Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Vest Seattle, LLC (NPI 1104338144)

Vest Seattle, LLC is a psychiatry physician provider located in Marysville, Washington. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Vest Seattle, LLC
Address	3955 156th St Ne
City	Marysville
State	WA
ZIP	98271
Taxonomy	Psychiatry Physician
NPI Enumerated	October 31, 2017

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	60,680	$40	$2.2M
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	24,880	$20	$472.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	5,830	$80	$471.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	5,880	$60	$329.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,770	$70	$121.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	2,370	$50	$106.8K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2,130	$40	$85K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	810	$80	$64.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	30	$50	$1.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

Claims Volume vs. Washington Distribution

Vest Seattle, LLC — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,646	1,820	480	$60	$379.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	9	170	580	$30	$270.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	39	140	490	$40	$268.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	6	80	210	$50	$91K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	6	70	230	$20	$83.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	21	330	100	$80	$60K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	4	170	150	$70	$50.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	80	150	$60	$49.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	9	100	100	$40	$31.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Bergren	IL	Psychiatry Physician	$237.8K	$3.9M
Vest Seattle, LLC	WA	Psychiatric Hospital	$0	$2.5M
Martin Apt	CA	Psychiatric/Mental Health Nurse Practitioner	$177.9K	$0
Walter Akwo	WA	Psychiatric/Mental Health Nurse Practitioner	$132.9K	$0
Craig Headley	NY	Psychiatric/Mental Health Nurse Practitioner	$18.4K	$1.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tulalip Tribes Of Washington Quil Ceda Creek Counseling	WA	Methadone Clinic	$0	$22.3M
Tulalip Tribes Of Washington	WA	General Practice Physician	$0	$21.6M
Tulalip Tribes Of Washington	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$15.7M
Tulalip Tribes Of Washington	WA	Dentist	$0	$7.8M
Snohomish County Fire Protection District 15	WA	Land Ambulance	$36.4K	$4.2M
Tulalip Tribes Of Washington	WA	Public Health & General Preventive Medicine Physician	$0	$4M
Tulalip Tribes Of Washington	WA	Public Health & General Preventive Medicine Physician	$0	$3.8M
Hoang H Dang, Md, Ps	WA	Internal Medicine Physician	$0	$3.7M
Brett Buchmiller	WA	Allergy & Immunology Physician	$728.6K	$0
Eugene Chang	WA	Cardiovascular Disease Physician	$309.7K	$0

Vest Seattle, LLC — Billing Profile & Reimbursement Data

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Vest Seattle, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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