Medicaid Provider Spending

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

NORTHWESTERN MEDICAL CENTER, INC.

NPI: 1578650099 · SAINT ALBANS, VT 05478 · Urgent Care Clinic/Center · NPI assigned 10/06/2006

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

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

$748K
Total Medicaid Paid
41,267
Total Claims
38,221
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPIGEON, MARY (PAYOR CREDENTIALING & CONTRACT SPEC)
NPI Enumeration Date10/06/2006

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. 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 $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 4,821 $242K
2019 6,873 $151K
2020 3,622 $44K
2021 5,453 $84K
2022 6,565 $100K
2023 6,620 $59K
2024 7,313 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,951 24,213 $431K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,063 8,451 $265K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 841 783 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,047 3,487 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 181 172 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 14 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 124 102 $698.51
71046 Radiologic examination, chest; 2 views 39 38 $556.25
81002 318 313 $452.40
81003 326 317 $409.87
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 93 91 $372.13
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25 15 $250.65
90686 17 13 $239.98
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $224.52
81025 53 50 $172.20
94664 12 12 $152.88
99000 106 100 $0.00
J3490 Unclassified drugs 26 25 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 13 12 $0.00