Medicaid Provider Spending

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

NORTHWESTERN MEDICAL CENTER INC

NPI: 1386689875 · SAINT ALBANS, VT 05478 · Institutional Pharmacy · NPI assigned 06/18/2006

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

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

$344K
Total Medicaid Paid
20,785
Total Claims
13,942
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPIGEON, MARY (PAYOR CREDENTIALING SPECIALIST)
NPI Enumeration Date06/18/2006

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 $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
NORTHWESTERN MEDICAL CENTER, INC. SAINT ALBANS VT $966.01

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,207 $100K
2019 5,252 $65K
2020 1,869 $39K
2021 2,364 $48K
2022 1,705 $39K
2023 1,566 $33K
2024 822 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 16,717 11,027 $329K
36415 Collection of venous blood by venipuncture 1,116 928 $4K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 70 67 $3K
99284 Emergency department visit for the evaluation and management, high severity 53 48 $3K
20610 25 14 $2K
80053 Comprehensive metabolic panel 304 268 $1K
80048 Basic metabolic panel (calcium, ionized) 25 24 $589.20
99283 Emergency department visit for the evaluation and management, moderate severity 13 13 $586.18
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 35 27 $495.66
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,132 957 $58.17
99406 870 192 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46 46 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 15 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 14 12 $0.00
84484 18 13 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14 12 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 104 95 $0.00
36592 139 130 $0.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 20 14 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 15 $0.00
81003 27 12 $0.00