Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MAINLINE HEALTH SYSTEMS, INC

NPI: 1619082724 · EUDORA, AR 71640 · Cognitive & Behavioral Psychologist · NPI assigned 08/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official NICHOLS, GARY controls 20+ related entities in our dataset. Read more

$887K
Total Medicaid Paid
9,598
Total Claims
8,113
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNICHOLS, GARY (CEO)
NPI Enumeration Date08/20/2006

Related Entities

Other providers sharing the same authorized official: NICHOLS, GARY

ProviderCityStateTotal 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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,279 $124K
2019 1,190 $124K
2020 1,001 $128K
2021 1,755 $174K
2022 2,369 $139K
2023 1,494 $119K
2024 510 $78K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,041 4,253 $850K
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 1,224 1,027 $24K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 54 50 $6K
87428 26 25 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,166 954 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 29 29 $1K
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 95 82 $914.94
36415 Collection of venous blood by venipuncture 136 127 $526.40
81003 240 199 $225.74
83036 Hemoglobin; glycosylated (A1C) 43 42 $193.94
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54 42 $174.20
85025 Blood count; complete (CBC), automated, and automated differential WBC count 47 39 $87.97
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 24 $72.21
3074F 539 465 $50.11
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 21 21 $3.31
3078F 500 444 $0.42
3079F 219 175 $0.18
3075F 125 115 $0.13