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LECHER, BRIANPC NPI 1265400246 Clinician

Emergency Medicine · SUMTER, SC

Specialty Emergency Medicine — from billed Medicare claims
Trained MARION SIMS COLLEGE OF MEDICINE - NLG — medical school, self-reported to CMS
In practice about 27 years since medical school (class of 1999, self-reported to CMS)
Location SUMTER, SC · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 46 codes billed · 5,670 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
2019–2026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2024-09

Year: 2024 · 2023 · 2022 locked column · 2021 locked column · 2020 locked column

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were premium in CY2024. Included with Platform.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services locked column Beneficiary-episodes locked column Avg charge locked column Avg Medicare payment locked column
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml premiumpremium premiumpremium
J1100 Injection, dexamethasone sodium phosphate, 1 mg premiumpremium premiumpremium
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more premiumpremium premiumpremium
J0696 Injection, ceftriaxone sodium, per 250 mg premiumpremium premiumpremium
36415 Insertion of needle into vein for collection of blood sample premiumpremium premiumpremium
96372 Injection of drug or substance under skin or into muscle premiumpremium premiumpremium
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected premiumpremium premiumpremium
J1885 Injection, ketorolac tromethamine, per 15 mg premiumpremium premiumpremium
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count premiumpremium premiumpremium
82948 Blood glucose (sugar) measurement using reagent strip premiumpremium premiumpremium
81003 Automated urinalysis test premiumpremium premiumpremium
71046 X-ray of chest, 2 views premiumpremium premiumpremium
80048 Blood test, basic group of blood chemicals (calcium, total) premiumpremium premiumpremium
96361 Infusion into a vein for hydration, each additional hour premiumpremium premiumpremium
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more premiumpremium premiumpremium
84443 Blood test, thyroid stimulating hormone (tsh) premiumpremium premiumpremium
84439 Thyroxine (thyroid chemical), free premiumpremium premiumpremium
84481 Thyroid hormone, t3 measurement, free premiumpremium premiumpremium
82607 Cyanocobalamin (vitamin b-12) level premiumpremium premiumpremium
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more premiumpremium premiumpremium
82306 Vitamin d-3 level premiumpremium premiumpremium
J2405 Injection, ondansetron hydrochloride, per 1 mg premiumpremium premiumpremium
87651 Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique premiumpremium premiumpremium
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report premiumpremium premiumpremium
83036 Hemoglobin a1c level premiumpremium premiumpremium
85610 Blood test, clotting time premiumpremium premiumpremium
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) premiumpremium premiumpremium
96374 Injection of drug or substance into vein premiumpremium premiumpremium
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more premiumpremium premiumpremium
80053 Blood test, comprehensive group of blood chemicals premiumpremium premiumpremium
83721 Ldl cholesterol level premiumpremium premiumpremium
83718 Hdl cholesterol level premiumpremium premiumpremium
70450 Ct scan head or brain without contrast premiumpremium premiumpremium
84484 Troponin (protein) analysis, quantitative premiumpremium premiumpremium
96375 Injection of additional new drug or substance into vein premiumpremium premiumpremium
83690 Lipase (fat enzyme) level premiumpremium premiumpremium
94060 Test to measure expiratory airflow and volume changes before and after medication administration premiumpremium premiumpremium
82150 Amylase (enzyme) level premiumpremium premiumpremium
83735 Magnesium level premiumpremium premiumpremium
96360 Infusion into a vein for hydration, 31-60 minutes premiumpremium premiumpremium
73630 X-ray of foot, minimum of 3 views premiumpremium premiumpremium
82550 Creatine kinase (cardiac enzyme) level, total premiumpremium premiumpremium
93976 Ultrasound of abdomen and pelvis artery and vein blood flow premiumpremium premiumpremium
73130 X-ray of hand, minimum of 3 views premiumpremium premiumpremium
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more premiumpremium premiumpremium
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme premiumpremium premiumpremium

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.