Physician

Franklin Daniel Ponce Herrera, MD

According to 2025 Medicare claims, Franklin Herrera, MD (NPI: 1265849442) practices nephrology in the McAllen-Edinburg-Mission, TX market, with the plurality of this provider's patient population coming from Hidalgo, TX. This provider's primary affiliated billing organization is WILLIAM RESTREPO MD PA (NPI: 1477727949; TIN: 742803509) and primary practice location at 78503-3045.

Herrera's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 322 traditional Medicare patients, billed 1,695 HCPCS/CPT codes, and received $210,653 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 4,478 prescription claims across 651 beneficiaries totaling $2,186,147 in drug costs, led by Velphoro (Sucroferric Oxyhydroxide). DME data shows 174 claims. Open Payments data shows 153 records totaling $3,335. 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 sharply higher in recent years, from $101,751 to $210,653. Similarly, Part D prescription costs have moved sharply higher in recent years, from $57 to $2,186,147. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.