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That may be a new one or used within a special group. If you are referring to a "Hillbilly," then it refers to as an individual from the backwoods or a remote mountain area.
Hick typically refers to a person who is thought to be unsophisticated, unintelligent, not interested in culture etc. My suspicion is that the phrase Hick-a-billy may mean the same thing as Hillbilly.
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