Dr. Franklin Ponce Herrera, MD
409 Lindberg Ave, Mcallen, TX 78501 • +1-841-555-5236
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Mcallen Percentiles
NPI #1265849442 • CBSA Regional • Nephrology
Operating out of Mcallen, TX (409 Lindberg Ave), Nephrology clinician Dr. Franklin Ponce Herrera, MD (accredited MD/DO training, 2001) maintains a upper-quartile active clinical volume (66.67th Mcallen percentile) (45.21th TX percentile; Z-score -0.23σ across 1,695 documented services) with sub-specialty concentration in 17 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 409 Lindberg Ave shows Dr. Franklin Ponce Herrera's primary concentration in Chronic Kidney Disease eGFR, uACR & Electrolyte Management (code 99214: 814x/yr, 66.67th local percentile) alongside Monthly Adult ESRD Renal Replacement Oversight (90960: 373x/yr, $520–$712).
Uninsured and high-deductible cash patients visiting Dr. Franklin Ponce Herrera in Mcallen (78501) face an estimated $209.00 initial evaluation fee at 409 Lindberg Ave (in-person clinic visits only; 22-minute average reception wait; bedside manner 4.79/5 from 6 verified reports).
NPI registry verification (#1265849442) confirms Dr. Franklin Ponce Herrera's MD standing serving CBSA 78501 with a 4.71/5 patient scorecard.
Compared against Mcallen, TX Nephrology peers
1,695 annual services across 322 beneficiaries
Standard deviations from TX Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 814 | 66.67th | $260 – $356 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 373 | 65.67th | $520 – $712 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 305 | 71.67th | $379 – $519 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 203 | 63.67th | $357 – $490 |
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Dr. Franklin Ponce Herrera, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ponce Herrera National Provider Identifier | NPI #1265849442 (MD) | CMS NPPES Registry (78501) |
| Dr. Ponce Herrera Mcallen CMS Volume Rank | 66.67th Pct (1,695 CMS svcs; Z -0.231σ) | CMS Medicare Part B (TX Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mcallen, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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