Clinic
Third Street Community Clinic, INC.
Third Street Community Clinic, INC. was paid $774K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 32% of everything it billed.
33Billing provider infoTHIRD STREET COMMUNITY CLINIC, INC.
ONTARIO, OH 44906
ONTARIO, OH 44906
33aNPI1427492271assigned 04/23/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$774K
24GClaims44,073
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#211 of 348
Median peer was paid$1.33M
This provider vs. median0.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ANDERSON, PEGGY controls 15+ related entities in our dataset. Read more
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 | 8,268 | $139K | |
| 2019 | 7,453 | $138K | |
| 2020 | 7,712 | $135K | |
| 2021 | 5,836 | $115K | |
| 2022 | 5,955 | $102K | |
| 2023 | 6,997 | $107K | |
| 2024incomplete | 1,852 | $37K |
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 | 32% | 13,224 | 10,876 | $251K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 30% | 9,889 | 6,558 | $233K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 12,051 | 7,245 | $198K |
| 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 | 8.7% | 2,486 | 2,169 | $67K |
| Q3014 | Telehealth originating site facility fee | <1% | 535 | 279 | $4K |
| 99442 | <1% | 327 | 153 | $3K | |
| 90686 | <1% | 416 | 266 | $3K | |
| 99406 | <1% | 665 | 391 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 294 | 155 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 662 | 431 | $2K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 20 | 14 | $1K |
| 99443 | <1% | 74 | 36 | $1K |
24 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 23 | $893.47 |
| 90756 | <1% | 97 | $852.36 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 35 | $746.61 |
| 36415 | Collection of venous blood by venipuncture | <1% | 692 | $696.78 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 64 | $685.67 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 128 | $510.71 |
| 0011A | <1% | 14 | $345.07 | |
| 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 | <1% | 45 | $331.38 |
| 90661 | <1% | 13 | $296.64 | |
| 99441 | <1% | 62 | $259.92 | |
| 81002 | <1% | 243 | $215.11 | |
| 90674 | <1% | 27 | $99.54 | |
| 86580 | <1% | 34 | $68.32 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 26 | $6.54 |
| 91301 | <1% | 13 | $0.12 | |
| 3074F | 0% | 128 | $0.00 | |
| 3079F | 0% | 218 | $0.00 | |
| 3075F | 0% | 34 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 3044F | 0% | 18 | $0.00 | |
| 3078F | 0% | 118 | $0.00 | |
| 1160F | 0% | 1,204 | $0.00 | |
| 1159F | 0% | 131 | $0.00 | |
| 3077F | 0% | 50 | $0.00 |
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 officialANDERSON, PEGGY (CEO)
| Provider | Location | 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.