Clinic
Mainline Health Systems, INC
Mainline Health Systems, INC was paid $3.82M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoMAINLINE HEALTH SYSTEMS, INC
STAR CITY, AR 71667
STAR CITY, AR 71667
33aNPI1154757920assigned 09/24/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.82M
24GClaims41,201
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Arkansas
Rank by total paid#17 of 180
Median peer was paid$713K
This provider vs. median5.4×
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 NICHOLS, GARY controls 20+ 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 | 2,141 | $339K | |
| 2019 | 2,358 | $342K | |
| 2020 | 3,820 | $411K | |
| 2021 | 7,663 | $646K | |
| 2022 | 9,713 | $765K | |
| 2023 | 10,364 | $760K | |
| 2024incomplete | 5,142 | $557K |
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 | 95% | 21,758 | 17,782 | $3.62M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.8% | 3,375 | 2,747 | $70K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.6% | 1,077 | 983 | $62K |
| 87428 | <1% | 609 | 562 | $35K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 783 | 658 | $18K |
| 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% | 2,925 | 2,432 | $5K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 213 | 212 | $3K |
| 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 | <1% | 469 | 409 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 36 | 34 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 51 | 39 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,148 | 1,050 | $711.55 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,030 | 879 | $578.30 |
36 more codes
| 81025 | <1% | 419 | $568.89 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 612 | $315.03 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 151 | $312.41 |
| 99401 | <1% | 123 | $297.50 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 214 | $286.99 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 316 | $214.83 |
| 81003 | <1% | 1,447 | $185.77 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 25 | $149.20 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 341 | $109.22 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 737 | $104.87 |
| 82947 | <1% | 146 | $64.43 | |
| Q3014 | Telehealth originating site facility fee | <1% | 23 | $58.42 |
| 99406 | <1% | 107 | $46.85 | |
| 87430 | <1% | 844 | $37.59 | |
| 3078F | <1% | 334 | $0.05 | |
| 3074F | <1% | 390 | $0.01 | |
| 3008F | <1% | 284 | $0.01 | |
| 2001F | <1% | 278 | $0.01 | |
| 80053 | Comprehensive metabolic panel | 0% | 32 | $0.00 |
| 87807 | 0% | 130 | $0.00 | |
| 3079F | 0% | 140 | $0.00 | |
| 3075F | 0% | 53 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 1034F | 0% | 28 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 86703 | 0% | 59 | $0.00 | |
| 99307 | 0% | 134 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 58 | $0.00 |
| 80305 | 0% | 42 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 27 | $0.00 |
| 97803 | 0% | 65 | $0.00 | |
| 87400 | 0% | 29 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 26 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 48 | $0.00 |
| 1160F | 0% | 20 | $0.00 | |
| 1159F | 0% | 21 | $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 officialNICHOLS, GARY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Mainline Health Systems INC | Monticello, AR | $4.81M |
| 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 | $589K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.