Clinic
Gibson Community Hospital Association
Gibson Community Hospital Association was paid $2.68M by Medicaid between Jan 2018 and Dec 2024, across 38 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
PAXTON, IL 60957
PAXTON, IL 60957
33aNPI1992700595assigned 06/20/2005
33bProvider typeRural Health Clinic/Center
28Total paid$2.68M
24GClaims81,953
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#38 of 235
Median peer was paid$611K
This provider vs. median4.4×
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 | 6,701 | $226K | |
| 2019 | 14,230 | $398K | |
| 2020 | 12,137 | $374K | |
| 2021 | 13,385 | $434K | |
| 2022 | 14,499 | $467K | |
| 2023 | 11,450 | $404K | |
| 2024incomplete | 9,551 | $379K |
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% | 38,984 | 28,208 | $2.68M |
| 87428 | <1% | 2,448 | 2,212 | $763.08 | |
| 90651 | <1% | 64 | 61 | $217.11 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 22,866 | 17,507 | $197.24 |
| 90734 | <1% | 113 | 97 | $130.75 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,832 | 1,603 | $78.50 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,139 | 1,040 | $70.66 |
| 90686 | <1% | 342 | 307 | $63.49 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 393 | 203 | $31.30 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 755 | 654 | $19.62 |
| 81003 | <1% | 1,203 | 980 | $1.06 | |
| 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% | 4,470 | 3,627 | $0.00 |
26 more codes
| 36415 | Collection of venous blood by venipuncture | 0% | 939 | $0.00 |
| 87807 | 0% | 203 | $0.00 | |
| 90723 | 0% | 149 | $0.00 | |
| 90696 | 0% | 15 | $0.00 | |
| 90677 | 0% | 77 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 43 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 26 | $0.00 |
| 90680 | 0% | 96 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 15 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 41 | $0.00 |
| 90716 | 0% | 31 | $0.00 | |
| 90648 | 0% | 424 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 796 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 395 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 660 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 580 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,112 | $0.00 |
| 0502F | 0% | 937 | $0.00 | |
| 90670 | 0% | 296 | $0.00 | |
| 90715 | 0% | 79 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 105 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 172 | $0.00 |
| 81025 | 0% | 58 | $0.00 | |
| 99499 | 0% | 14 | $0.00 | |
| 90707 | 0% | 31 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 50 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.