Physician

Sergio Murillo Herrera, MD

According to 2025 Medicare claims, Sergio Herrera, MD (NPI: 1598923757) practices family practice in the Pueblo, CO market, with the plurality of this provider's patient population coming from Pueblo, CO. This provider's primary affiliated billing organization is ADULT MEDICINE SPECIALISTS PC (NPI: 1316162464; TIN: 841121442) and primary practice location at 81003-2728. Herrera is affiliated with the CommonSpirit ACO I (ACO ID: A2164), Community Health Provider Alliance (ACO ID: A3477), and Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Herrera's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 458 traditional Medicare patients, billed 36,570 HCPCS/CPT codes, and received $152,194 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 5,287 prescription claims across 437 beneficiaries totaling $462,986 in drug costs, led by Jardiance (Empagliflozin). DME data shows 48 claims. Open Payments data shows 60 records totaling $997. 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 $79,118 to $152,194. Similarly, Part D prescription costs have risen steadily, from $297,173 to $462,986. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $23,766 to $6,345.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	326	7,997	$79,118
2016	436	14,572	$79,036
2017	339	10,014	$64,813
2018	345	25,096	$71,447
2019	305	12,644	$56,756
2020	281	17,690	$49,514
2021	231	22,271	$52,320
2022	601	23,501	$196,208
2023	576	27,327	$181,025
2024	458	36,570	$152,194

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	320	4,336	$297,173
2016	290	4,051	$316,601
2017	328	4,024	$290,609
2018	346	4,587	$393,408
2019	342	4,042	$324,301
2020	393	4,914	$388,268
2021	413	5,793	$451,178
2022	493	5,593	$411,842
2023	542	5,620	$569,512
2024	437	5,287	$462,986

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	27	316	$23,598
2016	34	382	$16,948
2017	38	350	$10,628
2018	42	334	$10,959
2019	15	98	$2,759
2020	12	117	$4,554
2021	12	83	$2,588
2022	11	72	$1,618
2023	11	71	$3,906
2024	N/R	48	$1,533

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$100
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	391	1,242	$71
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	60	70	$38
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	107	188	$12
96372	Injection of drug or substance under skin or into muscle	58	186	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	49	4,170	$77,964
Ozempic	Semaglutide	39	2,244	$60,011
Farxiga	Dapagliflozin Propanediol	30	2,570	$48,822
Eliquis	Apixaban	25	1,350	$26,613
Mounjaro	Tirzepatide	20	560	$21,510

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	15	$1,032
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	22	$346
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	11	$155

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	60	$997	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Sergio Murillo Herrera, MD?

Tedicare shows public-source Medicare data for Sergio Murillo Herrera, MD (NPI 1598923757), 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 Sergio Murillo Herrera, MD have ACO affiliation data?

Sergio Murillo Herrera, MD is shown with ACO affiliation data for CommonSpirit ACO I (MSSP, ACO ID A2164), Community Health Provider Alliance (MSSP, ACO ID A3477), and Caravan Collaborative Pathways (MSSP, ACO ID A4604).

What billing organization is linked to Sergio Murillo Herrera, MD?

Sergio Murillo Herrera, MD is linked to ADULT MEDICINE SPECIALISTS PC (billing NPI 1316162464) in the available physician profile data.

Does Sergio Murillo Herrera, MD have Open Payments data?

Sergio Murillo Herrera, MD has 60 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.