Agency
Hilltown Community Health Centers, INC.
Hilltown Community Health Centers, INC. was paid $4.05M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoHILLTOWN COMMUNITY HEALTH CENTERS, INC.
HUNTINGTON, MA 01050
HUNTINGTON, MA 01050
33aNPI1518946904assigned 01/13/2006
33bProvider typeVoluntary or Charitable Agency
28Total paid$4.05M
24GClaims91,301
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Voluntary or Charitable Agency providers in Massachusetts
Rank by total paid#18 of 27
Median peer was paid$5.69M
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2018 | 17,435 | $652K | |
| 2019 | 16,418 | $629K | |
| 2020 | 12,586 | $528K | |
| 2021 | 13,049 | $609K | |
| 2022 | 12,657 | $866K | |
| 2023 | 10,041 | $452K | |
| 2024incomplete | 9,115 | $311K |
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 | 64% | 17,588 | 14,549 | $2.58M |
| D9450 | 14% | 15,210 | 8,747 | $551K | |
| D1110 | Prophylaxis - adult | 4.6% | 5,658 | 3,739 | $186K |
| 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 | 4.5% | 6,028 | 5,055 | $184K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 5,444 | 3,702 | $77K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 1.7% | 1,996 | 914 | $70K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.4% | 2,292 | 1,837 | $58K |
| D0274 | Bitewings - four radiographic images | 1.2% | 2,070 | 1,408 | $48K |
| D0210 | Intraoral - complete series of radiographic images | 1.1% | 1,194 | 652 | $43K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,030 | 614 | $24K |
| 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 | <1% | 5,891 | 5,488 | $23K |
| 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% | 7,517 | 6,711 | $21K |
53 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 450 | $17K |
| D1206 | Topical application of fluoride varnish | <1% | 618 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 109 | $14K |
| D1120 | Dental cleaning, child | <1% | 286 | $13K |
| 92015 | Determination of refractive state | <1% | 1,475 | $13K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,267 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 283 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 337 | $11K |
| 97803 | <1% | 818 | $11K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 102 | $8K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 80 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 386 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 85 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 587 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,560 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 230 | $4K |
| 90756 | <1% | 280 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $3K |
| 92552 | <1% | 126 | $3K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 58 | $2K |
| 99173 | <1% | 183 | $2K | |
| 90686 | <1% | 285 | $2K | |
| 92341 | <1% | 38 | $1K | |
| 87430 | <1% | 152 | $1K | |
| D2331 | <1% | 29 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 822 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| D9110 | <1% | 55 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 30 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 56 | $969.66 |
| 90674 | <1% | 28 | $884.12 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 198 | $711.40 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 46 | $639.03 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 16 | $435.00 |
| 0124A | <1% | 14 | $321.09 | |
| 0011A | <1% | 111 | $271.04 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 89 | $238.41 |
| 0064A | <1% | 76 | $229.35 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 27 | $210.58 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $162.10 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 80 | $46.58 |
| 90656 | <1% | 141 | $30.00 | |
| 0072A | <1% | 16 | $22.87 | |
| D1999 | 0% | 2,026 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 15 | $0.00 |
| 0003A | 0% | 13 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,708 | $0.00 |
| 94760 | 0% | 3,661 | $0.00 | |
| 0012A | 0% | 110 | $0.00 | |
| D9995 | 0% | 134 | $0.00 | |
| 0031A | 0% | 22 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 16 | $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 officialLAKE, ELIZA (EXECUTIVE DIRECTOR)
Parent organizationHILLTOWN COMMUNITY HEALTH CENTERS, INC.
| Provider | Location | Paid |
|---|---|---|
| Hilltown Community Health Centers, INC. | Worthington, MA | $3.27M |
| Hilltown Community Health Centers, INC. | Amherst, MA | $1.36M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.