Physician
Northwestern Medical Center, INC.
Northwestern Medical Center, INC. was paid $365K by Medicaid between Jan 2018 and Jul 2020, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoNORTHWESTERN MEDICAL CENTER, INC.
SAINT ALBANS, VT 05478
SAINT ALBANS, VT 05478
33aNPI1629334164assigned 04/10/2012
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$365K
24GClaims15,395
24DCodes billed11
24AFirst – last monthJan 2018 – Jul 2020
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PIGEON, MARY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,181 | $187K | |
| 2019 | 5,677 | $129K | |
| 2020 | 3,537 | $48K |
Box 24 · Service lines
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 | 54% | 8,259 | 5,892 | $198K |
| 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 | 39% | 3,787 | 2,784 | $142K |
| 99406 | 3.3% | 2,050 | 1,477 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 117 | 88 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 358 | 287 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 28 | 26 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 349 | 286 | $1K |
| 96127 | <1% | 396 | 384 | $723.64 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | 13 | $32.46 |
| 99442 | 0% | 12 | 12 | $0.00 | |
| 3725F | 0% | 26 | 22 | $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.
From NPPES
Who's on the registration
Authorized officialPIGEON, MARY (CREDENTIALING SPECIALIST)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.