Northwestern Medical Center, INC.
Northwestern Medical Center, INC. was paid $748K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
SAINT ALBANS, VT 05478
Next to other Urgent Care Clinic/Center 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 | 4,821 | $242K | |
| 2019 | 6,873 | $151K | |
| 2020 | 3,622 | $44K | |
| 2021 | 5,453 | $84K | |
| 2022 | 6,565 | $100K | |
| 2023 | 6,620 | $59K | |
| 2024incomplete | 7,313 | $68K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 25,951 | 24,213 | $431K |
| 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 | 35% | 9,063 | 8,451 | $265K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 841 | 783 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 4,047 | 3,487 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.0% | 181 | 172 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 18 | 14 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 124 | 102 | $698.51 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 39 | 38 | $556.25 |
| 81002 | <1% | 318 | 313 | $452.40 | |
| 81003 | <1% | 326 | 317 | $409.87 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 93 | 91 | $372.13 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | 15 | $250.65 |
7 more codes
| 90686 | <1% | 17 | $239.98 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $224.52 |
| 81025 | <1% | 53 | $172.20 | |
| 94664 | <1% | 12 | $152.88 | |
| 99000 | 0% | 106 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 26 | $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 | 0% | 13 | $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.