Northwestern Medical Center, INC.
Northwestern Medical Center, INC. was paid $176K by Medicaid between Jan 2018 and Apr 2022, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
SAINT ALBANS, VT 05478
Next to other Family Medicine Physician providers in Vermont
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,058 | $90K | |
| 2019 | 919 | $17K | |
| 2020 | 1,970 | $17K | |
| 2021 | 4,212 | $48K | |
| 2022 | 218 | $3K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 2,447 | 2,149 | $87K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 3,569 | 3,099 | $74K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.1% | 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 | <1% | 846 | 556 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 100 | 96 | $806.15 |
| 90686 | <1% | 93 | 89 | $738.40 | |
| 99201 | <1% | 23 | 19 | $204.60 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 31 | 29 | $120.33 |
| 96127 | <1% | 26 | 26 | $48.40 | |
| 3725F | 0% | 40 | 38 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.