THIRD STREET COMMUNITY CLINIC INC
NPI: 1972053452
· MANSFIELD, OH 44902
· 261QF0400X
$2.80M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,381 |
$397K |
| 2019 |
12,219 |
$480K |
| 2020 |
13,369 |
$487K |
| 2021 |
13,690 |
$508K |
| 2022 |
13,179 |
$443K |
| 2023 |
13,549 |
$362K |
| 2024 |
3,442 |
$122K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
25,955 |
20,249 |
$1.80M |
| 99214 |
|
19,028 |
10,849 |
$525K |
| 99213 |
|
21,516 |
12,059 |
$407K |
| 99406 |
|
3,361 |
1,891 |
$12K |
| 90792 |
|
344 |
146 |
$8K |
| Q3014 |
Telehealth facility fee |
660 |
311 |
$6K |
| 99203 |
|
420 |
281 |
$5K |
| 99396 |
|
162 |
81 |
$5K |
| G0467 |
Fqhc visit, estab pt |
163 |
142 |
$5K |
| 99442 |
|
445 |
212 |
$4K |
| J2315 |
Naltrexone, depot form |
345 |
204 |
$4K |
| 96372 |
|
784 |
446 |
$4K |
| 90686 |
|
359 |
218 |
$3K |
| 90471 |
|
364 |
209 |
$3K |
| 87635 |
|
116 |
56 |
$2K |
| 99395 |
|
61 |
31 |
$2K |
| 99212 |
|
214 |
142 |
$2K |
| 36415 |
|
1,600 |
899 |
$2K |
| 83036 |
|
481 |
299 |
$1K |
| 87636 |
|
25 |
14 |
$1K |
| 90674 |
|
116 |
74 |
$1K |
| 96127 |
|
700 |
391 |
$665.28 |
| 90661 |
|
13 |
12 |
$445.88 |
| 91301 |
|
45 |
43 |
$0.41 |
| 3079F |
|
529 |
381 |
$0.00 |
| 3074F |
|
506 |
389 |
$0.00 |
| 3075F |
|
47 |
32 |
$0.00 |
| 3080F |
|
163 |
106 |
$0.00 |
| 3044F |
|
16 |
13 |
$0.00 |
| 1036F |
|
101 |
96 |
$0.00 |
| 3078F |
|
223 |
184 |
$0.00 |
| 3077F |
|
291 |
180 |
$0.00 |
| 1160F |
|
2,631 |
1,566 |
$0.00 |
| 1159F |
|
45 |
39 |
$0.00 |