Medicaid Provider Spending

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

GIBSON COMMUNITY HOSPITAL ASSOCIATION

NPI: 1699922138 · GIBSON CITY, IL 60936 · Family Medicine Physician · NPI assigned 08/27/2008

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

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

$185K
Total Medicaid Paid
4,275
Total Claims
2,677
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialERTEL, MATTHEW (CHIEF FINANCIAL OFFICER)
Parent OrganizationGIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI Enumeration Date08/27/2008

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,480 $70K
2019 2,486 $105K
2020 309 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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