Clinic
Gibson Community Hospital Association
Gibson Community Hospital Association was paid $1.29M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoGIBSON COMMUNITY HOSPITAL ASSOCIATION
FORREST, IL 61741
FORREST, IL 61741
33aNPI1063462976assigned 05/11/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.29M
24GClaims31,896
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Illinois
Rank by total paid#10 of 28
Median peer was paid$388K
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ERTEL, MATTHEW controls 12+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 2,625 | $110K | |
| 2019 | 5,870 | $210K | |
| 2020 | 5,010 | $190K | |
| 2021 | 5,297 | $208K | |
| 2022 | 4,583 | $190K | |
| 2023 | 4,758 | $201K | |
| 2024incomplete | 3,753 | $185K |
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 | 100% | 15,551 | 11,121 | $1.29M |
| 90686 | <1% | 329 | 294 | $228.44 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 316 | 155 | $186.12 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 600 | 488 | $109.06 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 272 | 259 | $70.66 |
| 81003 | <1% | 2,451 | 1,625 | $32.22 | |
| 90688 | <1% | 40 | 35 | $17.84 | |
| 85018 | <1% | 556 | 459 | $2.32 | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 299 | 148 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 244 | 208 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 129 | 103 | $0.00 |
| 0502F | 0% | 645 | 363 | $0.00 |
12 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 141 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 185 | $0.00 |
| 90670 | 0% | 72 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 116 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 3,259 | $0.00 |
| 96127 | 0% | 126 | $0.00 | |
| 87428 | 0% | 332 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 5,339 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 637 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 0% | 101 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 130 | $0.00 |
| 90656 | 0% | 26 | $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 officialERTEL, MATTHEW (CHIEF FINANCIAL OFFICER)
Parent organizationGIBSON COMMUNITY HOSPITAL ASSOCIATION
| Provider | Location | Paid |
|---|---|---|
| Gibson Community Hospital Association | Paxton, IL | $2.68M |
| Gibson Community Hospital Association | Hoopeston, IL | $1.46M |
| Gibson Community Hospital Association | Gibson City, IL | $1.27M |
| Gibson Community Hospital Association | Onarga, IL | $1.16M |
| Gibson Community Hospital Association | Watseka, IL | $864K |
| 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.