Medicaid Provider Spending

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

NORTHWESTERN MEDICAL CENTER, INC.

NPI: 1043548274 · SAINT ALBANS, VT 05478 · General Acute Care Hospital · NPI assigned 11/30/2009

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

Authorized official PIGEON, MARY controls 20+ related entities in our dataset. Read more

$137K
Total Medicaid Paid
8,247
Total Claims
7,359
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPIGEON, MARY (CREDENTIALING SPECIALIST)
Parent OrganizationNORTHWESTERN MEDICAL CENTER, INC.
NPI Enumeration Date11/30/2009

Related Entities

Other providers sharing the same authorized official: PIGEON, MARY

ProviderCityStateTotal Paid
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $1.35M
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $1.14M
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $748K
NORTHWESTERN MEDICAL CENTER, INC. ENOSBURG FALLS VT $600K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $365K
NORTHWESTERN MEDICAL CENTER INC SAINT ALBANS VT $344K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $176K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $118K
NORTHWESTERN MEDICAL CENTER, INC. SWANTON VT $83K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $72K
NORTHWESTERN MEDICAL CENTER, INC. FAIRFAX VT $68K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $67K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $23K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $20K
NORTHWESTERN MEDICAL CENTER, INC. SWANTON VT $14K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $14K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $10K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $4K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $1K
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $966.01

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,703 $44K
2019 1,298 $21K
2020 545 $6K
2021 1,122 $17K
2022 1,561 $34K
2023 1,047 $8K
2024 971 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,627 3,127 $87K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,073 943 $13K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 12 12 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 139 130 $6K
54150 92 81 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 358 325 $4K
81025 582 553 $2K
36415 Collection of venous blood by venipuncture 1,696 1,575 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 80 79 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 70 67 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 74 68 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 134 116 $762.32
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 146 128 $697.70
90686 41 41 $336.27
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 17 16 $180.22
81002 21 18 $45.24
96127 17 17 $30.80
J1050 Injection, medroxyprogesterone acetate, 1 mg 12 12 $0.00
90715 56 51 $0.00