FRANKLIN PONCE HERRERA, MD
Nephrology Physician · MCALLEN, TX
Individual Active NPI 1265849442
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 322 | 1,695 | $577,965 | $271,835 | $210,653 |
| 2023 | 375 | 1,932 | $630,806 | $308,650 | $243,322 |
| 2022 | 346 | 1,094 | $215,769 | $105,376 | $81,802 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90935 | Hemodialysis procedure with physician evaluation | 341 | $67 | $54 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 312 | $336 | $263 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 225 | $75 | $60 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 163 | $278 | $213 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 160 | $91 | $63 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 119 | $124 | $99 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 96 | $113 | $90 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 95 | $73 | $49 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 70 | $165 | $130 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 19 | $153 | $120 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 19 | $192 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | S0776 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Texas
- NPI 1972574010
- NPI 1548279904
- NPI 1902823974
- NPI 1912432519
- NPI 1407855224
- NPI 1831198654
- NPI 1598027930
- NPI 1205851367
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.