Northwestern Medical Center, INC.

Northwestern Medical Center, INC. was paid $966.01 by Medicaid between Jun 2022 and Aug 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoNORTHWESTERN MEDICAL CENTER, INC.
SAINT ALBANS, VT 05478

33aNPI1295034304assigned 03/16/2011

33bProvider typeCardiovascular Disease Physician

28Total paid$966.01

24GClaims70

24DCodes billed2

24AFirst – last monthJun 2022 – Aug 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Vermont

Rank by total paid#4 of 6

Median peer was paid$966.01

This provider vs. median1.0×

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.

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

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	29	$303.74
2023	28	$211.92
2024incomplete	13	$450.35

Box 24 · Service lines

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	53%	57	56	$515.66
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	47%	13	13	$450.35

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 officialPIGEON, MARY (CREDENTIALING SPECIALIST)

Same official

Other billing entities under PIGEON, MARY

Full network →

Provider	Location	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	$137K
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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.