Gibson Community Hospital Association
Gibson Community Hospital Association was paid $864K by Medicaid between Aug 2020 and Dec 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
WATSEKA, IL 60970
Next to other Multi-Specialty Clinic/Center providers in Illinois
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,123 | $54K | |
| 2021 | 4,108 | $184K | |
| 2022 | 3,866 | $172K | |
| 2023 | 4,866 | $220K | |
| 2024incomplete | 4,894 | $234K |
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 | 86% | 9,850 | 6,953 | $741K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 14% | 1,877 | 1,018 | $123K |
| 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% | 3,420 | 2,890 | $49.22 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 94 | 83 | $0.00 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 1,576 | 909 | $0.00 |
| 81003 | 0% | 96 | 78 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 79 | 66 | $0.00 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 0% | 13 | 13 | $0.00 |
| 99499 | 0% | 16 | 16 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 18 | 15 | $0.00 |
| 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 | 0% | 1,671 | 1,446 | $0.00 |
| 87428 | 0% | 12 | 12 | $0.00 |
4 more codes
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.