Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Massachusetts (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

James Lech (NPI 1245397819)

Field	Value
Entity Type	Individual
Organization	James Lech
Address	133 Brookline Ave
City	Boston
State	MA
ZIP	02215
Taxonomy	Psychiatry Physician
NPI Enumerated	January 3, 2007

Payer Source	Total Paid
Medicare	$39.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	260	$90	$22.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	200	$70	$13.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	60	$60	$3.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

James Lech — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	573	750	170	$50	$20.5K
90870	4	40	100	$90	$12.6K
99232	1,084	5,400	70	$60	$9.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with James Lech, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Melrosewakefield Healthcare, Inc.	MA	General Acute Care Hospital	$0	$37.8M
John Kalin	MA	Cardiovascular Disease Physician	$617.9K	$0
David Criss	MA	Cardiovascular Disease Physician	$589.8K	$560
Mohamad El-zaru	MA	Cardiovascular Disease Physician	$543.5K	$0
Laurence Conway	MA	Cardiovascular Disease Physician	$461.8K	$480
Gwyn Cattell	VT	Child & Adolescent Psychiatry Physician	$30.8K	$348.3K
Nathan Vanhouzen	MA	Cardiovascular Disease Physician	$294.2K	$400
Anshul Srivastava	MA	Cardiovascular Disease Physician	$249.5K	$370
Michael Rocha	MA	Cardiovascular Disease Physician	$247.7K	$0
Christopher Gange	MA	Cardiovascular Disease Physician	$236.2K	$90

James Lech — Billing Profile & Reimbursement Data

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James Lech — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References