Juan Herrera, MD
Urology · Round Rock, TXNPI 1740605955
Payments from drug & device makers
Across 174 payments — averaging $36.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- Axonics, Inc.$831
- Urogen Pharma, Inc.$560
- 180 Medical, Inc.$384
- Teleflex LLC$372
- Coloplast$371
- plus $2K from 22 others
What the payments were for
- Food & beverage$6,409100%
- Education$10%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Boston Scientific | 39 | $1,762 |
| Axonics, Inc. | 7 | $831 |
| Urogen Pharma, Inc. | 15 | $560 |
| 180 Medical, Inc. | 8 | $384 |
| Teleflex LLC | 9 | $372 |
| Coloplast | 14 | $371 |
| AbbVie(2 entities) | 15 | $353 |
| Calyxo, Inc. | 2 | $286 |
| Clarus Therapeutics Inc. | 9 | $200 |
| Myriad Genetic Laboratories, Inc. | 9 | $185 |
| Johnson & Johnson | 1 | $150 |
| Medtronic(2 entities) | 2 | $144 |
| Endo Pharmaceuticals Inc. | 10 | $135 |
| Tolmar, Inc. | 7 | $126 |
| Sumitomo Pharma America, Inc. | 4 | $96 |
| Ferring Pharmaceuticals Inc. | 4 | $75 |
| Astellas Pharma US Inc | 4 | $72 |
| Caldera Medical, Inc | 1 | $62 |
| Bayer | 2 | $47 |
| Urovant Sciences Inc | 2 | $42 |
| Immunitybio, Inc. | 2 | $41 |
| Procept Biorobotics Corporation | 1 | $33 |
| Pfizer | 1 | $20 |
| Travere Therapeutics, Inc. | 2 | $17 |
| Endo USA, Inc. | 1 | $15 |
| Antares Pharma, Inc. | 1 | $14 |
| Neotract Inc. | 1 | $14 |
| Intuitive Surgical | 1 | $5 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Axonics$680
- Bulkamid$295
- CVAC Aspiration System$286
- AMS 700$252
- JELMYTO$176
- Erleada$150
- UroLift System$141
- AMS 800 Artificial Urinary Sphincter$138
- INTERSTIM$127
- GENERAL MALE SUI$125
- ZUSDURI$125
- Axonics r-SNM System$123
- GENERAL ERECTILE DYSFUNCTION$115
- AMS 700 CXR RTE KIT$114
- UroLift$112
- SUPRIS$110
How this compares
$6,410 in reported general payments places this provider in the 60th percentile of 878 urology providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| MyrbetriqMirabegron | 177 | $175,346 |
| GemtesaVibegron | 83 | $67,410 |
| Mirabegron ErMirabegron | 20 | $16,456 |
| Tamsulosin Hcl | 606 | $12,411 |
| Tolterodine Tartrate ErTolterodine Tartrate | 74 | $7,204 |
| Methenamine Hippurate | 71 | $5,291 |
| Trospium Chloride | 62 | $4,037 |
| Finasteride | 233 | $3,758 |
| Estradiol | 48 | $3,547 |
| NitrofurantoinNitrofurantoin Macrocrystal | 59 | $3,284 |
| Testosterone | 29 | $2,249 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 100 | $2,129 |
| Testosterone Cypionate | 74 | $1,847 |
| Solifenacin Succinate | 44 | $1,791 |
| Oxybutynin Chloride | 49 | $1,693 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $72 | $175,346177 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $96 | $67,41083 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 60th percentile of 878 urology providers in Texas.
Other urology in Round Rock
- David CuellarRound Rock$391K
- Zvi SchiffmanHouston$17.8M
- Jose de la CerdaSan Antonio$9M
- Daniel SaltzsteinSan Antonio$5.8M
- Jose KaramHouston$5.7M
- Daniel ZainfeldSan Antonio$4.7M
- Brian MazzarellaLakeway$4.5M
- Andrew von EschenbachMontgomery$3.2M
- Raj SatkunasivamHouston$2.6M
- Alan SkolnickHouston$2.4M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.