Northwestern Medical Center, INC.

Northwestern Medical Center, INC. was paid $1.14M by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 64% of everything it billed.

33Billing provider infoNORTHWESTERN MEDICAL CENTER, INC.
SAINT ALBANS, VT 05478

33aNPI1720112659assigned 03/15/2007

33bProvider typeGeneral Acute Care Hospital

28Total paid$1.14M

24GClaims61,714

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Acute Care Hospital providers in Vermont

Rank by total paid#1 of 9

Median peer was paid$218K

This provider vs. median5.2×

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.

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	10,836	$353K
2019	10,220	$188K
2020	7,377	$100K
2021	8,336	$136K
2022	7,951	$144K
2023	8,802	$97K
2024incomplete	8,192	$120K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	64%	26,631	25,109	$723K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	28%	21,597	20,620	$321K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	5.2%	1,614	1,506	$59K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.9%	10,938	10,206	$21K
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.2%	921	889	$14K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	13	12	$530.58

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)

Same official

Other billing entities under PIGEON, MARY

Full network →

Provider	Location	Paid
Northwestern Medical Center, INC.	Saint Albans, VT	$1.35M
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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.