THIRD STREET COMMUNITY CLINIC, INC.
NPI: 1336252519
· MANSFIELD, OH 44906
· 3336C0002X
$12.93M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
80,380 |
$2.04M |
| 2019 |
74,746 |
$2.23M |
| 2020 |
60,892 |
$1.90M |
| 2021 |
67,283 |
$2.06M |
| 2022 |
68,513 |
$1.90M |
| 2023 |
79,578 |
$1.94M |
| 2024 |
25,408 |
$840K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
135,873 |
99,851 |
$8.29M |
| 99213 |
|
65,485 |
37,647 |
$1.25M |
| 99214 |
|
38,587 |
23,159 |
$1.09M |
| 90832 |
|
18,287 |
8,162 |
$338K |
| D7140 |
|
15,162 |
8,174 |
$246K |
| 90834 |
|
9,591 |
4,830 |
$217K |
| 90792 |
|
5,035 |
2,263 |
$172K |
| 90837 |
|
3,294 |
1,647 |
$121K |
| G0467 |
Fqhc visit, estab pt |
4,845 |
4,039 |
$109K |
| D0140 |
|
18,380 |
13,372 |
$108K |
| D0330 |
|
10,861 |
7,929 |
$105K |
| D1110 |
|
10,627 |
8,139 |
$95K |
| 99212 |
|
4,337 |
2,668 |
$65K |
| D2392 |
|
3,632 |
2,179 |
$54K |
| D1120 |
|
7,436 |
5,144 |
$53K |
| 99215 |
Prolong outpt/office vis |
1,274 |
828 |
$52K |
| D0150 |
|
7,103 |
5,058 |
$51K |
| 90460 |
|
5,833 |
1,451 |
$43K |
| D1206 |
|
4,383 |
2,773 |
$36K |
| 99203 |
|
1,567 |
998 |
$35K |
| D0274 |
|
8,817 |
6,654 |
$34K |
| D0120 |
|
6,451 |
4,846 |
$32K |
| 11056 |
|
2,565 |
1,784 |
$28K |
| D2391 |
|
2,198 |
1,257 |
$26K |
| D1208 |
|
5,854 |
4,451 |
$21K |
| 90677 |
|
123 |
68 |
$18K |
| Q3014 |
Telehealth facility fee |
2,012 |
841 |
$17K |
| D0220 |
|
12,462 |
9,087 |
$16K |
| 90791 |
|
489 |
274 |
$15K |
| 96372 |
|
2,342 |
1,384 |
$14K |
| 99442 |
|
1,058 |
509 |
$11K |
| 99232 |
|
440 |
190 |
$11K |
| D1351 |
|
1,765 |
466 |
$10K |
| 11720 |
|
2,462 |
1,736 |
$10K |
| 90471 |
|
1,260 |
681 |
$8K |
| 90686 |
|
1,438 |
848 |
$8K |
| D9230 |
|
1,539 |
1,079 |
$7K |
| 87635 |
|
322 |
153 |
$7K |
| 11721 |
|
1,020 |
750 |
$7K |
| D0272 |
|
1,618 |
1,117 |
$6K |
| 99204 |
|
157 |
81 |
$6K |
| 0012A |
|
160 |
156 |
$6K |
| 0011A |
|
149 |
148 |
$5K |
| 99202 |
|
293 |
186 |
$5K |
| 73630 |
|
541 |
243 |
$5K |
| 87637 |
|
58 |
35 |
$4K |
| 90674 |
|
362 |
228 |
$4K |
| 99406 |
|
1,080 |
689 |
$4K |
| L3020 |
Foot longitud/metatarsal sup |
92 |
40 |
$4K |
| 99396 |
|
99 |
55 |
$3K |
| 99441 |
|
491 |
227 |
$3K |
| 99443 |
|
245 |
68 |
$3K |
| 87636 |
|
43 |
24 |
$3K |
| G0470 |
Fqhc visit, mh estab pt |
135 |
79 |
$2K |
| 90756 |
|
230 |
109 |
$2K |
| 99392 |
|
67 |
54 |
$2K |
| 90732 |
|
22 |
12 |
$1K |
| 83036 |
|
522 |
304 |
$1K |
| J2315 |
Naltrexone, depot form |
921 |
493 |
$1K |
| 99402 |
|
122 |
68 |
$1K |
| D2393 |
|
156 |
103 |
$1K |
| 99403 |
|
54 |
39 |
$991.30 |
| 90714 |
|
88 |
54 |
$946.12 |
| 99393 |
|
32 |
17 |
$939.98 |
| 99239 |
|
27 |
25 |
$850.23 |
| 99395 |
|
38 |
27 |
$845.90 |
| 99394 |
|
29 |
15 |
$825.69 |
| 99222 |
|
14 |
12 |
$802.26 |
| 99391 |
|
40 |
38 |
$634.79 |
| 90833 |
|
60 |
37 |
$632.26 |
| D0230 |
|
831 |
409 |
$450.00 |
| 90661 |
|
12 |
12 |
$222.94 |
| 90472 |
|
40 |
24 |
$200.93 |
| T2003 |
N-et; encounter/trip |
47 |
38 |
$163.28 |
| D0270 |
|
109 |
88 |
$90.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
13 |
13 |
$65.12 |
| 90461 |
|
741 |
464 |
$31.50 |
| 81002 |
|
25 |
12 |
$29.10 |
| G0444 |
Depression screen annual |
928 |
501 |
$15.12 |
| 91301 |
|
539 |
526 |
$4.96 |
| 91300 |
|
32 |
27 |
$0.29 |
| 1160F |
|
5,277 |
3,143 |
$0.00 |
| 3077F |
|
601 |
357 |
$0.00 |
| D1999 |
|
6,396 |
4,454 |
$0.00 |
| 90648 |
|
53 |
40 |
$0.00 |
| 90633 |
|
53 |
51 |
$0.00 |
| 3078F |
|
305 |
223 |
$0.00 |
| 90734 |
|
23 |
12 |
$0.00 |
| D9110 |
|
16 |
12 |
$0.00 |
| 90670 |
|
54 |
41 |
$0.00 |
| D2332 |
|
16 |
12 |
$0.00 |
| 3074F |
|
617 |
432 |
$0.00 |
| D1330 |
|
3,924 |
3,222 |
$0.00 |
| D0601 |
|
341 |
264 |
$0.00 |
| G0008 |
Admin influenza virus vac |
25 |
25 |
$0.00 |
| 3079F |
|
590 |
389 |
$0.00 |
| 3080F |
|
249 |
145 |
$0.00 |
| D0603 |
|
356 |
271 |
$0.00 |
| 1036F |
|
38 |
38 |
$0.00 |
| 3044F |
|
158 |
86 |
$0.00 |
| D3120 |
|
92 |
71 |
$0.00 |
| 90651 |
|
24 |
13 |
$0.00 |
| D2331 |
|
21 |
13 |
$0.00 |
| 90723 |
|
15 |
14 |
$0.00 |
| H0049 |
Alcohol/drug screening |
47 |
24 |
$0.00 |
| D2330 |
|
38 |
14 |
$0.00 |