Northwestern Medical Center, INC.
Northwestern Medical Center, INC. was paid $137K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
SAINT ALBANS, VT 05478
Next to other General Acute Care Hospital providers in Vermont
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,703 | $44K | |
| 2019 | 1,298 | $21K | |
| 2020 | 545 | $6K | |
| 2021 | 1,122 | $17K | |
| 2022 | 1,561 | $34K | |
| 2023 | 1,047 | $8K | |
| 2024incomplete | 971 | $7K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 64% | 3,627 | 3,127 | $87K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 9.2% | 1,073 | 943 | $13K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 8.4% | 12 | 12 | $11K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.2% | 139 | 130 | $6K |
| 54150 | 3.0% | 92 | 81 | $4K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.9% | 358 | 325 | $4K |
| 81025 | 1.8% | 582 | 553 | $2K | |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 1,696 | 1,575 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 80 | 79 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.1% | 70 | 67 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 74 | 68 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 134 | 116 | $762.32 |
7 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 146 | $697.70 |
| 90686 | <1% | 41 | $336.27 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 17 | $180.22 |
| 81002 | <1% | 21 | $45.24 | |
| 96127 | <1% | 17 | $30.80 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 12 | $0.00 |
| 90715 | 0% | 56 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.