THIRD STREET COMMUNITY CLINIC, INC
NPI: 1720407554
· MANSFIELD, OH 44907
· 208000000X
$1.39M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
12,072 |
9,113 |
$927K |
| 99214 |
|
7,302 |
4,030 |
$206K |
| 99213 |
|
10,229 |
5,363 |
$194K |
| J2315 |
Naltrexone, depot form |
1,032 |
586 |
$19K |
| 96372 |
|
2,206 |
1,236 |
$12K |
| 99442 |
|
486 |
230 |
$5K |
| 99396 |
|
153 |
86 |
$5K |
| G0467 |
Fqhc visit, estab pt |
167 |
138 |
$5K |
| Q3014 |
Telehealth facility fee |
464 |
231 |
$4K |
| 99395 |
|
135 |
73 |
$3K |
| 99212 |
|
223 |
116 |
$3K |
| 36415 |
|
2,059 |
1,211 |
$2K |
| 99441 |
|
338 |
140 |
$2K |
| 87636 |
|
20 |
14 |
$1K |
| 99406 |
|
335 |
198 |
$1K |
| 99215 |
Prolong outpt/office vis |
26 |
14 |
$936.62 |
| 90686 |
|
91 |
61 |
$656.26 |
| 90471 |
|
77 |
46 |
$638.82 |
| 0011A |
|
17 |
17 |
$615.28 |
| 0012A |
|
18 |
17 |
$611.48 |
| 99203 |
|
23 |
14 |
$586.27 |
| 99407 |
|
50 |
25 |
$424.65 |
| 90674 |
|
51 |
32 |
$365.46 |
| 87880 |
|
25 |
13 |
$129.99 |
| 83036 |
|
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 |