Clinic
Hilltown Community Health Centers, INC.
Hilltown Community Health Centers, INC. was paid $1.36M by Medicaid between Jun 2018 and Dec 2024, across 28 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoHILLTOWN COMMUNITY HEALTH CENTERS, INC.
AMHERST, MA 01002
AMHERST, MA 01002
33aNPI1528573037assigned 12/06/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.36M
24GClaims32,217
24DCodes billed28
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#30 of 56
Median peer was paid$1.51M
This provider vs. median0.9×
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 | 2,659 | $64K | |
| 2019 | 6,657 | $172K | |
| 2020 | 4,040 | $141K | |
| 2021 | 5,397 | $193K | |
| 2022 | 5,668 | $410K | |
| 2023 | 3,986 | $235K | |
| 2024incomplete | 3,810 | $145K |
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 | 63% | 6,689 | 5,704 | $856K |
| D9450 | 20% | 9,356 | 5,066 | $268K | |
| D1110 | Prophylaxis - adult | 6.3% | 3,121 | 2,182 | $85K |
| D0210 | Intraoral - complete series of radiographic images | 2.2% | 1,125 | 611 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.0% | 2,091 | 1,621 | $27K |
| 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 | 1.9% | 757 | 607 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 1,105 | 580 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 1,756 | 1,573 | $14K |
| D0140 | Limited oral evaluation - problem focused | <1% | 663 | 344 | $13K |
| D0274 | Bitewings - four radiographic images | <1% | 543 | 405 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 208 | 127 | $7K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 406 | 204 | $3K |
16 more codes
| 90756 | <1% | 68 | $1K | |
| 90480 | <1% | 27 | $1K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 18 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 410 | $966.19 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 16 | $433.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 17 | $255.45 |
| 90715 | <1% | 12 | $32.86 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | $23.29 |
| D1999 | 0% | 1,558 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 49 | $0.00 |
| D4341 | 0% | 74 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 31 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,172 | $0.00 |
| 94760 | 0% | 899 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 20 | $0.00 |
| 98967 | 0% | 14 | $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 (CEO)
| Provider | Location | Paid |
|---|---|---|
| Hilltown Community Health Centers, INC. | Huntington, MA | $4.05M |
| Hilltown Community Health Centers, INC. | Worthington, MA | $3.27M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.