NEVVI Medicare utilization intelligence

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HERRERA, RODOLFOM.D. NPI 1154524668 Clinician

Family Practice · BEDFORD, TX

Specialty Family Practice — from billed Medicare claims
Trained UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO — medical school, self-reported to CMS
In practice about 23 years since medical school (class of 2003, self-reported to CMS)
Location BEDFORD, TX · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 42 codes billed · 12,541 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20202026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2020-07

Year: 2024 · 2023 · 2022 locked column · 2021 locked column · 2020 locked column

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were premium in CY2024. Included with Platform.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services locked column Beneficiary-episodes locked column Avg charge locked column Avg Medicare payment locked column
J1010 Injection, methylprednisolone acetate, 1 mg premiumpremium premiumpremium
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month premiumpremium premiumpremium
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional premiumpremium premiumpremium
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more premiumpremium premiumpremium
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month premiumpremium premiumpremium
99458 Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes premiumpremium premiumpremium
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more premiumpremium premiumpremium
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month premiumpremium premiumpremium
80307 Testing for presence of drug, by chemistry analyzers premiumpremium premiumpremium
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg premiumpremium premiumpremium
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days premiumpremium premiumpremium
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes premiumpremium premiumpremium
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms premiumpremium premiumpremium
G3002 Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha premiumpremium premiumpremium
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month premiumpremium premiumpremium
J1885 Injection, ketorolac tromethamine, per 15 mg premiumpremium premiumpremium
93923 Complete ultrasound study of arm and leg arteries premiumpremium premiumpremium
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms premiumpremium premiumpremium
96127 Assessment of emotional or behavioral problems premiumpremium premiumpremium
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more premiumpremium premiumpremium
99442 Telephone medical discussion with physician, 11-20 minutes premiumpremium premiumpremium
96372 Injection of drug or substance under skin or into muscle premiumpremium premiumpremium
93040 Electrocardiogram (ecg) 1 to 3 leads with review by physician premiumpremium premiumpremium
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes premiumpremium premiumpremium
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more premiumpremium premiumpremium
95816 Measurement of brain wave activity (eeg), awake and drowsy premiumpremium premiumpremium
95921 Testing of autonomic nervous system function and heart rate response to deep breathing premiumpremium premiumpremium
95923 Testing of autonomic (sympathetic) nervous system function premiumpremium premiumpremium
95930 Measurement of nerve conduction using visual stimulation testing with report premiumpremium premiumpremium
95957 Measurement of brain wave activity (eeg), digital analysis premiumpremium premiumpremium
96139 Administration of psychological or neuropsychological test by technician, each additional 30 minutes premiumpremium premiumpremium
92653 Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report premiumpremium premiumpremium
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment premiumpremium premiumpremium
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation premiumpremium premiumpremium
20610 Aspiration and/or injection of fluid from large joint premiumpremium premiumpremium
62323 Injection of substance into lower spine canal using imaging guidance premiumpremium premiumpremium
64490 Injection of upper or middle spine facet joint using imaging guidance, single level premiumpremium premiumpremium
64491 Injection of upper or middle spine facet joint using imaging guidance, second level premiumpremium premiumpremium
36415 Insertion of needle into vein for collection of blood sample premiumpremium premiumpremium
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level premiumpremium premiumpremium
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level premiumpremium premiumpremium
J1040 Injection, methylprednisolone acetate, 80 mg premiumpremium premiumpremium

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.