Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VT › Saint Albans › NPI 1932575792
Physician

Northwestern Medical Center, INC.

Northwestern Medical Center, INC. was paid $23K by Medicaid between Jan 2018 and Dec 2018, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoNORTHWESTERN MEDICAL CENTER, INC.
SAINT ALBANS, VT 05478
33aNPI1932575792assigned 08/17/2015
33bProvider typeDermatology Physician
28Total paid$23K
24GClaims585
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Dermatology Physician providers in Vermont

Rank by total paid#3 of 8
Median peer was paid$3K
This provider vs. median6.8×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018585$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 266 252 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 30% 167 167 $7K
17110 9.6% 35 28 $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 7.8% 24 24 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.8% 65 56 $2K
11100 6.3% 28 27 $1K

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 →

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