Supplier
Northwestern Medical Center INC
Northwestern Medical Center INC was paid $344K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 96% of everything it billed.
33Billing provider infoNORTHWESTERN MEDICAL CENTER INC
SAINT ALBANS, VT 05478
SAINT ALBANS, VT 05478
33aNPI1386689875assigned 06/18/2006
33bProvider typeInstitutional Pharmacy
28Total paid$344K
24GClaims20,785
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
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 | |
|---|---|---|---|
| 2018 | 7,207 | $100K | |
| 2019 | 5,252 | $65K | |
| 2020 | 1,869 | $39K | |
| 2021 | 2,364 | $48K | |
| 2022 | 1,705 | $39K | |
| 2023 | 1,566 | $33K | |
| 2024incomplete | 822 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 96% | 16,717 | 11,027 | $329K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 1,116 | 928 | $4K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 70 | 67 | $3K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 53 | 48 | $3K |
| 20610 | <1% | 25 | 14 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 304 | 268 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 25 | 24 | $589.20 |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 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 | <1% | 35 | 27 | $495.66 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,132 | 957 | $58.17 |
| 99406 | 0% | 870 | 192 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 46 | 46 | $0.00 |
10 more codes
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 15 | $0.00 |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 14 | $0.00 |
| 84484 | 0% | 18 | $0.00 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 14 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 104 | $0.00 |
| 36592 | 0% | 139 | $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 | 0% | 20 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 15 | $0.00 |
| 81003 | 0% | 27 | $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.
From NPPES
Who's on the registration
Authorized officialPIGEON, MARY (PAYOR CREDENTIALING SPECIALIST)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.