Medicaid Provider Spending

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

THIRD STREET COMMUNITY CLINIC, INC

NPI: 1720407554 · MANSFIELD, OH 44907 · Pediatrics Physician · NPI assigned 04/09/2014

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

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

$1.39M
Total Medicaid Paid
39,663
Total Claims
24,109
Beneficiaries
32
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, PEGGY (CEO)
NPI Enumeration Date04/09/2014

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. 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 1,108 $43K
2019 6,612 $252K
2020 8,811 $297K
2021 8,695 $310K
2022 6,634 $272K
2023 7,303 $202K
2024 500 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 12,072 9,113 $927K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,302 4,030 $206K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,229 5,363 $194K
J2315 Injection, naltrexone, depot form, 1 mg 1,032 586 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,206 1,236 $12K
99442 486 230 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 153 86 $5K
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 167 138 $5K
Q3014 Telehealth originating site facility fee 464 231 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 135 73 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 223 116 $3K
36415 Collection of venous blood by venipuncture 2,059 1,211 $2K
99441 338 140 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 20 14 $1K
99406 335 198 $1K
99215 Prolong outpt/office vis 26 14 $936.62
90686 91 61 $656.26
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 77 46 $638.82
0011A 17 17 $615.28
0012A 18 17 $611.48
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23 14 $586.27
99407 50 25 $424.65
90674 51 32 $365.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 13 $129.99
83036 Hemoglobin; glycosylated (A1C) 33 33 $125.92
91301 38 37 $0.34
3074F 93 49 $0.00
3079F 64 36 $0.00
3077F 48 27 $0.00
1160F 1,644 824 $0.00
3078F 70 41 $0.00
1159F 74 58 $0.00