Hills & Dales General Hospital, INC.
Hills & Dales General Hospital, INC. was paid $231K by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99283, emergency room visit (moderate) — 28% of everything it billed.
CASS CITY, MI 48726
Next to other Critical Access Hospital providers in Michigan
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,260 | $23K | |
| 2019 | 865 | $16K | |
| 2020 | 1,473 | $19K | |
| 2021 | 966 | $14K | |
| 2022 | 809 | $16K | |
| 2023 | 3,915 | $48K | |
| 2024incomplete | 6,540 | $95K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 28% | 748 | 586 | $65K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 19% | 366 | 286 | $43K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,325 | 1,239 | $41K |
| 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 | 9.4% | 544 | 512 | $22K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 6.6% | 1,248 | 1,142 | $15K |
| 87428 | 2.9% | 173 | 162 | $7K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 2.6% | 113 | 100 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.3% | 88 | 87 | $5K |
| 36415 | Collection of venous blood by venipuncture | 2.2% | 1,639 | 1,348 | $5K |
| 80053 | Comprehensive metabolic panel | 2.1% | 1,101 | 983 | $5K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.9% | 176 | 167 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.8% | 1,397 | 1,214 | $4K |
30 more codes
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 217 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 191 | $1K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 20 | $1K |
| 80061 | Lipid panel | <1% | 124 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $912.19 |
| 87081 | <1% | 45 | $190.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 24 | $129.09 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 33 | $109.26 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 16 | $106.33 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 15 | $72.71 |
| 84439 | <1% | 12 | $61.57 | |
| 87070 | <1% | 14 | $59.62 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 18 | $57.00 |
| 83735 | <1% | 26 | $53.65 | |
| 81001 | <1% | 13 | $16.38 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 62 | $12.74 |
| 99000 | <1% | 16 | $0.62 | |
| 1159F | 0% | 1,139 | $0.00 | |
| 3078F | 0% | 832 | $0.00 | |
| 1033F | 0% | 99 | $0.00 | |
| 3077F | 0% | 39 | $0.00 | |
| 3075F | 0% | 65 | $0.00 | |
| 3074F | 0% | 965 | $0.00 | |
| 1036F | 0% | 285 | $0.00 | |
| 2000F | 0% | 1,053 | $0.00 | |
| 3079F | 0% | 213 | $0.00 | |
| 2010F | 0% | 1,254 | $0.00 | |
| 1034F | 0% | 12 | $0.00 | |
| 1125F | 0% | 67 | $0.00 | |
| 3080F | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Mclaren Caro Region | Caro, MI | $5.78M |
| Mclaren Thumb Region | Bad Axe, MI | $4.97M |
| Mclaren Thumb Region | Bad Axe, MI | $1.57M |
| General John J Pershing Memorial Hospital Association | Brookfield, MO | $913K |
| Hills & Dales General Hospital, INC. | Kingston, MI | $603K |
| General John J Pershing Memorial Hospital Association | Brookfield, MO | $588K |
| Hills & Dales General Hospital, INC. | Cass City, MI | $491K |
| Hills & Dales General Hospital, INC. | Cass City, MI | $478K |
| Mclaren Thumb Region | Bad Axe, MI | $385K |
| General John J Pershing Memorial Hospital Association | Brookfield, MO | $251K |
| Mclaren Thumb Region | Bad Axe, MI | $207K |
| Mclaren Thumb Region | Bad Axe, MI | $154K |
| Hills & Dales General Hospital, INC. | Ubly, MI | $146K |
| Mclaren Thumb Region | Ubly, MI | $120K |
| Mclaren Caro Region | Caro, MI | $99K |
| General John J Pershing Memorial Hospital Association | Brookfield, MO | $86K |
| Mclaren Caro Region | Caro, MI | $75K |
| Mclaren Thumb Region | Bad Axe, MI | $71K |
| Mclaren Caro Region | Caro, MI | $51K |
| Mclaren Caro Region | Vassar, MI | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.