Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Hillsdale Medical Associates, PLC

Hillsdale Medical Associates, PLC was paid $2.26M by Medicaid between Jan 2018 and Oct 2024, across 42 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.

33Billing provider infoHILLSDALE MEDICAL ASSOCIATES, PLC
HILLSDALE, MI 49242
33aNPI1902841208assigned 06/19/2006
28Total paid$2.26M
24GClaims132,123
24DCodes billed42
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Michigan

Rank by total paid#25 of 193
Median peer was paid$426K
This provider vs. median5.3×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201815,190$319K
201918,443$313K
202017,458$301K
202121,538$365K
202222,310$374K
202323,662$361K
2024incomplete13,522$224K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 95% 44,771 36,853 $2.15M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.8% 23,143 20,020 $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 1.6% 12,011 10,667 $35K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 939 936 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 608 586 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 907 901 $3K
90686 <1% 566 566 $3K
90677 <1% 28 28 $2K
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 <1% 472 471 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 495 495 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,983 1,955 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 385 384 $2K
30 more codes
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 354 $1K
90670 <1% 187 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 706 $997.49
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,633 $941.76
86328 <1% 567 $937.21
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 659 $493.56
36415 Collection of venous blood by venipuncture <1% 3,118 $476.55
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 186 $401.95
0011A <1% 26 $390.00
G0008 Administration of influenza virus vaccine <1% 904 $340.45
0012A <1% 22 $315.00
99406 <1% 580 $292.32
81003 <1% 1,364 $146.15
90688 <1% 488 $142.72
99215 Doctor's office visit, returning patient (complex) <1% 46 $81.42
90715 <1% 12 $38.75
99000 <1% 84 $38.64
87807 <1% 83 $32.55
90698 <1% 51 $21.26
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 1,200 $10.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 12 $9.89
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 17 $9.31
84703 <1% 12 $6.92
3008F 0% 18,029 $0.00
1220F 0% 13,177 $0.00
90744 0% 12 $0.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 0% 270 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 0% 1,990 $0.00
90633 0% 12 $0.00
3016F 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 officialMCCANCE, DAN (OWNER)
Same official

Other billing entities under MCCANCE, DAN

Full network →
ProviderLocationPaid
Hillsdale Medical Associates, PLCHillsdale, MI$562K
Dan E Mccance, D.O.P.C.Hillsdale, MI$609.28

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.