GIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI: 1689198863
· MAHOMET, IL 61853
· Multi-Specialty Clinic/Center
· NPI assigned 07/31/2017
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official ERTEL, MATTHEW controls 12+ related entities in our dataset. Read more
$335K
Total Medicaid Paid
Provider Details
| Authorized Official | ERTEL, MATTHEW (CHIEF FINANCIAL OFFICER) |
| Parent Organization | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
| NPI Enumeration Date | 07/31/2017 |
Related Entities
Other providers sharing the same authorized official: ERTEL, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
202 |
$15K |
| 2020 |
1,236 |
$68K |
| 2021 |
1,114 |
$64K |
| 2022 |
1,106 |
$62K |
| 2023 |
1,034 |
$56K |
| 2024 |
1,246 |
$70K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,828 |
3,017 |
$332K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
34 |
12 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,327 |
1,109 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
661 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |