Medicaid Provider Spending

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

GIBSON COMMUNITY HOSPITAL ASSOCIATION

NPI: 1740641745 · GIBSON CITY, IL 60936 · Multi-Specialty Clinic/Center · NPI assigned 03/18/2016

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

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

$318K
Total Medicaid Paid
6,275
Total Claims
5,181
Beneficiaries
6
Codes Billed
2020-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialERTEL, MATTHEW (CHIEF FINANCIAL OFFICER)
Parent OrganizationGIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI Enumeration Date03/18/2016

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 $185K
GIBSON COMMUNITY HOSPITAL ASSOCIATION CISSNA PARK IL $75K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 939 $39K
2021 1,163 $59K
2022 1,674 $83K
2023 1,384 $71K
2024 1,115 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 3,856 3,122 $318K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,066 1,733 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65 57 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 262 243 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $0.00