Clinic
Gibson Community Hospital Association
Gibson Community Hospital Association was paid $1.16M by Medicaid between Jan 2018 and Dec 2024, across 22 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
ONARGA, IL 60955
ONARGA, IL 60955
33aNPI1972509701assigned 06/27/2005
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.16M
24GClaims24,883
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Illinois
Rank by total paid#11 of 28
Median peer was paid$388K
This provider vs. median3.0×
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 | 3,057 | $142K | |
| 2019 | 5,242 | $219K | |
| 2020 | 6,731 | $266K | |
| 2021 | 2,875 | $156K | |
| 2022 | 2,978 | $149K | |
| 2023 | 2,487 | $130K | |
| 2024incomplete | 1,513 | $93K |
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% | 13,073 | 9,735 | $1.16M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 267 | 241 | $35.33 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 519 | 252 | $31.30 |
| 81003 | <1% | 577 | 383 | $2.18 | |
| 99173 | 0% | 178 | 156 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 71 | 61 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 302 | 264 | $0.00 |
| 0502F | 0% | 233 | 147 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 79 | 77 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 17 | 12 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 39 | 25 | $0.00 |
| 90633 | 0% | 15 | 12 | $0.00 |
10 more codes
| 90670 | 0% | 24 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 356 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 475 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 433 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 7,837 | $0.00 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 62 | $0.00 |
| 87428 | 0% | 187 | $0.00 | |
| 90686 | 0% | 94 | $0.00 | |
| 90651 | 0% | 29 | $0.00 | |
| 87807 | 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 | 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 | 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.