Physician
Hillegass, Matthew
Hillegass, Matthew was paid $411K by Medicaid between Jan 2020 and Dec 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoHILLEGASS, MATTHEW
NEW PARIS, PA 15554
NEW PARIS, PA 15554
33aNPI1346691813assigned 06/27/2016
33bProvider typeFamily Medicine Physician
28Total paid$411K
24GClaims6,343
24DCodes billed12
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#162 of 2,756
Median peer was paid$19K
This provider vs. median21×
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.
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 | |
|---|---|---|---|
| 2020 | 390 | $18K | |
| 2021 | 1,356 | $57K | |
| 2022 | 1,578 | $35K | |
| 2023 | 1,370 | $125K | |
| 2024incomplete | 1,649 | $175K |
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 | 100% | 4,102 | 3,860 | $411K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 830 | 806 | $38.50 |
| 99000 | 0% | 22 | 22 | $0.00 | |
| 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 | 0% | 380 | 378 | $0.00 |
| 3074F | 0% | 334 | 323 | $0.00 | |
| 3079F | 0% | 203 | 202 | $0.00 | |
| 3075F | 0% | 95 | 94 | $0.00 | |
| 3077F | 0% | 57 | 56 | $0.00 | |
| 3078F | 0% | 266 | 257 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 12 | 12 | $0.00 |
| 99072 | 0% | 21 | 21 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 21 | 21 | $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.