Dr. Alexander Brech, MD
353 Fairmont Blvd, Rapid City, SD 57701 • +1-235-555-6202
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Rapid City Percentiles
NPI #1902465784 • CBSA Regional • Emergency Medicine
Dr. Alexander Brech, MD (NPI #1902465784) practices Emergency Medicine in Rapid City, SD (57701) with sub-specialty concentration in 35 Active CMS HCPCS Codes, recording 1,433 annual CMS services across 878 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Rapid City percentile) (+0.80σ vs SD state mean, 64.71th statewide percentile).
Dr. Brech's longitudinal care intensity (1.6 billed units per patient across 878 individuals) centers on 99214 (645 annual units) and 99213 ($125–$171 cash range).
Direct cash-pay transparency modeling sets Dr. Brech's baseline new-consult rate near $209.00 in Rapid City, SD (cash-pay accepted, in-person clinic visits only, 21-minute average reception wait).
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. Alexander Brech integrates 35 Active CMS HCPCS Codes diagnostics for Rapid City metro patients.
Compared against Rapid City, SD Emergency Medicine peers
1,433 annual services across 878 beneficiaries
Standard deviations from SD Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 645 | 50th | $163 – $223 |
| 99213 | Established Preventive & Chronic Care Visit | 373 | 45th | $125 – $171 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 186 | 47th | $59 – $81 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 143 | 50th | $191 – $262 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 86 | 51th | $227 – $310 |
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Dr. Alexander Brech, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Brech National Provider Identifier | NPI #1902465784 (MD) | CMS NPPES Registry (57701) |
| Dr. Brech Rapid City CMS Volume Rank | 50.00th Pct (1,433 CMS svcs; Z +0.802σ) | CMS Medicare Part B (SD Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rapid City, SD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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