Behavioral
Mainline Health Systems INC
Mainline Health Systems INC was paid $2.21M by Medicaid between Jan 2020 and Dec 2024, across 41 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
WARREN, AR 71671
WARREN, AR 71671
33aNPI1396383758assigned 12/17/2019
33bProvider typeCognitive & Behavioral Psychologist
28Total paid$2.21M
24GClaims23,149
24DCodes billed41
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Cognitive & Behavioral Psychologist providers in Arkansas
Rank by total paid#2 of 13
Median peer was paid$847K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2020 | 2,850 | $327K | |
| 2021 | 3,722 | $442K | |
| 2022 | 6,442 | $537K | |
| 2023 | 6,707 | $532K | |
| 2024incomplete | 3,428 | $369K |
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% | 12,705 | 10,545 | $2.10M |
| 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 | 2.0% | 2,304 | 2,006 | $45K |
| 87428 | 1.2% | 544 | 495 | $25K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 137 | 113 | $7K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 361 | 333 | $5K |
| 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% | 1,294 | 1,183 | $4K |
| 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% | 1,224 | 1,022 | $3K |
| 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% | 228 | 221 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 44 | 31 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 30 | 28 | $1K |
| 0002A | <1% | 12 | 12 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | 22 | $1K |
29 more codes
| 0001A | <1% | 12 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 855 | $417.10 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 162 | $357.32 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 615 | $350.77 |
| G0466 | Community health center visit, new patient | <1% | 12 | $341.82 |
| 90619 | <1% | 61 | $262.80 | |
| 90756 | <1% | 13 | $227.90 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 244 | $206.99 |
| 90688 | <1% | 21 | $178.40 | |
| 81001 | <1% | 322 | $164.43 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 59 | $101.54 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 201 | $66.46 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 722 | $35.38 |
| 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 | <1% | 61 | $32.92 |
| 87807 | <1% | 75 | $27.68 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 82 | $27.48 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $16.19 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 25 | $2.16 |
| 3078F | <1% | 121 | $0.01 | |
| 3074F | <1% | 43 | $0.01 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 274 | $0.00 |
| 99307 | 0% | 77 | $0.00 | |
| 86703 | 0% | 17 | $0.00 | |
| 91300 | 0% | 18 | $0.00 | |
| 1160F | 0% | 14 | $0.00 | |
| 3075F | 0% | 57 | $0.00 | |
| 1034F | 0% | 15 | $0.00 | |
| 99406 | 0% | 16 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 14 | $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 | 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.