Medicaid Provider Spending

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

GIBSON COMMUNITY HOSPITAL ASSOCIATION

NPI: 1992700595 · PAXTON, IL 60957 · Rural Health Clinic/Center · NPI assigned 06/20/2005

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

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

$2.68M
Total Medicaid Paid
81,953
Total Claims
62,543
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialERTEL, MATTHEW (CHIEF FINANCIAL OFFICER)
Parent OrganizationGIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI Enumeration Date06/20/2005

Related Entities

Other providers sharing the same authorized official: ERTEL, MATTHEW

ProviderCityStateTotal Paid
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 GIBSON CITY IL $185K
GIBSON COMMUNITY HOSPITAL ASSOCIATION CISSNA PARK IL $75K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,701 $226K
2019 14,230 $398K
2020 12,137 $374K
2021 13,385 $434K
2022 14,499 $467K
2023 11,450 $404K
2024 9,551 $379K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 38,984 28,208 $2.68M
87428 2,448 2,212 $763.08
90651 64 61 $217.11
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,866 17,507 $197.24
90734 113 97 $130.75
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,832 1,603 $78.50
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,139 1,040 $70.66
90686 342 307 $63.49
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 393 203 $31.30
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 755 654 $19.62
81003 1,203 980 $1.06
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,470 3,627 $0.00
36415 Collection of venous blood by venipuncture 939 825 $0.00
87807 203 193 $0.00
90723 149 149 $0.00
90696 15 14 $0.00
90677 77 74 $0.00
99308 Subsequent nursing facility care, per day, straightforward 43 33 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 26 26 $0.00
90680 96 96 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 15 $0.00
90834 Psychotherapy, 45 minutes with patient 41 28 $0.00
90716 31 28 $0.00
90648 424 388 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 796 706 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 395 352 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 660 588 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 580 485 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,112 808 $0.00
0502F 937 588 $0.00
90670 296 293 $0.00
90715 79 68 $0.00
90837 Psychotherapy, 53 minutes with patient 105 63 $0.00
90832 Psychotherapy, 30 minutes with patient 172 95 $0.00
81025 58 40 $0.00
99499 14 14 $0.00
90707 31 28 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 50 47 $0.00