Physician
Northwestern Medical Center, INC
Northwestern Medical Center, INC was paid $4K by Medicaid between May 2022 and Jan 2024, across 5 billing codes. Its largest line is 99239, Hospital discharge day management, more than 30 minutes — 35% of everything it billed.
33Billing provider infoNORTHWESTERN MEDICAL CENTER, INC
SAINT ALBANS, VT 05478
SAINT ALBANS, VT 05478
33aNPI1003574740assigned 11/30/2021
33bProvider typePediatrics Physician
28Total paid$4K
24GClaims132
24DCodes billed5
24AFirst – last monthMay 2022 – Jan 2024
Compared with peers
Next to other Pediatrics Physician providers in Vermont
Rank by total paid#23 of 27
Median peer was paid$62K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 74 | $2K | |
| 2023 | 34 | $805.30 | |
| 2024incomplete | 24 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99239 | Hospital discharge day management, more than 30 minutes | 35% | 47 | 41 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | 25% | 46 | 41 | $891.65 |
| 96113 | 18% | 12 | 12 | $643.23 | |
| 99460 | 12% | 15 | 14 | $415.98 | |
| 96112 | 10% | 12 | 12 | $374.60 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBOUCHER, DENNIS (DIRECTOR)