Mainline Health Systems, INC
Mainline Health Systems, INC was paid $494K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
STAR CITY, AR 71667
Next to other Federally Qualified Health Center (FQHC) providers in Arkansas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 370 | $71K | |
| 2019 | 414 | $69K | |
| 2020 | 248 | $39K | |
| 2021 | 436 | $73K | |
| 2022 | 525 | $76K | |
| 2023 | 748 | $74K | |
| 2024incomplete | 750 | $92K |
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 | 96% | 2,727 | 2,342 | $475K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.7% | 68 | 61 | $9K |
| 87428 | <1% | 76 | 76 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 44 | 43 | $2K |
| 0002A | <1% | 22 | 22 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 29 | 28 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 60 | 57 | $0.00 |
| 87430 | 0% | 188 | 176 | $0.00 | |
| 99429 | 0% | 15 | 12 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 26 | 25 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 30 | 30 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 157 | 136 | $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.
Who's on the registration
| 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. | 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 | 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.