Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › MANSFIELD › THIRD STREET COMMUNITY CLINIC, INC.

THIRD STREET COMMUNITY CLINIC, INC.

NPI: 1336252519 · MANSFIELD, OH 44906 · Clinic Pharmacy · NPI assigned 08/15/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, PEGGY controls 15+ related entities in our dataset. Read more

$12.93M
Total Medicaid Paid
456,800
Total Claims
297,632
Beneficiaries
106
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, PEGGY (CEO)
NPI Enumeration Date08/15/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, PEGGY

ProviderCityStateTotal Paid
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. ASHLAND OH $378K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 135,873 99,851 $8.29M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65,485 37,647 $1.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38,587 23,159 $1.09M
90832 Psychotherapy, 30 minutes with patient 18,287 8,162 $338K
D7140 Extraction, erupted tooth or exposed root 15,162 8,174 $246K
90834 Psychotherapy, 45 minutes with patient 9,591 4,830 $217K
90792 Psychiatric diagnostic evaluation with medical services 5,035 2,263 $172K
90837 Psychotherapy, 53 minutes with patient 3,294 1,647 $121K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 4,845 4,039 $109K
D0140 Limited oral evaluation - problem focused 18,380 13,372 $108K
D0330 Panoramic radiographic image 10,861 7,929 $105K
D1110 Prophylaxis - adult 10,627 8,139 $95K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,337 2,668 $65K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,632 2,179 $54K
D1120 Prophylaxis - child 7,436 5,144 $53K
99215 Prolong outpt/office vis 1,274 828 $52K
D0150 Comprehensive oral evaluation - new or established patient 7,103 5,058 $51K
90460 Immunization administration through 18 years of age via any route, first or only component 5,833 1,451 $43K
D1206 Topical application of fluoride varnish 4,383 2,773 $36K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,567 998 $35K
D0274 Bitewings - four radiographic images 8,817 6,654 $34K
D0120 Periodic oral evaluation - established patient 6,451 4,846 $32K
11056 2,565 1,784 $28K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,198 1,257 $26K
D1208 Topical application of fluoride, excluding varnish 5,854 4,451 $21K
90677 123 68 $18K
Q3014 Telehealth originating site facility fee 2,012 841 $17K
D0220 Intraoral - periapical first radiographic image 12,462 9,087 $16K
90791 Psychiatric diagnostic evaluation 489 274 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,342 1,384 $14K
99442 1,058 509 $11K
99232 Subsequent hospital care, per day, moderate complexity 440 190 $11K
D1351 Sealant - per tooth 1,765 466 $10K
11720 2,462 1,736 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,260 681 $8K
90686 1,438 848 $8K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,539 1,079 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 322 153 $7K
11721 1,020 750 $7K
D0272 Bitewings - two radiographic images 1,618 1,117 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 157 81 $6K
0012A 160 156 $6K
0011A 149 148 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 293 186 $5K
73630 541 243 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 58 35 $4K
90674 362 228 $4K
99406 1,080 689 $4K
L3020 Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each 92 40 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 99 55 $3K
99441 491 227 $3K
99443 245 68 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 43 24 $3K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 135 79 $2K
90756 230 109 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 67 54 $2K
90732 22 12 $1K
83036 Hemoglobin; glycosylated (A1C) 522 304 $1K
J2315 Injection, naltrexone, depot form, 1 mg 921 493 $1K
99402 122 68 $1K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 156 103 $1K
99403 54 39 $991.30
90714 88 54 $946.12
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 32 17 $939.98
99239 Hospital discharge day management, more than 30 minutes 27 25 $850.23
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 38 27 $845.90
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 15 $825.69
99222 Initial hospital care, per day, moderate complexity 14 12 $802.26
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 40 38 $634.79
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 60 37 $632.26
D0230 Intraoral - periapical each additional radiographic image 831 409 $450.00
90661 12 12 $222.94
90472 Immunization administration, each additional vaccine (list separately) 40 24 $200.93
T2003 Non-emergency transportation; encounter/trip 47 38 $163.28
D0270 109 88 $90.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 13 13 $65.12
90461 741 464 $31.50
81002 25 12 $29.10
G0444 Annual depression screening, 5 to 15 minutes 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 Administration of influenza virus vaccine 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 and/or drug screening 47 24 $0.00
D2330 38 14 $0.00