Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Vest Thurston LLC

Vest Thurston LLC was paid $2.58M by Medicaid between Oct 2019 and Dec 2024, across 9 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 50% of everything it billed.

33Billing provider infoVEST THURSTON LLC
LACEY, WA 98503
33aNPI1336605849assigned 02/20/2019
33bProvider typePsychiatric Hospital
28Total paid$2.58M
24GClaims72,055
24DCodes billed9
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Psychiatric Hospital providers in Washington

Rank by total paid#3 of 9
Median peer was paid$1.85M
This provider vs. median1.4×

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$100K$150K2018201920202021202220232024
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
2019168$4K
20204,982$114K
20219,754$231K
202218,813$649K
202318,702$938K
2024incomplete19,636$648K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99231 Subsequent hospital care, per day, straightforward or low complexity 50% 58,223 16,535 $1.29M
90853 Group psychotherapy (other than of a multiple-family group) 23% 2,300 265 $591K
99222 Initial hospital care, per day, moderate complexity 17% 5,802 5,569 $447K
99238 Hospital discharge day management, 30 minutes or less 8.8% 5,082 4,878 $226K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 432 294 $17K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 144 37 $8K
99223 Prolong inpt eval add15 m <1% 30 29 $3K
90792 Psychiatric diagnostic evaluation with medical services <1% 30 27 $3K
99221 <1% 12 12 $707.15

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 officialKRESCH, RICHARD (MANAGER)
Same official

Other billing entities under KRESCH, RICHARD

Full network →
ProviderLocationPaid
Vest Seattle, LLCMarysville, WA$3.82M
RV Behavioral, LLCSmyrna, GA$3.11M
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.