NPI: 1508303124 · LAKE VILLAGE, AR 71653 · Cognitive & Behavioral Psychologist · NPI assigned 01/20/2017
Authorized official NICHOLS, GARY controls 20+ related entities in our dataset. Read more
| Authorized Official | NICHOLS, GARY (CEO) |
| NPI Enumeration Date | 01/20/2017 |
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. | 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 612 | $110K |
| 2019 | 1,181 | $203K |
| 2020 | 499 | $94K |
| 2021 | 868 | $149K |
| 2022 | 1,515 | $173K |
| 2023 | 2,313 | $198K |
| 2024 | 1,545 | $235K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 6,516 | 4,464 | $1.14M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 176 | 162 | $8K |
| 87428 | 93 | 89 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 119 | 109 | $6K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 18 | 17 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 29 | 28 | $1K |
| 90651 | 95 | 81 | $959.22 | |
| 90686 | 43 | 42 | $525.30 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 18 | 18 | $13.14 |
| 3074F | 700 | 521 | $0.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 86 | 70 | $0.00 |
| D0272 | Bitewings - two radiographic images | 17 | 17 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 18 | 18 | $0.00 |
| 3079F | 22 | 16 | $0.00 | |
| 3078F | 526 | 386 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 31 | 26 | $0.00 |
| D1110 | Prophylaxis - adult | 12 | 12 | $0.00 |
| 90661 | 14 | 14 | $0.00 |