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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Alexey Ryskin
⚕️
MDIndividual

Alexey Ryskin, M.D.

NPI: 1366457236
Richland, WA
10 years of data
Interventional Pain Management
$13.8M
Total Payments
35.2K
Beneficiaries
133.9K
Services
3.08x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$13.8M
Specialty median$206.2K

📋 Key Findings

1Billed $13.8M over 10 years
23.08x markup ratio (above median)
399th percentile in Interventional Pain Management by payments
454 services/day — unusually high
5Payments surged 229% in 2015
615 procedures with >3x markup

This provider averages 54 services per working day

Based on 133.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $13.8M in total Medicare payments ranks in the 99th percentile of Interventional Pain Management providers nationally.

Averaging 54 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 2314% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 229% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$361.10$67.705.33x$293.40$93.1K1.5K662
2015$565.44$116.874.84x$448.57$306.5K3.2K1.4K
2016$500.60$115.554.33x$385.05$595.5K7.0K2.9K
2017$519.13$110.284.71x$408.85$796.3K10.2K3.8K
2018$445.99$107.404.15x$338.59$1.6M15.5K5.0K
2019$440.76$104.514.22x$336.25$2.2M20.0K4.9K
2020$464.06$117.783.94x$346.28$2.2M19.1K4.4K
2021$414.63$91.414.54x$323.22$1.9M16.0K3.5K
2022$353.98$80.734.38x$273.25$1.8M17.0K4.7K
2023$323.62$99.953.24x$223.67$2.2M24.2K4.1K

Top Procedures (20)

G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
$4.6M
19.0K services$241.40/svc2.48x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 3.2x markup
$2.6M
28.6K services$92.27/svc3.23x markup
80307Testing for presence of drug
$1.4M
23.2K services$62.11/svc2.55x markup
99215Established patient office or other outpatient, visit typically 40 minutes⚠ 3.4x markup
$681.9K
5.2K services$132.27/svc3.39x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.1x markup
$653.4K
10.9K services$59.96/svc3.11x markup
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
$387.1K
2.0K services$194.50/svc2.06x markup
96132Evaluation of neuropsychological test, first hour⚠ 3.6x markup
$382.2K
3.5K services$109.21/svc3.57x markup
96130Evaluation of psychological test, first hour⚠ 3.7x markup
$345.7K
3.5K services$99.23/svc3.69x markup
10022Fine needle aspiration using imaging guidance
$329.7K
2.8K services$118.59/svc2.11x markup
99205New patient office or other outpatient visit, typically 60 minutes⚠ 3.8x markup
$293.4K
1.9K services$157.92/svc3.76x markup
77002Fluoroscopic guidance for insertion of needle⚠ 3.9x markup
$187.6K
2.2K services$86.50/svc3.92x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance⚠ 3.0x markup
$158.1K
467 services$338.49/svc3.02x markup
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle⚠ 8.0x markup
$156.6K
3.1K services$49.75/svc8.03x markup
64493Injections of lower or sacral spine facet joint using imaging guidance⚠ 4.3x markup
$144.0K
945 services$152.36/svc4.34x markup
20553Injections of trigger points in 3 or more muscles⚠ 3.7x markup
$111.8K
2.3K services$49.04/svc3.71x markup
96138Administration of psychological or neuropsychological test by technician, first 30 minutes⚠ 3.3x markup
$111.6K
3.5K services$32.02/svc3.28x markup
72275Radiological supervision and interpretation X-ray of covering of spinal cord⚠ 4.9x markup
$96.1K
896 services$107.23/svc4.87x markup
G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes⚠ 3.0x markup
$93.3K
3.3K services$28.52/svc3.05x markup
64494Injections of lower or sacral spine facet joint using imaging guidance⚠ 6.3x markup
$73.1K
940 services$77.82/svc6.31x markup
27096Injection procedure into sacroiliac joint for anesthetic or steroid
$70.2K
510 services$137.68/svc2.56x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms19.0K$4.6M$241.402.48x
99214Established patient office or other outpatient, visit typically 25 minutes28.6K$2.6M$92.273.23x
80307Testing for presence of drug23.2K$1.4M$62.112.55x
99215Established patient office or other outpatient, visit typically 40 minutes5.2K$681.9K$132.273.39x
99213Established patient office or other outpatient visit, typically 15 minutes10.9K$653.4K$59.963.11x
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms2.0K$387.1K$194.502.06x
96132Evaluation of neuropsychological test, first hour3.5K$382.2K$109.213.57x
96130Evaluation of psychological test, first hour3.5K$345.7K$99.233.69x
10022Fine needle aspiration using imaging guidance2.8K$329.7K$118.592.11x
99205New patient office or other outpatient visit, typically 60 minutes1.9K$293.4K$157.923.76x
77002Fluoroscopic guidance for insertion of needle2.2K$187.6K$86.503.92x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance467$158.1K$338.493.02x
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3.1K$156.6K$49.758.03x
64493Injections of lower or sacral spine facet joint using imaging guidance945$144.0K$152.364.34x
20553Injections of trigger points in 3 or more muscles2.3K$111.8K$49.043.71x
96138Administration of psychological or neuropsychological test by technician, first 30 minutes3.5K$111.6K$32.023.28x
72275Radiological supervision and interpretation X-ray of covering of spinal cord896$96.1K$107.234.87x
G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes3.3K$93.3K$28.523.05x
64494Injections of lower or sacral spine facet joint using imaging guidance940$73.1K$77.826.31x
27096Injection procedure into sacroiliac joint for anesthetic or steroid510$70.2K$137.682.56x

Markup Analysis

Charge-to-Payment Ratio

3.08x

This provider submits charges 3.08 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.08x means for every $100 Medicare pays, this provider initially charges $308. This is higher than the national average.

Location

Richland, WA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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