Medicaid Provider Spending

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

NORTHWESTERN MEDICAL CENTER, INC.

NPI: 1588039176 · SAINT ALBANS, VT 05478 · Pediatrics Physician · NPI assigned 12/08/2015

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

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

$1.35M
Total Medicaid Paid
55,546
Total Claims
52,114
Beneficiaries
34
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialPIGEON, MARY (CREDENTIALING SPECIALIST)
NPI Enumeration Date12/08/2015

Related Entities

Other providers sharing the same authorized official: PIGEON, MARY

ProviderCityStateTotal Paid
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 $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 16,606 $888K
2019 13,785 $227K
2020 11,733 $115K
2021 13,422 $123K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,653 7,878 $456K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,804 11,679 $378K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,883 1,668 $156K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,399 2,318 $90K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,762 8,408 $74K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,036 1,977 $65K
90472 Immunization administration, each additional vaccine (list separately) 4,169 3,988 $46K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 1,200 1,176 $40K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 868 833 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 699 666 $6K
92551 787 776 $5K
96127 1,570 1,504 $2K
90474 174 164 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 253 151 $1K
81002 468 452 $1K
85018 1,040 1,010 $1K
99173 480 466 $806.66
96110 Developmental screening, with scoring and documentation, per standardized instrument 208 207 $539.96
83655 83 78 $397.49
90670 942 902 $230.14
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 76 32 $32.31
90686 2,877 2,820 $23.19
90633 675 630 $0.00
90685 102 101 $0.00
3725F 785 745 $0.00
90681 78 69 $0.00
90734 68 67 $0.00
90698 1,011 968 $0.00
90651 154 152 $0.00
90680 111 109 $0.00
90744 54 52 $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 49 40 $0.00
90688 16 16 $0.00
90733 12 12 $0.00