Physician

Roberto A Duran, MD

According to 2025 Medicare claims, Roberto Duran, MD (NPI: 1215086749) practices family practice in the Eagle Pass, TX market, with the plurality of this provider's patient population coming from Maverick, TX. This provider's primary affiliated billing organization is UNITED MEDICAL CENTERS (NPI: 1710980669; TIN: 741993570) and primary practice location at 78852-6864. Duran is affiliated with the TACHC Accountable Care Organization LLC (ACO ID: A5562), participating under the MSSP model.

Duran's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 41 traditional Medicare patients, billed 70 HCPCS/CPT codes, and received $3,083 in Medicare payments. The top billing code was 93005 (Routine electrocardiogram (ecg) using at least 12 leads with tracing). Part D data shows 13,699 prescription claims across 911 beneficiaries totaling $1,774,941 in drug costs, led by Tradjenta (Linagliptin). DME data shows 75 claims. Open Payments data shows 25 records totaling $364. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $3,494 and ending at $3,083. Concurrently, Part D prescription costs have risen steadily, from $1,492,488 to $1,774,941. For DME billing, reported payments fell sharply in recent years, from $13,893 to $4,064.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$6.4K$13K2015 Medicare payment: $3,494 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $4,408 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $4,611 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,627 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,922 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,973 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $12,866 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $6,594 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $987 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,083 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015209520$3,494
2016316807$4,408
2017289696$4,611
2018218524$2,627
2019159419$2,922
202078201$1,973
2021315518$12,866
2022168331$6,594
20234579$987
20244170$3,083

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.2M$2.3M2015 Drug cost: $1,492,488 (USD; Tot_Drug_Cst)2016 Drug cost: $1,393,842 (USD; Tot_Drug_Cst)2017 Drug cost: $1,408,401 (USD; Tot_Drug_Cst)2018 Drug cost: $1,372,577 (USD; Tot_Drug_Cst)2019 Drug cost: $1,497,621 (USD; Tot_Drug_Cst)2020 Drug cost: $1,624,178 (USD; Tot_Drug_Cst)2021 Drug cost: $1,896,734 (USD; Tot_Drug_Cst)2022 Drug cost: $2,149,937 (USD; Tot_Drug_Cst)2023 Drug cost: $2,319,858 (USD; Tot_Drug_Cst)2024 Drug cost: $1,774,941 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151,10822,877$1,492,488
20161,01617,371$1,393,842
201796015,937$1,408,401
201888115,233$1,372,577
201990516,214$1,497,621
202095016,255$1,624,178
202193716,151$1,896,734
202297816,377$2,149,937
202397315,713$2,319,858
202491113,699$1,774,941

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$12K$25K2015 Medicare payment: $21,410 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $24,860 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $12,298 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $11,174 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $13,239 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $8,995 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $5,694 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $5,097 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $5,869 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $1,297 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015379930$21,410
20164921,229$24,860
2017374911$12,298
2018318832$11,174
2019302713$13,239
2020194495$8,995
2021113297$5,694
202261157$5,097
202344112$5,869
20241275$1,297

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1414$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TradjentaLinagliptin15313,680$238,577
OzempicSemaglutide1545,333$182,699
FarxigaDapagliflozin Propanediol1269,054$170,780
JanuviaSitagliptin Phosphate1048,980$170,118
JardianceEmpagliflozin695,950$121,845

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0630Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)YN/R19$648
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN1228$463
K0001Standard wheelchairYN/R12$174
A4259Lancets, per box of 100NN/R16$11

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.25$364Novo Nordisk Inc
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Roberto A. Duran, MD?

Tedicare shows public-source Medicare data for Roberto A. Duran, MD (NPI 1215086749), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Roberto A. Duran, MD have ACO affiliation data?

Roberto A. Duran, MD is shown with ACO affiliation data for TACHC Accountable Care Organization LLC (MSSP, ACO ID A5562).

What billing organization is linked to Roberto A. Duran, MD?

Roberto A. Duran, MD is linked to UNITED MEDICAL CENTERS (billing NPI 1710980669) in the available physician profile data.

Does Roberto A. Duran, MD have Open Payments data?

Roberto A. Duran, MD has 25 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.