Physician
Northwestern Medical Center, INC.
Northwestern Medical Center, INC. was paid $10K by Medicaid between Apr 2021 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.
33Billing provider infoNORTHWESTERN MEDICAL CENTER, INC.
SAINT ALBANS, VT 05478
SAINT ALBANS, VT 05478
33aNPI1922658921assigned 09/12/2019
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$10K
24GClaims713
24DCodes billed4
24AFirst – last monthApr 2021 – Oct 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 | |
|---|---|---|---|
| 2021 | 165 | $1K | |
| 2022 | 222 | $4K | |
| 2023 | 183 | $3K | |
| 2024incomplete | 143 | $2K |
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 | 99% | 615 | 470 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 40 | 26 | $86.89 |
| 36415 | Collection of venous blood by venipuncture | <1% | 46 | 30 | $44.13 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 12 | 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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.