Gibson Community Hospital Association
Gibson Community Hospital Association was paid $481K by Medicaid between Jan 2018 and Dec 2024, across 11 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.
GIBSON CITY, IL 60936
Next to other Rural Health 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 | |
|---|---|---|---|
| 2018 | 922 | $37K | |
| 2019 | 2,456 | $105K | |
| 2020 | 1,893 | $76K | |
| 2021 | 1,709 | $76K | |
| 2022 | 1,442 | $58K | |
| 2023 | 1,506 | $67K | |
| 2024incomplete | 1,189 | $63K |
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% | 6,458 | 4,629 | $481K |
| 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 | <1% | 1,945 | 1,585 | $42.50 |
| 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% | 2,223 | 1,692 | $28.35 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | 25 | $15.70 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 133 | 117 | $0.00 |
| 87807 | 0% | 40 | 37 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 24 | 12 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 105 | 90 | $0.00 |
| 99173 | 0% | 69 | 43 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 29 | 29 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 66 | 62 | $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.
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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.