Clinic
Mainline Health Systems, INC.
Mainline Health Systems, INC. was paid $1.04M by Medicaid between Jan 2019 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) — 94% of everything it billed.
33Billing provider infoMAINLINE HEALTH SYSTEMS, INC.
RISON, AR 71665
RISON, AR 71665
33aNPI1285105957assigned 12/06/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.04M
24GClaims11,324
24DCodes billed22
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Arkansas
Rank by total paid#67 of 180
Median peer was paid$713K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2019 | 1,113 | $146K | |
| 2020 | 1,119 | $119K | |
| 2021 | 1,962 | $174K | |
| 2022 | 2,960 | $199K | |
| 2023 | 2,400 | $221K | |
| 2024incomplete | 1,770 | $176K |
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 | 94% | 5,982 | 4,880 | $969K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.3% | 213 | 202 | $24K |
| 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 | 1.6% | 850 | 710 | $17K |
| 87428 | 1.2% | 202 | 189 | $13K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 299 | 260 | $11K |
| 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% | 508 | 431 | $684.51 |
| 36415 | Collection of venous blood by venipuncture | <1% | 777 | 667 | $447.60 |
| 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% | 27 | 27 | $267.00 |
| 81003 | <1% | 1,064 | 914 | $259.49 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 170 | 157 | $252.57 |
| 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% | 102 | 94 | $250.16 |
| 82947 | <1% | 206 | 165 | $231.11 |
10 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 354 | $58.66 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 148 | $30.11 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 94 | $16.49 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 79 | $7.71 |
| 3079F | <1% | 32 | $0.04 | |
| 3078F | <1% | 55 | $0.02 | |
| 3074F | <1% | 52 | $0.02 | |
| 3075F | <1% | 13 | $0.01 | |
| 87430 | 0% | 85 | $0.00 | |
| 3044F | 0% | 12 | $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 | 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 | 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.