Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Northwestern Medical Center, INC.

Northwestern Medical Center, INC. was paid $14K by Medicaid between Oct 2020 and May 2021, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoNORTHWESTERN MEDICAL CENTER, INC.
SAINT ALBANS, VT 05478
33aNPI1376140889assigned 10/07/2020
33bProvider typePediatrics Physician
28Total paid$14K
24GClaims876
24DCodes billed2
24AFirst – last monthOct 2020 – May 2021
Compared with peers

Next to other Pediatrics Physician providers in Vermont

Rank by total paid#18 of 27
Median peer was paid$62K
This provider vs. median0.2×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2020161$6K
2021715$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 72% 742 551 $10K
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 28% 134 102 $4K

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 →

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