Clinic
Hillsdale Community Health Center
Hillsdale Community Health Center was paid $1.40M by Medicaid between Dec 2020 and Dec 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoHILLSDALE COMMUNITY HEALTH CENTER
HILLSDALE, MI 49242
HILLSDALE, MI 49242
33aNPI1952951014assigned 09/19/2019
33bProvider typeRural Health Clinic/Center
28Total paid$1.40M
24GClaims49,691
24DCodes billed20
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#43 of 193
Median peer was paid$426K
This provider vs. median3.3×
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
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 | |
|---|---|---|---|
| 2020 | 460 | $12K | |
| 2021 | 9,167 | $240K | |
| 2022 | 11,274 | $304K | |
| 2023 | 15,414 | $435K | |
| 2024incomplete | 13,376 | $407K |
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 | 94% | 23,235 | 20,537 | $1.32M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 14,656 | 13,320 | $45K |
| 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 | 1.0% | 3,725 | 3,540 | $14K |
| 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% | 2,672 | 2,663 | $10K |
| 87428 | <1% | 660 | 651 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 232 | 225 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,212 | 1,185 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,266 | 1,202 | $953.06 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 519 | 504 | $729.68 |
| 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% | 86 | 85 | $526.38 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 50 | 48 | $495.39 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 281 | 277 | $389.43 |
8 more codes
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 367 | $337.59 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $179.78 |
| 87400 | <1% | 157 | $119.40 | |
| 81003 | <1% | 337 | $46.75 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $42.40 |
| 81025 | <1% | 13 | $13.19 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 185 | $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 officialGROSS, MARK (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Hillsdale Community Health Center | Hillsdale, MI | $19.07M |
| Hillsdale Community Health Center | Hillsdale, MI | $834K |
| Hillsdale Community Health Center | Reading, MI | $270K |
| Hillsdale Community Health Center | Litchfield, MI | $95K |
| Hillsdale Community Health Center | Hillsdale, MI | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.