Medicaid Provider Spending

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

NORTHWESTERN MEDICAL CENTER, INC.

NPI: 1497129993 · ENOSBURG FALLS, VT 05450 · Pediatrics Physician · NPI assigned 11/20/2015

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

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

$600K
Total Medicaid Paid
25,998
Total Claims
24,290
Beneficiaries
33
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialPIGEON, MARY (CREDENTIALING SPECIALIST)
NPI Enumeration Date11/20/2015

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. SAINT ALBANS VT $365K
NORTHWESTERN MEDICAL CENTER INC SAINT ALBANS VT $344K
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 7,129 $360K
2019 7,208 $103K
2020 5,324 $68K
2021 6,337 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,329 3,946 $196K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,982 4,552 $122K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,230 1,079 $105K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,258 1,143 $49K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,655 3,464 $32K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,039 1,013 $31K
90472 Immunization administration, each additional vaccine (list separately) 1,724 1,640 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 543 534 $19K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 363 323 $11K
92551 643 640 $4K
90474 262 251 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 364 362 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 217 211 $1K
83655 87 84 $914.83
96127 750 736 $866.17
99173 269 269 $459.16
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 37 35 $436.05
85018 88 85 $182.46
90686 939 927 $1.38
90656 15 15 $0.14
90685 90 90 $0.00
3725F 630 593 $0.00
90670 782 725 $0.00
90715 13 13 $0.00
90734 47 47 $0.00
90633 265 204 $0.00
90681 46 46 $0.00
90698 804 749 $0.00
90680 169 164 $0.00
90651 64 63 $0.00
90744 152 146 $0.00
99000 114 113 $0.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 28 28 $0.00