Clinic
Gibson Community Hospital Association
Gibson Community Hospital Association was paid $1.46M by Medicaid between Jan 2018 and Dec 2024, across 30 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.
33Billing provider infoGIBSON COMMUNITY HOSPITAL ASSOCIATION
HOOPESTON, IL 60942
HOOPESTON, IL 60942
33aNPI1881676005assigned 11/15/2005
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.46M
24GClaims33,793
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Illinois
Rank by total paid#9 of 28
Median peer was paid$388K
This provider vs. median3.8×
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.
Entity ProliferationAuthorized official ERTEL, MATTHEW controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,157 | $110K | |
| 2019 | 6,945 | $249K | |
| 2020 | 6,208 | $246K | |
| 2021 | 4,440 | $210K | |
| 2022 | 4,983 | $237K | |
| 2023 | 4,097 | $203K | |
| 2024incomplete | 3,963 | $206K |
Box 24 · Service lines
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% | 18,647 | 13,334 | $1.46M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 111 | 58 | $31.30 |
| 81003 | <1% | 938 | 689 | $15.26 | |
| 81001 | <1% | 107 | 83 | $5.72 | |
| 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 | 0% | 4,249 | 3,421 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 5,924 | 4,744 | $0.00 |
| 90686 | 0% | 145 | 135 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 863 | 725 | $0.00 |
| 87428 | 0% | 359 | 344 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 138 | 126 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 36 | 12 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 16 | 14 | $0.00 |
18 more codes
| S5190 | Wellness assessment, performed by non-physician | 0% | 38 | $0.00 |
| 90677 | 0% | 16 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 29 | $0.00 |
| 0502F | 0% | 603 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 55 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 118 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 259 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 607 | $0.00 |
| 90461 | 0% | 89 | $0.00 | |
| 90670 | 0% | 44 | $0.00 | |
| 81025 | 0% | 34 | $0.00 | |
| 80305 | 0% | 72 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 59 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 172 | $0.00 |
| 90710 | 0% | 13 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 15 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 21 | $0.00 |
| 99173 | 0% | 16 | $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.
From NPPES
Who's on the registration
Authorized officialERTEL, MATTHEW (CHIEF FINANCIAL OFFICER)
Parent organizationGIBSON COMMUNITY HOSPITAL ASSOCIATION
| Provider | Location | Paid |
|---|---|---|
| Gibson Community Hospital Association | Paxton, IL | $2.68M |
| 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 | 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.