NPI: 1104461805 · ASHLAND, OH 44805 · Federally Qualified Health Center (FQHC) · NPI assigned 11/18/2019
Authorized official ANDERSON, PEGGY controls 15+ related entities in our dataset. Read more
| Authorized Official | ANDERSON, PEGGY (CEO) |
| NPI Enumeration Date | 11/18/2019 |
Other providers sharing the same authorized official: ANDERSON, PEGGY
| Provider | City | State | Total Paid |
|---|---|---|---|
| THIRD STREET COMMUNITY CLINIC, INC. | MANSFIELD | OH | $12.93M |
| THIRD STREET COMMUNITY CLINIC, INC. | MANSFIELD | OH | $5.21M |
| THIRD STREET COMMUNITY CLINIC INC | SHELBY | OH | $2.81M |
| THIRD STREET COMMUNITY CLINIC INC | MANSFIELD | OH | $2.80M |
| THIRD STREET COMMUNITY CLINIC, INC | MANSFIELD | OH | $1.39M |
| THIRD STREET COMMUNITY CLINIC, INC. | ONTARIO | OH | $774K |
| THIRD STREET DENTAL MOBILE VAN | MANSFIELD | OH | $746K |
| THIRD STREET COMMUNITY CLINIC, INC | BUCYRUS | OH | $593K |
| THIRD STREET COMMUNITY CLINIC, INC. | ASHLAND | OH | $462K |
| THIRD STREET COMMUNITY CLINIC, INC. | BUCYRUS | OH | $400K |
| THIRD STREET COMMUNITY CLINIC, INC. | MANSFIELD | OH | $306K |
| ALLIANCE OB GYN SPECIALISTS PLLC | DENTON | TX | $297K |
| THIRD STREET COMMUNITY CLINIC INC | MARION | OH | $234K |
| THIRD STREET COMMUNITY CLINIC, INC | MANSFIELD | OH | $54K |
| SURGICAL CAREGIVERS OF FORT WORTH LLC | FORT WORTH | TX | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,498 | $72K |
| 2021 | 2,695 | $99K |
| 2022 | 2,157 | $77K |
| 2023 | 3,141 | $105K |
| 2024 | 576 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,858 | 2,808 | $248K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,207 | 1,929 | $82K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,280 | 668 | $38K |
| 90834 | Psychotherapy, 45 minutes with patient | 98 | 48 | $3K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 35 | 20 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 251 | 118 | $1K |
| Q3014 | Telehealth originating site facility fee | 210 | 69 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 82 | 39 | $1K |
| 99441 | 193 | 61 | $678.44 | |
| 90686 | 68 | 36 | $551.48 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 83 | 43 | $506.40 |
| 36415 | Collection of venous blood by venipuncture | 94 | 52 | $112.45 |
| 1160F | 540 | 292 | $0.00 | |
| 3077F | 24 | 13 | $0.00 | |
| 3079F | 44 | 24 | $0.00 |