Northwest Medical Surgical Associates INC
Northwest Medical Surgical Associates INC was paid $38K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is T1023, Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter — 35% of everything it billed.
33Billing provider infoNORTHWEST MEDICAL SURGICAL ASSOCIATES INC
ST ALBANS, VT 05478
ST ALBANS, VT 05478
33aNPI1801981964assigned 10/04/2006
33bProvider typeSpecialist
28Total paid$38K
24GClaims1,765
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
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 | 390 | $12K | |
| 2019 | 474 | $12K | |
| 2020 | 100 | $2K | |
| 2021 | 336 | $5K | |
| 2022 | 170 | $3K | |
| 2023 | 204 | $3K | |
| 2024incomplete | 91 | $662.42 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 35% | 410 | 379 | $13K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 20% | 166 | 109 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 18% | 162 | 144 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.3% | 168 | 128 | $4K |
| 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 | 6.1% | 40 | 39 | $2K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 4.5% | 729 | 600 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 30 | 25 | $2K |
| 99152 | 1.5% | 60 | 53 | $581.15 |
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 officialPAYNE, STEPHEN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Stephen L Payne, MD, PC | Williamstown, MA | $111K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.