Clinic
Third Street Community Clinic, INC
Third Street Community Clinic, INC was paid $109K by Medicaid between Jan 2018 and Oct 2018, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
33Billing provider infoTHIRD STREET COMMUNITY CLINIC, INC
MANSFIELD, OH 44907
MANSFIELD, OH 44907
33aNPI1336411156assigned 02/09/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$109K
24GClaims3,659
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#286 of 348
Median peer was paid$1.33M
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,659 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 66% | 1,223 | 781 | $72K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 1,987 | 1,195 | $34K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 324 | 274 | $2K |
| G0467 | Community health center visit, returning patientFederally 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 | 1.1% | 40 | 30 | $1K |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 85 | 78 | $0.11 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPOLLICK, JARED (CEO)
| Provider | Location | Paid |
|---|---|---|
| Family Health Services of Darke County, INC. | Versailles, OH | $1.19M |
| Family Health Services of Darke County INC | New Madison, OH | $23K |
| Third Street Community Clinic INC | Shelby, OH | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.