Dr. Franklin Heredia, MD
4545 Fuller Drive, Suite 325, Irving, TX 75038 • +1-300-555-6971
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Irving Percentiles
NPI #1295719870 • CBSA Regional • Internal Medicine
Within the Irving, TX (CBSA local) Internal Medicine cohort, Dr. Franklin Heredia, MD with sub-specialty concentration in 21 Active CMS HCPCS Codes ranks at the 35.14th municipal percentile and 29.5th TX percentile (-0.21σ Z-score) based on 971 billed procedures for 134 patients.
Fee-schedule auditing of NPI 1295719870 highlights 416 annual claims for 99214 (35.14th Irving percentile; $127–$174 self-pay corridor) plus 241 encounters under 99213 and 120 under 93000.
At 4545 Fuller Drive, Suite 325 (75038), Dr. Franklin Heredia, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.59/5 bedside rating).
Spanning 19 years of clinical practice following 2007 graduation from medical training, Dr. Franklin Heredia integrates 21 Active CMS HCPCS Codes diagnostics for Irving metro patients.
Compared against Irving, TX Internal Medicine peers
971 annual services across 134 beneficiaries
Standard deviations from TX Internal 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 | 416 | 35.14th | $127 – $174 |
| 99213 | Established Preventive & Chronic Care Visit | 241 | 32.14th | $97 – $133 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 120 | 35.14th | $46 – $63 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 93 | 30.14th | $149 – $204 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 56 | 36.14th | $176 – $242 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (21 HCPCS billing breadth) | 46 | 35.14th | $114 – $165 |
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Dr. Franklin Heredia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Heredia National Provider Identifier | NPI #1295719870 (MD) | CMS NPPES Registry (75038) |
| Dr. Heredia Irving CMS Volume Rank | 35.14th Pct (971 CMS svcs; Z -0.212σ) | CMS Medicare Part B (TX Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Irving, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.52/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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