NPI: 1124565213 · STAR CITY, AR 71667 · Federally Qualified Health Center (FQHC) · NPI assigned 01/26/2017
Authorized official NICHOLS, GARY controls 20+ related entities in our dataset. Read more
| Authorized Official | NICHOLS, GARY (CEO) |
| NPI Enumeration Date | 01/26/2017 |
Other providers sharing the same authorized official: NICHOLS, GARY
| Provider | City | State | Total Paid |
|---|---|---|---|
| MAINLINE HEALTH SYSTEMS INC | MONTICELLO | AR | $4.81M |
| MAINLINE HEALTH SYSTEMS, INC | STAR CITY | AR | $3.82M |
| MAINLINE HEALTH SYSTEMS INC | WARREN | AR | $2.21M |
| MAINLINE HEALTH SYSTEMS INC | DERMOTT | AR | $1.56M |
| MAINLINE HEALTH SYSTEMS, INC | LAKE VILLAGE | AR | $1.16M |
| MAINLINE HEALTH SYSTEMS, INC. | RISON | AR | $1.04M |
| MAINLINE HEALTH SYSTEMS INC | SHERIDAN | AR | $1.01M |
| MAINLINE HEALTH SYSTEMS, INC | EUDORA | AR | $887K |
| MAINLINE HEALTH SYSTEMS, INC | MONTICELLO | AR | $823K |
| MAINLINE HEALTH SYSTEMS INC | PORTLAND | AR | $598K |
| MAINLINE HEALTH SYSTEMS, INC | STAR CITY | AR | $494K |
| MAINLINE HEALTH SYSTEMS INC | WILMOT | AR | $404K |
| MAINLINE HEALTH SYSTEMS, INC | DERMOTT | AR | $288K |
| MAINLINE HEALTH SYSTEMS, INC. | HAMBURG | AR | $211K |
| MAINLINE HEALTH SYSTEMS, INC | DERMOTT | AR | $180K |
| MAINLINE HEALTH SYSTEMS, INC | WARREN | AR | $159K |
| MAINLINE HEALTH SYSTEMS INC | SHERIDAN | AR | $128K |
| MAINLINE HEALTH SYSTEMS, INC | HAMBURG | AR | $50K |
| MAINLINE HEALTH SYSTEMS, INC | WARREN | AR | $44K |
| MAINLINE HEALTH SYSTEMS, INC. | STAR CITY | AR | $38K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 534 | $102K |
| 2019 | 552 | $95K |
| 2020 | 292 | $45K |
| 2021 | 356 | $62K |
| 2022 | 702 | $87K |
| 2023 | 948 | $95K |
| 2024 | 1,149 | $103K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,151 | 2,771 | $567K |
| 87428 | 181 | 169 | $12K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 67 | 62 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 28 | 27 | $1K |
| 0001A | 12 | 12 | $440.00 | |
| D1120 | Prophylaxis - child | 78 | 58 | $324.90 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 291 | 261 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 55 | 50 | $0.00 |
| 91300 | 12 | 12 | $0.00 | |
| 87400 | 15 | 14 | $0.00 | |
| 87430 | 375 | 350 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 83 | 62 | $0.00 |
| D0272 | Bitewings - two radiographic images | 80 | 60 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 69 | 65 | $0.00 |
| D1351 | Sealant - per tooth | 36 | 13 | $0.00 |