Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THIRD STREET COMMUNITY CLINIC, INC.

NPI: 1649599119 · MANSFIELD, OH 44906 · Federally Qualified Health Center (FQHC) · NPI assigned 05/24/2010

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

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

$5.21M
Total Medicaid Paid
138,574
Total Claims
80,793
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, PEGGY (CEO)
NPI Enumeration Date05/24/2010

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 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 20,049 $684K
2019 19,556 $764K
2020 22,109 $893K
2021 23,351 $961K
2022 20,303 $816K
2023 25,811 $831K
2024 7,395 $260K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 49,524 31,558 $3.53M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 38,868 20,327 $700K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,388 11,421 $402K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,931 2,190 $117K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,675 1,587 $77K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,783 1,075 $75K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,603 974 $65K
76830 Ultrasound, transvaginal 1,569 938 $48K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,499 885 $42K
76801 1,423 792 $38K
H1000 Prenatal care, at-risk assessment 923 499 $34K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,104 683 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,130 1,855 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 217 133 $7K
59025 Fetal non-stress test 402 227 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 327 199 $7K
59430 36 35 $4K
90715 253 151 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 463 267 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 154 111 $2K
81025 291 187 $1K
Q3014 Telehealth originating site facility fee 61 27 $443.62
90686 25 13 $216.46
81002 132 71 $127.61
87210 21 13 $44.80
1036F 73 72 $0.00
0500F 461 313 $0.00
0503F 30 30 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 26 12 $0.00
0502F 5,350 3,140 $0.00
1160F 1,808 996 $0.00
1159F 24 12 $0.00