Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Vest Seattle, LLC

Vest Seattle, LLC was paid $3.82M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 57% of everything it billed.

33Billing provider infoVEST SEATTLE, LLC
MARYSVILLE, WA 98271
33aNPI1104338144assigned 10/31/2017
28Total paid$3.82M
24GClaims104,360
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Washington

Rank by total paid#1 of 69
Median peer was paid$15K
This provider vs. median253×

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.

Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
201813,235$303K
201916,502$494K
202014,101$421K
202112,927$438K
202215,592$591K
202316,962$790K
2024incomplete15,041$787K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 57% 60,675 16,716 $2.17M
99231 Subsequent hospital care, per day, straightforward or low complexity 12% 24,879 10,598 $472K
90792 Psychiatric diagnostic evaluation with medical services 12% 5,826 5,195 $470K
99239 Hospital discharge day management, more than 30 minutes 8.6% 5,883 5,293 $328K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 3.2% 1,765 1,625 $122K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.8% 2,374 1,027 $106K
99238 Hospital discharge day management, 30 minutes or less 2.2% 2,125 1,962 $85K
99222 Initial hospital care, per day, moderate complexity 1.7% 807 766 $65K
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 <1% 26 14 $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 officialKRESCH, RICHARD (MANAGER)
Same official

Other billing entities under KRESCH, RICHARD

Full network →
ProviderLocationPaid
RV Behavioral, LLCSmyrna, GA$3.11M
Vest Thurston LLCLacey, WA$2.58M
Vest Seattle, LLCMarysville, WA$2.53M
Indiana Behavioral Innovations LLCPlainfield, IN$1.37M
Vest Monroe, LLCMonroe, GA$549K
T Massachusetts, LLCWorcester, MA$61K
Silver Oaks Behavioral, LLCNew Lenox, IL$58K
2014 Health, LLCDes Plaines, IL$35K
V Covington, LLCWaukegan, IL$10K
Vest Thurston LLCLacey, WA$25.15

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