NPI: 1316106388 · PORTLAND, AR 71663 · Cognitive & Behavioral Psychologist · NPI assigned 06/05/2008
Authorized official NICHOLS, GARY controls 20+ related entities in our dataset. Read more
| Authorized Official | NICHOLS, GARY (CEO) |
| NPI Enumeration Date | 06/05/2008 |
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 | 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 387 | $72K |
| 2019 | 405 | $76K |
| 2020 | 840 | $93K |
| 2021 | 986 | $88K |
| 2022 | 1,410 | $102K |
| 2023 | 1,145 | $106K |
| 2024 | 509 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,402 | 2,892 | $581K |
| G0467 | Federally 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 | 361 | 306 | $7K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 55 | 51 | $4K |
| 87428 | 61 | 60 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 18 | 15 | $542.76 |
| Q3014 | Telehealth originating site facility fee | 84 | 71 | $187.96 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 40 | 35 | $59.10 |
| 3074F | 788 | 697 | $0.26 | |
| 3078F | 532 | 475 | $0.24 | |
| 3079F | 129 | 104 | $0.11 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 212 | 187 | $0.00 |