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    OpenPayerNPI Medicare & MedicaidMainline Health Systems Inc
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    Mainline Health Systems Inc — Billing Profile & Reimbursement Data

    NPI 1205163540 · Monticello, AR · Federally Qualified Health Center (FQHC)

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    Mainline Health Systems Inc is a federally qualified health center (fqhc) provider located in Monticello, Arkansas. This profile covers 0 Medicare and 48 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMainline Health Systems Inc
    Address535 Jordan Dr
    CityMonticello
    StateAR
    ZIP71655
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedNovember 6, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive27,740$170$4.7M
    G0467Federally 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…2,800$20$56K
    87636The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…710$40$29.8K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…460$50$22.2K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…850$20$20.5K
    G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only110$60$5.8K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…70$50$3.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…3,160$1$3.2K
    G0511Rural 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…260$10$3.1K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.40$50$1.9K

    Showing 1–10 of 48

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arkansas median

    48 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1265304,960$70$2.6M
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.4950260$90$137.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…9591,520550$40$128.7K
    87636The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…145090$100$92.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…3251,740550$30$88.8K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…188250460$50$86.1K
    99401At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…74050$40$82.2K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.206280190$50$48.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…136330680$10$48.3K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…81210250$50$39.8K

    Showing 1–10 of 48

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mainline Health Systems Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mainline Health Systems, IncARFederally Qualified Health Center (FQHC)$0$3.8M
    Mainline Health Systems IncARFederally Qualified Health Center (FQHC)$0$2.2M
    Mainline Health Systems IncARFederally Qualified Health Center (FQHC)$0$1.6M
    Paul WhippleARFamily Medicine Physician$16.9K$80.1K
    Kerry PenningtonARFamily Medicine Physician$77.8K$0
    Joe WhartonARFamily Medicine Physician$16.2K$0
    Kimberly GoldenARFamily Medicine Physician$14.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Mainline Health Systems Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advantages Of Southeast Arkansas, Inc.ARCase Management Agency$0$26.4M
    Delta Counseling Associates IncARCommunity/Behavioral Health Agency$0$15M
    Living Hope Southeast, LLCARMental Health Counselor$0$13.2M
    Bhc Pinnacle Pointe HealthcareARAdolescent and Children Mental Health Clinic/Center$0$10M
    Odyssey Healthcare Operating A, LPARHome Health Agency$0$4M
    Drew Memorial Hospital, Inc.ARGeneral Acute Care Hospital$0$3.8M
    Monticello Medical Clinic PlcARClinic/Center$0$2.3M
    Monticello Ambulance Service Inc.ARLand Ambulance$321.1K$577.4K
    Southeast Emergency Medical Service, IncARAmbulance$286K$520.6K
    Scott ClaycombAROphthalmology Physician$786.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arkansas Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Mainline Health Systems Inc — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas