Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GIBSON COMMUNITY HOSPITAL ASSOCIATION

NPI: 1043720691 · WATSEKA, IL 60970 · Multi-Specialty Clinic/Center · NPI assigned 10/10/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ERTEL, MATTHEW controls 12+ related entities in our dataset. Read more

$864K
Total Medicaid Paid
18,857
Total Claims
13,624
Beneficiaries
16
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialERTEL, MATTHEW (CHIEF FINANCIAL OFFICER)
Parent OrganizationGIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI Enumeration Date10/10/2017

Related Entities

Other providers sharing the same authorized official: ERTEL, MATTHEW

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,123 $54K
2021 4,108 $184K
2022 3,866 $172K
2023 4,866 $220K
2024 4,894 $234K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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