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NPI 1366457236 · Richland, WA · Pain Medicine (Anesthesiology) Physician
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Alexey Ryskin is a pain medicine (anesthesiology) physician provider located in Richland, Washington. This profile covers 32 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Alexey Ryskin |
| Address | 1075 Jadwin Ave |
| City | Richland |
| State | WA |
| ZIP | 99352 |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| NPI Enumerated | July 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $990 |
Medicare overwhelmingly dominates this provider’s public-payer revenue: lifetime Medicare revenue is $2.3M versus just $993 in Medicaid, so the practice is effectively Medicare-focused with negligible Medicaid billing on file. Medicaid activity is concentrated entirely in a single code (99214) and represents a vanishing share of overall public-payer take.
Revenue concentration within Medicare is high: the precomputed top-3 Medicare codes account for 56.7% of the provider’s total Medicare revenue, with the leading three codes specifically being G0483 (27.0%), 96132 (15.0%), and 99214 (14.8%). This mix indicates that a small set of services drive the majority of Medicare dollars for this NPI.
The service-line mix points to a hybrid practice model combining high-volume neuropsychological/psychological testing and drug/substance testing alongside office-based E/M and interventional pain procedures. High-volume test codes include 96132, 96130, and 96138 (neuropsychological/psychological testing), major toxicology codes include G0483 and 80307, and the portfolio also includes E/M codes (99214, 99215) and pain-related procedures (e.g., 64635, 64493).
This provider is a national outlier on multiple standardized testing codes: 96132 ranks #1 of 3173 providers nationally and 96130 ranks #1 of 1068 providers (both labeled "extreme outlier, far above typical national volume"). Those rankings indicate an unusually high specialization or throughput in neuropsychological testing relative to national peers.
By contrast, the largest single Medicare revenue generator, G0483 (drug testing, 22+ drug classes), contributes $603.8K (27.0%) and ranks #40 of 1063 providers nationally (96th percentile; described as "typical, unremarkable volume"). In other words, drug-testing services generate the biggest share of Medicare revenue while appearing modest-to-typical in volume relative to specialized toxicology peers.
Office evaluation-and-management services also represent a material revenue stream on Medicare: 99214 appears with 3.1K claims, $105 avg paid/claim, and $330.4K revenue (14.8%), and it ranks #202 of 479517 providers nationally (100th percentile; "extreme outlier"). That combination of very high E/M claim counts plus extreme national ranking suggests a sustained, high-volume ambulatory patient panel handled under this NPI.
Medicaid engagement is minimal and concentrated: all reported Medicaid revenue ($993) comes from a small Medicaid 99214 volume (17 claims, $58 avg paid/claim) which is 100.0% of the provider’s Medicaid revenue but ranks #1693 of 1823 providers in-state (6th percentile; "typical, unremarkable volume"). This contrast—high Medicare E/M volume versus low Medicaid E/M volume—suggests limited participation or patient mix in Medicaid programs.
The provider has a long billing history, with NPI enumeration on 2006-07-29 (~20 years ago), consistent with an established practice footprint. Paired with the 56.7% Medicare revenue concentration in the top three codes and multiple "extreme outlier" rankings, the profile points to a stable but specialized operation whose Medicare performance is heavily dependent on a small set of high-volume testing and E/M services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 2,520 | $240 | $603.8K |
| 96132 | The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in… | 3,090 | $110 | $336.6K |
| 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… | 3,150 | $110 | $330.4K |
| 96130 | The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a… | 3,070 | $100 | $304K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 3,310 | $60 | $198.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 840 | $140 | $114.4K |
| 96138 | A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method. | 3,070 | $30 | $98.3K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 2,940 | $30 | $82.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 350 | $80 | $27.4K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 140 | $170 | $23.7K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0396 | 1 | 10 | 2,940 | $30 | $83.2K |
| G0483 | 1 | 20 | 90 | $240 | $69.8K |
| G0480 | 9 | 40 | 50 | $110 | $40.5K |
| 96130 | 1 | 10 | 30 | $100 | $32.2K |
| 64635 | 46 | 90 | 30 | $400 | $21.2K |
| 80307 | 2 | 110 | 110 | $60 | $20.5K |
| 99214 | 1 | 10,860 | 100 | $80 | $13.6K |
| 64493 | 50 | 120 | 50 | $190 | $13.5K |
| 96132 | 1 | 50 | 30 | $100 | $12.3K |
| 10021 | 1 | 10 | 170 | $70 | $11.6K |
Showing 1–10 of 32
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 20 | $60 | $990 |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
1 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… | 1,693 | 1,820 | 480 | $60 | $379.6K |
Other providers in the same ZIP code as Alexey Ryskin, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Kadlec Regional Medical Center | WA | General Acute Care Hospital | $0 | $151.5M |
| Gill, Ritchie, Walker PLLC | WA | Ambulatory Surgical Clinic/Center | $0 | $10.7M |
| City Of Richland | WA | Ambulance | $679.8K | $7.8M |
| Ortc, LLC | WA | Methadone Clinic | $0 | $6.2M |
| Health First Urgent Care, PLLC | WA | Urgent Care Clinic/Center | $0 | $5.2M |
| American Medical Response Ambulance Service Inc | WA | Ambulance | $1.1M | $3M |
| Total Renal Care Inc | WA | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $3.8M |
| Tri-city Orthodontics, LLC | WA | Orthodontics and Dentofacial Orthopedics Dentistry | $0 | $2.9M |
| Sidney Smith | WA | Dermatology Physician | $2.1M | $0 |
| Cheryl Lee | WA | Ophthalmology Physician | $1.5M | $0 |
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