NPI: 1699922138 · GIBSON CITY, IL 60936 · Family Medicine Physician · NPI assigned 08/27/2008
Authorized official ERTEL, MATTHEW controls 12+ related entities in our dataset. Read more
| Authorized Official | ERTEL, MATTHEW (CHIEF FINANCIAL OFFICER) |
| Parent Organization | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
| NPI Enumeration Date | 08/27/2008 |
Other providers sharing the same authorized official: ERTEL, MATTHEW
| Provider | City | State | Total 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 | 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 | CISSNA PARK | IL | $75K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,480 | $70K |
| 2019 | 2,486 | $105K |
| 2020 | 309 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 2,566 | 1,488 | $185K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 796 | 536 | $182.34 |
| 81003 | 105 | 42 | $26.16 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13 | 12 | $0.00 |
| 0502F | 104 | 42 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 114 | 88 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 246 | 197 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 127 | 95 | $0.00 |
| 90686 | 175 | 151 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 29 | 26 | $0.00 |