NPI: 1295277010 · STAR CITY, AR 71667 · Federally Qualified Health Center (FQHC) · NPI assigned 11/10/2016
Authorized official NICHOLS, GARY controls 20+ related entities in our dataset. Read more
| Authorized Official | NICHOLS, GARY (CEO) |
| NPI Enumeration Date | 11/10/2016 |
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 | $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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 370 | $71K |
| 2019 | 414 | $69K |
| 2020 | 248 | $39K |
| 2021 | 436 | $73K |
| 2022 | 525 | $76K |
| 2023 | 748 | $74K |
| 2024 | 750 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 2,727 | 2,342 | $475K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 68 | 61 | $9K |
| 87428 | 76 | 76 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 44 | 43 | $2K |
| 0002A | 22 | 22 | $2K | |
| D1110 | Prophylaxis - adult | 29 | 28 | $1K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60 | 57 | $0.00 |
| 87430 | 188 | 176 | $0.00 | |
| 99429 | 15 | 12 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 26 | 25 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 30 | 30 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 157 | 136 | $0.00 |
| 91300 | 23 | 22 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 26 | 25 | $0.00 |