Medicaid Provider Spending

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

NPI: 1427492271 · ONTARIO, OH 44906 · Federally Qualified Health Center (FQHC) · NPI assigned 04/23/2013

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

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

$774K
Total Medicaid Paid
44,073
Total Claims
30,768
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, PEGGY (CEO)
NPI Enumeration Date04/23/2013

Related Entities

Other providers sharing the same authorized official: ANDERSON, PEGGY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,852 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 13,224 10,876 $251K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,889 6,558 $233K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,051 7,245 $198K
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 2,486 2,169 $67K
Q3014 Telehealth originating site facility fee 535 279 $4K
99442 327 153 $3K
90686 416 266 $3K
99406 665 391 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 294 155 $2K
83036 Hemoglobin; glycosylated (A1C) 662 431 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 20 14 $1K
99443 74 36 $1K
99215 Prolong outpt/office vis 23 16 $893.47
90756 97 45 $852.36
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 35 14 $746.61
36415 Collection of venous blood by venipuncture 692 424 $696.78
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 64 38 $685.67
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 128 81 $510.71
0011A 14 13 $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 45 43 $331.38
90661 13 12 $296.64
99441 62 32 $259.92
81002 243 144 $215.11
90674 27 17 $99.54
86580 34 13 $68.32
J1885 Injection, ketorolac tromethamine, per 15 mg 26 15 $6.54
91301 13 12 $0.12
3074F 128 86 $0.00
3079F 218 152 $0.00
3075F 34 25 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00
3044F 18 12 $0.00
3078F 118 72 $0.00
1160F 1,204 776 $0.00
1159F 131 111 $0.00
3077F 50 29 $0.00