Medicaid Provider Spending

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

GIBSON COMMUNITY HOSPITAL ASSOCIATION

NPI: 1154702181 · GIBSON CITY, IL 60936 · Rural Health Clinic/Center · NPI assigned 06/16/2015

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

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

$481K
Total Medicaid Paid
11,117
Total Claims
8,321
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialERTEL, MATTHEW (CHIEF FINANCIAL OFFICER)
Parent OrganizationGIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI Enumeration Date06/16/2015

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 WATSEKA IL $864K
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
2018 922 $37K
2019 2,456 $105K
2020 1,893 $76K
2021 1,709 $76K
2022 1,442 $58K
2023 1,506 $67K
2024 1,189 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 6,458 4,629 $481K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,945 1,585 $42.50
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,223 1,692 $28.35
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 25 $15.70
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 133 117 $0.00
87807 40 37 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24 12 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 105 90 $0.00
99173 69 43 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 29 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 66 62 $0.00