Physician
Third Street Community Clinic, INC
Third Street Community Clinic, INC was paid $1.39M by Medicaid between Oct 2018 and Nov 2024, across 32 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
33Billing provider infoTHIRD STREET COMMUNITY CLINIC, INC
MANSFIELD, OH 44907
MANSFIELD, OH 44907
33aNPI1720407554assigned 04/09/2014
33bProvider typePediatrics Physician
28Total paid$1.39M
24GClaims39,663
24DCodes billed32
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#48 of 401
Median peer was paid$30K
This provider vs. median47×
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 | 1,108 | $43K | |
| 2019 | 6,612 | $252K | |
| 2020 | 8,811 | $297K | |
| 2021 | 8,695 | $310K | |
| 2022 | 6,634 | $272K | |
| 2023 | 7,303 | $202K | |
| 2024incomplete | 500 | $17K |
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 | 67% | 12,072 | 9,113 | $927K |
| 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 | 15% | 7,302 | 4,030 | $206K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 10,229 | 5,363 | $194K |
| J2315 | Injection, naltrexone, depot form, 1 mg | 1.4% | 1,032 | 586 | $19K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,206 | 1,236 | $12K |
| 99442 | <1% | 486 | 230 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 153 | 86 | $5K |
| 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 | <1% | 167 | 138 | $5K |
| Q3014 | Telehealth originating site facility fee | <1% | 464 | 231 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 135 | 73 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 223 | 116 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,059 | 1,211 | $2K |
20 more codes
| 99441 | <1% | 338 | $2K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 20 | $1K |
| 99406 | <1% | 335 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $936.62 |
| 90686 | <1% | 91 | $656.26 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 77 | $638.82 |
| 0011A | <1% | 17 | $615.28 | |
| 0012A | <1% | 18 | $611.48 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 23 | $586.27 |
| 99407 | <1% | 50 | $424.65 | |
| 90674 | <1% | 51 | $365.46 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $129.99 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 33 | $125.92 |
| 91301 | <1% | 38 | $0.34 | |
| 3074F | 0% | 93 | $0.00 | |
| 3079F | 0% | 64 | $0.00 | |
| 3077F | 0% | 48 | $0.00 | |
| 1160F | 0% | 1,644 | $0.00 | |
| 3078F | 0% | 70 | $0.00 | |
| 1159F | 0% | 74 | $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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.