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.
Georgetown, SC 29440
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,540 CMS services/yr).
Tucson, AZ 85711
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (6,740 CMS services/yr).
Lubbock, TX 79424
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (23,332 CMS services/yr).
Pasadena, CA 91104
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (130,871 CMS services/yr).
Myrtle Beach, SC 29572
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (10,112 CMS services/yr).
Hickory, NC 28602
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (116,458 CMS services/yr).
Asbury Park, NJ 07712
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,700 CMS services/yr).
Atlanta, GA 30327
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (9,064 CMS services/yr).
Southfield, MI 48075
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (626 CMS services/yr).
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 (5,839 CMS services/yr).
Baltimore, MD 21237
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (4,943 CMS services/yr).
Jacksonville, FL 32204
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (11,383 CMS services/yr).
Wilmington, DE 19810
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (6,686 CMS services/yr).
Wyandotte, MI 48192
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (64,689 CMS services/yr).
Madison, WI 53705
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (3,659 CMS services/yr).
El Paso, TX 79920
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (597 CMS services/yr).
Naperville, IL 60540
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (21,227 CMS services/yr).
Newman, CA 95360
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (11,944 CMS services/yr).
Fayetteville, NC 28301
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,000 CMS services/yr).
Mckinney, TX 75071
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,777 CMS services/yr).
Frisco, TX 75036
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,180 CMS services/yr).
Sanibel, FL 33957
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (941 CMS services/yr).
Sycamore, IL 60178
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (542 CMS services/yr).
Creve Couer, 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 (1,798 CMS services/yr).
Erie, PA 16508
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (2,603 CMS services/yr).
Oak Lawn, IL 60453
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (632 CMS services/yr).
Montgomery, AL 36109
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (803 CMS services/yr).
Royal Palm Beach, FL 33411
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (1,854 CMS services/yr).
West Orange, NJ 07052
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (572 CMS services/yr).
El Centro, CA 92243
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (69,360 CMS services/yr).
Memphis, TN 38112
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (12,776 CMS services/yr).
Leesburg, FL 34748
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (245,823 CMS services/yr).
Corinth, MS 38834
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (18,151 CMS services/yr).
Miami, FL 33126
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (7,581 CMS services/yr).
Memphis, TN 38138
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (23,503 CMS services/yr).
Walnut Creek, CA 94595
Top Billed Procedure: Moderate-to-High Complexity Internal Medicine Follow-Up [CPT 99214] • Comprehensive multi-system diagnostic evaluation (CPT 99204/99214) & subspecialty diagnostics (8,820 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.