Northwestern Medical Center, INC.

Northwestern Medical Center, INC. was paid $83K by Medicaid between Jan 2018 and Dec 2019, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoNORTHWESTERN MEDICAL CENTER, INC.
SWANTON, VT 05488

33aNPI1750755252assigned 11/20/2015

33bProvider typePediatrics Physician

28Total paid$83K

24GClaims2,112

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Pediatrics Physician providers in Vermont

Rank by total paid#13 of 27

Median peer was paid$62K

This provider vs. median1.3×

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	1,320	$70K
2019	792	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	49%	508	460	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	583	508	$26K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	6.6%	390	378	$6K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.2%	38	28	$3K
90472	Immunization administration, each additional vaccine (list separately)	2.5%	142	132	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.1%	15	15	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.1%	16	16	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.7%	13	13	$1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	<1%	15	15	$510.00
85018		<1%	190	178	$351.33
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	18	15	$282.78
81002		<1%	87	80	$207.80

5 more codes

96127	<1%	12	$61.44
90686	<1%	44	$19.03
90698	0%	13	$0.00
90651	0%	16	$0.00
90670	0%	12	$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)

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	$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.	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.