In 2024, 180 providers billed Medicare for presumptive and definitive drug testing in Washington: 67,271 services and an estimated $6.6M in Medicare payments. Below: the top 5 by service volume, straight from CMS's public billing data.
Ranked by 2024 Medicare service volume across the family's codes.
| # | Provider | Specialty | City | Services | Est. Medicare paid |
|---|---|---|---|---|---|
| 1 | Regional Toxicology Services, LLC | Clinical Laboratory | Tacoma | 22,788 | $2.4M |
| 2 | Alexey Ryskin, M.D. | Interventional Pain Management | Richland | 5,556 | $823K |
| 3 | Carenexa, LLC | Clinical Laboratory | Vancouver | 4,465 | $503K |
| 4 | Ross Vogelgesang, MD | Anesthesiology | Olympia | 1,553 | $89K |
| 5 | Dennis Ang, ARNP | Nurse Practitioner | Richland | 1,329 | $77K |
The same 2024 Medicare data, sliced by city: the biggest drug testing cities by number of billers, in est.-Medicare-paid order.
In 2024 the top city for drug testing in Washington by est. Medicare paid was Tacoma: 11 providers billed 23,333 services for an estimated $2.5M, led by Regional Toxicology Services, LLC, with 22,788 services (est. $2.4M Medicare paid).
| # | City | Billers | Services | Est. Medicare paid | City leader (2024) |
|---|---|---|---|---|---|
| 1 | Tacoma | 11 | 23,333 | $2.5M | Regional Toxicology Services, LLC · 22,788 services · est. $2.4M |
| 2 | Spokane | 22 | 5,350 | $482K | James Foster, MSN, NP · 1,094 services · est. $116K |
| 3 | Seattle | 10 | 3,515 | $318K | University Of Washington · 1,323 services · est. $129K |
| 4 | Bellingham | 8 | 1,504 | $160K | Casey Inman, ARNP, LAC · 423 services · est. $48K |
| 5 | Kennewick | 8 | 3,906 | $150K | Jean You, M.D · 829 services · est. $10K |
City totals are cut from the same public CMS data as everything above: Medicare fee-for-service only, after CMS's under-11-beneficiary suppression, dollars always est. Medicare paid. Where a city shows fewer than 3 billers, we show the totals and name no one. Naming is capped by design: up to 5 ranked billers above plus at most one leader per city here, and no one else on this page.
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