Dr. Alex Ryzhikov, MD
Waldorf, MD 20602
Comprehensive Multi-System Internal Medicine (CPT 99204/99214), Hypertension, Dyslipidemia (ApoB), and Preventive Biomarker Screening.
Comprehensive multi-system diagnostic evaluation (CPT 99204/99214), chronic cardiometabolic medication management, preventive cancer screening, and specialist triage. Filter by your insurance carrier, state, or procedure below.
Waldorf, MD 20602
Comprehensive Multi-System Internal Medicine (CPT 99204/99214), Hypertension, Dyslipidemia (ApoB), and Preventive Biomarker Screening.
Grand Junction, CO 81506
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (5,815 CMS services/yr).
Los Banos, CA 93635
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (3,544 CMS services/yr).
Temple Terrace, FL 33637
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,476 CMS services/yr).
Encinitas, CA 92024
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (481 CMS services/yr).
Chesterfield, MO 63017
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,450 CMS services/yr).
Louisville, KY 40218
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,243 CMS services/yr).
Harrington Park, NJ 07640
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,849 CMS services/yr).
Flemington, NJ 08822
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,132 CMS services/yr).
Roseville, CA 95661
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (650 CMS services/yr).
Bullhead City, AZ 86442
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,497 CMS services/yr).
Kokomo, IN 46901
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,379 CMS services/yr).
Redding, CA 96001
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (5,465 CMS services/yr).
Springfield, IL 62711
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,205 CMS services/yr).
Middletown, DE 19709
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,745 CMS services/yr).
Saint Louis, MO 63141
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,649 CMS services/yr).
New Hyde Park, NY 11042
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (879 CMS services/yr).
Olympia, WA 98506
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (506 CMS services/yr).
Dover, DE 19901
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,418 CMS services/yr).
Norwood, MA 02062
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (3,086 CMS services/yr).
Los Angeles, CA 90048
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (658 CMS services/yr).
Chesapeake, VA 23321
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (6,429 CMS services/yr).
Williamsburg, VA 23185
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (6,863 CMS services/yr).
Ponte Vedra Beach, FL 32082
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,950 CMS services/yr).
Fairbanks, AK 99701
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (728 CMS services/yr).
Plainsboro, NJ 08536
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,898 CMS services/yr).
Moorestown, NJ 08057
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,273 CMS services/yr).
Brooklyn, NY 11237
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,128 CMS services/yr).
Bethlehem, PA 18015
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,046 CMS services/yr).
Langhorne, PA 19047
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (425 CMS services/yr).
Hicksville, NY 11801
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,410 CMS services/yr).
Paducah, KY 42003
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,087 CMS services/yr).
Atlanta, GA 30309
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (3,534 CMS services/yr).
Chambersburg, PA 17201
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,134 CMS services/yr).
Charleston, WV 25301
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,197 CMS services/yr).
Springfield, IL 62769
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,042 CMS services/yr).
Olympia, WA 98501
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,230 CMS services/yr).
Clinicians interrupt patients after a median of 11 seconds (J Gen Intern Med, PMID 29972200). Select your appointment reason below to generate your 1-page script:
"I have two specific goals for our 15 minutes today: first, my morning TSH is [X] mIU/L with persistent fatigue and cold intolerance, so I would like to evaluate Free T4, Free T3, TPO Antibodies, and Ferritin together; second, if we palpate any thyroid asymmetry, can we perform an in-office neck ultrasound (CPT 76536)?"
Confirms the endocrinologist images thyroid nodules themselves rather than sending you to a hospital radiology department.
Identifies structural thyroid specialists vs. general diabetes-only clinics.
Hold all Biotin (Vitamin B7) supplements for 72 hours before your blood draw so streptavidin assay interference does not create a false TSH/Free T4 reading.
"My recent HbA1c came back at [X]%. Today I want to check my Fasting Insulin to calculate HOMA-IR, discuss starting Extended-Release Metformin ER ($5.40/mo cash) or a 14-day Continuous Glucose Monitor trial (CPT 95251), and establish a 90-day re-test target below 5.4%."
Verifies the clinic actively prescribes and interprets Dexcom/Libre CGM sensor data.
Standard outpatient evaluation code; ask for transparent self-pay rates ($120–$180) if uninsured.
Bring a 3-day log of post-dinner fingerstick or CGM readings and confirm whether your pharmacy filled Metformin ER (Extended-Release) rather than immediate-release.
"My 7-day rested home blood pressure averages [X/Y] mmHg and my LDL-C is [Z] mg/dL. Today I would like to review my home cuff log against office white-coat readings, order direct Apolipoprotein B (ApoB) and one-time genetic Lipoprotein(a), and decide if a CAC score or low-dose statin/ARB is warranted."
Assesses left ventricular wall thickness and valve function directly in the cardiology suite.
Baseline rhythm and conduction screen prior to antihypertensive titration.
Bring your physical home upper-arm BP cuff to the clinic to validate calibration, along with a 7-day written morning/evening seated average.
"Even though my hemoglobin is normal, my Serum Ferritin is [X] ng/mL and I am experiencing persistent fatigue and hair shedding. Can we check a fasting Iron Panel with Transferrin Saturation (TSAT), rule out celiac/GI malabsorption, and target a Ferritin above 50–75 ng/mL?"
Confirms the hematology clinic can administer IV iron when oral iron fails or causes GI distress.
Tracks mean corpuscular volume (MCV) and early reticulocyte hemoglobin response.
Stop oral iron supplements for 24 hours before drawing a fasting morning Serum Iron and TSAT panel so circulating pill iron does not skew saturation.
"I have had [reflux / bloating / unexplained low ferritin] for [X] months. Today I want to distinguish upper GI mucosal issues from functional motility, review a step-down plan so I am not stuck on a PPI indefinitely, and verify whether you perform diagnostic EGD (CPT 43239) or colonoscopy (CPT 45385) at an ambulatory center."
High annual CPT 45385 volume (>300/yr) correlates with higher adenoma detection rates and safer polypectomy.
Rules out Barrett esophagus, H. pylori gastritis, and duodenal celiac villous atrophy.
Always request an Ambulatory Surgery Center (ASC) facility quote rather than a hospital outpatient department (HOPD) for endoscopy/colonoscopy to save $1,200–$2,400 in facility fees.
General directory listings show what a doctor claims to treat, whereas federal CMS Medicare Part B claims reveal what they actually perform every week. For example, seeing an endocrinologist who performs 400+ in-office thyroid neck ultrasounds (CPT 76536) per year or a gastroenterologist in the top decile for adenoma detection colonoscopy (CPT 45385) prevents unnecessary outside imaging referrals and repeat appointments.
Large hospital networks often bill tens of thousands of automated lab draws or vaccination claims under a single department chair NPI. Our directory triage engine isolates individual practicing clinicians (300 to 4,500 Medicare beneficiaries/year) and requires a minimum 4.2-star verified Google patient consensus with at least 15 reviews for default showcase rankings.
The GreatDoc™ rating—calculated by the Proprietary DotMD™ J3 Model—audits patient reviews across clinical diagnostic accuracy, unhurried listening, and procedure skill while flagging administrative friction points (such as $250 annual clinic fees, parking validation costs, or phone hold times) so you know exactly what to expect before walking into the waiting room.
Every flagship physician profile on dotMD includes an interactive Insurance Network & Cash-Rate Checker covering Original Medicare Part B, Medicare Advantage, BlueCross BlueShield, Aetna, Cigna, UnitedHealthcare, and regional PPO/HMO plans—plus the exact CMS geo-adjusted CPT 99204 self-pay cash rate ($195–$260) and 3-question script to verify network participation with the billing desk.