Agency
Hilltown Community Health Centers, INC.
Hilltown Community Health Centers, INC. was paid $3.27M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 26% of everything it billed.
33Billing provider infoHILLTOWN COMMUNITY HEALTH CENTERS, INC.
WORTHINGTON, MA 01098
WORTHINGTON, MA 01098
33aNPI1740268051assigned 01/06/2006
33bProvider typeVoluntary or Charitable Agency
28Total paid$3.27M
24GClaims72,900
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Voluntary or Charitable Agency providers in Massachusetts
Rank by total paid#19 of 27
Median peer was paid$5.69M
This provider vs. median0.6×
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 | 16,793 | $491K | |
| 2019 | 15,821 | $454K | |
| 2020 | 8,784 | $291K | |
| 2021 | 11,219 | $415K | |
| 2022 | 9,484 | $825K | |
| 2023 | 6,133 | $485K | |
| 2024incomplete | 4,666 | $305K |
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 | 26% | 6,029 | 5,300 | $837K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 21% | 4,927 | 2,156 | $684K |
| D9450 | 18% | 19,202 | 12,655 | $577K | |
| D1110 | Prophylaxis - adult | 8.6% | 7,696 | 5,414 | $282K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.2% | 1,953 | 854 | $170K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 8,200 | 6,070 | $143K |
| D0274 | Bitewings - four radiographic images | 3.0% | 3,550 | 2,672 | $99K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 1,934 | 1,868 | $94K |
| 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 | 1.7% | 1,790 | 1,519 | $56K |
| D1206 | Topical application of fluoride varnish | 1.3% | 1,713 | 1,642 | $42K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 783 | 437 | $41K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 994 | 601 | $40K |
30 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.2% | 645 | $39K |
| D1208 | Topical application of fluoride, excluding varnish | 1.0% | 1,216 | $33K |
| D0140 | Limited oral evaluation - problem focused | <1% | 975 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 344 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 535 | $17K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,820 | $17K |
| D2140 | <1% | 279 | $14K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,324 | $13K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,099 | $8K |
| D2331 | <1% | 77 | $4K | |
| D1351 | Sealant - per tooth | <1% | 98 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 93 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 60 | $3K |
| D9110 | <1% | 80 | $2K | |
| D2160 | <1% | 26 | $1K | |
| D2330 | <1% | 34 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 32 | $1K |
| 90756 | <1% | 55 | $486.79 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 34 | $448.31 |
| 90686 | <1% | 35 | $396.33 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 273 | $182.30 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $177.85 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | $68.11 |
| 94760 | 0% | 650 | $0.00 | |
| D9995 | 0% | 104 | $0.00 | |
| 0011A | 0% | 78 | $0.00 | |
| 0031A | 0% | 14 | $0.00 | |
| 0012A | 0% | 57 | $0.00 | |
| D1999 | 0% | 2,024 | $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)
| Provider | Location | Paid |
|---|---|---|
| Hilltown Community Health Centers, INC. | Huntington, MA | $4.05M |
| 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.