
Avg Cost/Claim
$1,428.34
Active billing period: 82 months (2018-01 to 2024-11)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $1,426.42 per claim for H2016 (Comprehensive community support services, per 15 min), which is 4.4× the national median of $321.53.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code S5136 (2 unique codes).
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