Medicaid Provider Spending

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

MAINLINE HEALTH SYSTEMS, INC

NPI: 1669401501 · DERMOTT, AR 71638 · Federally Qualified Health Center (FQHC) · NPI assigned 07/02/2006

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

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

$20K
Total Medicaid Paid
2,452
Total Claims
1,982
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNICHOLS, GARY (CEO)
NPI Enumeration Date07/02/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 927 $9K
2019 963 $8K
2020 28 $354.18
2021 57 $19.79
2022 19 $7.12
2023 352 $2K
2024 106 $197.95

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 624 524 $12K
T1015 Clinic visit/encounter, all-inclusive 347 249 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 876 689 $3K
36415 Collection of venous blood by venipuncture 142 140 $832.80
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 34 26 $362.07
87428 64 63 $73.49
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 99 75 $51.48
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 44 20 $49.80
83036 Hemoglobin; glycosylated (A1C) 12 12 $19.79
82947 19 15 $7.12
81002 13 13 $3.43
90734 18 18 $0.00
90472 Immunization administration, each additional vaccine (list separately) 17 17 $0.00
81003 71 51 $0.00
99000 26 24 $0.00
0031A 14 14 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19 19 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13 13 $0.00