Physician
Northwestern Medical Center, INC.
Northwestern Medical Center, INC. was paid $67K by Medicaid between Aug 2018 and Dec 2024, across 8 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 32% of everything it billed.
33Billing provider infoNORTHWESTERN MEDICAL CENTER, INC.
SAINT ALBANS, VT 05478
SAINT ALBANS, VT 05478
33aNPI1821581174assigned 06/12/2018
33bProvider typeOtolaryngology Physician
28Total paid$67K
24GClaims5,835
24DCodes billed8
24AFirst – last monthAug 2018 – Dec 2024
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 | 321 | $14K | |
| 2019 | 758 | $10K | |
| 2020 | 556 | $6K | |
| 2021 | 844 | $9K | |
| 2022 | 963 | $9K | |
| 2023 | 975 | $6K | |
| 2024incomplete | 1,418 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 32% | 605 | 545 | $21K |
| 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 | 20% | 852 | 830 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 987 | 901 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 422 | 411 | $9K |
| 92557 | 7.3% | 1,017 | 922 | $5K | |
| 92567 | 6.5% | 1,626 | 1,513 | $4K | |
| 92587 | 2.5% | 284 | 259 | $2K | |
| 92579 | <1% | 42 | 39 | $380.20 |
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.