THIRD STREET COMMUNITY CLINIC, INC.
NPI: 1649599119
· MANSFIELD, OH 44906
· 261QF0400X
$5.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
49,524 |
31,558 |
$3.53M |
| 99212 |
|
38,868 |
20,327 |
$700K |
| 99213 |
|
20,388 |
11,421 |
$402K |
| 99214 |
|
3,931 |
2,190 |
$117K |
| 99395 |
|
2,675 |
1,587 |
$77K |
| J1050 |
Medroxyprogesterone acetate |
1,783 |
1,075 |
$75K |
| 76805 |
|
1,603 |
974 |
$65K |
| 76830 |
|
1,569 |
938 |
$48K |
| 76856 |
|
1,499 |
885 |
$42K |
| 76801 |
|
1,423 |
792 |
$38K |
| H1000 |
Prenatal care atrisk assessm |
923 |
499 |
$34K |
| 76817 |
|
1,104 |
683 |
$29K |
| 96372 |
|
3,130 |
1,855 |
$18K |
| 99204 |
|
217 |
133 |
$7K |
| 59025 |
|
402 |
227 |
$7K |
| 99396 |
|
327 |
199 |
$7K |
| 59430 |
|
36 |
35 |
$4K |
| 90715 |
|
253 |
151 |
$4K |
| 90471 |
|
463 |
267 |
$3K |
| 99203 |
|
154 |
111 |
$2K |
| 81025 |
|
291 |
187 |
$1K |
| Q3014 |
Telehealth 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 |
|
26 |
12 |
$0.00 |
| 0502F |
|
5,350 |
3,140 |
$0.00 |
| 1160F |
|
1,808 |
996 |
$0.00 |
| 1159F |
|
24 |
12 |
$0.00 |