Medicaid Provider Spending

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

MAINLINE HEALTH SYSTEMS INC

NPI: 1891809547 · WILMOT, AR 71676 · Cognitive & Behavioral Psychologist · NPI assigned 08/19/2006

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

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

$404K
Total Medicaid Paid
3,606
Total Claims
3,050
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNICHOLS, GARY (CEO)
NPI Enumeration Date08/19/2006

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 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 437 $57K
2019 620 $59K
2020 383 $47K
2021 258 $47K
2022 717 $71K
2023 787 $64K
2024 404 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 2,359 2,004 $395K
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 309 247 $6K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 15 12 $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 83 83 $952.11
Q3014 Telehealth originating site facility fee 72 67 $180.34
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 278 217 $156.40
36415 Collection of venous blood by venipuncture 55 44 $153.20
83036 Hemoglobin; glycosylated (A1C) 14 14 $59.37
3078F 150 129 $0.09
3074F 231 196 $0.04
3075F 12 12 $0.03
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 13 12 $0.00
3079F 15 13 $0.00