Medicaid Provider Spending

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

NORTHWESTERN MEDICAL CENTER, INC.

NPI: 1417274663 · SAINT ALBANS, VT 05478 · Family Medicine Physician · NPI assigned 04/28/2010

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

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

$176K
Total Medicaid Paid
9,377
Total Claims
7,740
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialPIGEON, MARY (CREDENTIALING SPECIALIST)
NPI Enumeration Date04/28/2010

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 $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 2,058 $90K
2019 919 $17K
2020 1,970 $17K
2021 4,212 $48K
2022 218 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,447 2,149 $87K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,569 3,099 $74K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,202 1,639 $11K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 846 556 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 100 96 $806.15
90686 93 89 $738.40
99201 23 19 $204.60
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 31 29 $120.33
96127 26 26 $48.40
3725F 40 38 $0.00