Medicaid Provider Spending

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

THIRD STREET COMMUNITY CLINIC INC

NPI: 1700250511 · SHELBY, OH 44875 · Federally Qualified Health Center (FQHC) · NPI assigned 11/17/2015

$2K
Total Medicaid Paid
53
Total Claims
45
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialPOLLICK, JARED (CEO)
Parent OrganizationTHIRD STREET COMMUNITY CLINIC INC
NPI Enumeration Date11/17/2015

Related Entities

Other providers sharing the same authorized official: POLLICK, JARED

ProviderCityStateTotal Paid
FAMILY HEALTH SERVICES OF DARKE COUNTY, INC. VERSAILLES OH $1.19M
THIRD STREET COMMUNITY CLINIC, INC MANSFIELD OH $109K
FAMILY HEALTH SERVICES OF DARKE COUNTY INC NEW MADISON OH $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 38 33 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 12 $0.00