NPI: 1043720691 · WATSEKA, IL 60970 · Multi-Specialty Clinic/Center · NPI assigned 10/10/2017
Authorized official ERTEL, MATTHEW controls 12+ related entities in our dataset. Read more
| Authorized Official | ERTEL, MATTHEW (CHIEF FINANCIAL OFFICER) |
| Parent Organization | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
| NPI Enumeration Date | 10/10/2017 |
Other providers sharing the same authorized official: ERTEL, MATTHEW
| Provider | City | State | Total Paid |
|---|---|---|---|
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | PAXTON | IL | $2.68M |
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | HOOPESTON | IL | $1.46M |
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | FORREST | IL | $1.29M |
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | GIBSON CITY | IL | $1.27M |
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | ONARGA | IL | $1.16M |
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | GIBSON CITY | IL | $481K |
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | FARMER CITY | IL | $415K |
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | GIBSON CITY | IL | $397K |
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | MAHOMET | IL | $335K |
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | GIBSON CITY | IL | $318K |
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | GIBSON CITY | IL | $185K |
| GIBSON COMMUNITY HOSPITAL ASSOCIATION | CISSNA PARK | IL | $75K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,123 | $54K |
| 2021 | 4,108 | $184K |
| 2022 | 3,866 | $172K |
| 2023 | 4,866 | $220K |
| 2024 | 4,894 | $234K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 9,850 | 6,953 | $741K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1,877 | 1,018 | $123K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,420 | 2,890 | $49.22 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 94 | 83 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 1,576 | 909 | $0.00 |
| 81003 | 96 | 78 | $0.00 | |
| 99215 | Prolong outpt/office vis | 79 | 66 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 13 | 13 | $0.00 |
| 99499 | 16 | 16 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 18 | 15 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,671 | 1,446 | $0.00 |
| 87428 | 12 | 12 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 61 | 53 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 46 | 45 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14 | 13 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 14 | 14 | $0.00 |