Texas Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Texas has 78K Medicare providers who collectively received $7074.7M in Medicare payments, averaging $90K per provider. Texas providers earn moderate Medicare revenue per provider, with significant opportunity to capture additional revenue through program enrollment and coding optimization.
The most common specialty is Nurse Practitioner with 12,171 providers, followed by Family Practice (6,015) and Internal Medicine (5,832). Nurse Practitioner providers in Texas average $39K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Houston (11,908 providers), with Dallas and San Antonio also serving as major healthcare hubs. Practices in these areas face competitive pressure, making revenue optimization through proper coding and program enrollment critical for financial performance.
Total Providers
78K
in Texas
Total Medicare Payment
$7074.7M
Avg Payment / Provider
$90K
Total Services
217.1M
Texas Performance Signals
Revenue per Provider
$90,389
+13.3% vs benchmark · national avg $79,744
Provider Market Share
6.7% of US
+100.0% vs benchmark · 78,270 providers
CCM Adoption
1.9%
-82.8% vs benchmark · national 11.3%
RPM Adoption
0.9%
-86.6% vs benchmark · national 6.5%
AWV Completion
9.2%
-47.6% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Texas Compares
vs Neighboring States
Top Revenue Opportunities in Texas
Chronic Care Management (99490)
Only 1.9% of providers bill CCM vs 11.3% national average. 7,300 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.9% vs 6.5% nationally. 4,385 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.2% trails the 17.5% national average. 6,504 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Texas
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 12,171 | $39K |
| Family Practice | 6,015 | $58K |
| Internal Medicine | 5,832 | $83K |
| Physician Assistant | 5,239 | $24K |
| Physical Therapist in Private Practice | 3,274 | $44K |
| Emergency Medicine | 3,272 | $36K |
| Certified Registered Nurse Anesthetist (CRNA) | 3,102 | $10K |
| Anesthesiology | 2,668 | $25K |
| Diagnostic Radiology | 2,234 | $97K |
| Mass Immunizer Roster Biller | 2,204 | $44K |
| Optometry | 2,163 | $25K |
| Orthopedic Surgery | 1,492 | $95K |
| Chiropractic | 1,453 | $14K |
| Cardiology | 1,343 | $214K |
| General Surgery | 1,324 | $37K |
| Obstetrics & Gynecology | 1,207 | $13K |
| Ophthalmology | 1,178 | $432K |
| Neurology | 1,056 | $109K |
| Gastroenterology | 1,054 | $69K |
| Hospitalist | 1,003 | $51K |
Top Cities in Texas
Houston
Dallas
San Antonio
Austin
Fort Worth
El Paso
Plano
Tyler
Temple
Lubbock
Corpus Christi
Amarillo
Arlington
Sugar Land
Round Rock
Waco
Irving
Mcallen
Frisco
Mckinney
Abilene
Katy
Galveston
Longview
Beaumont
The Woodlands
Webster
Wichita Falls
Denton
College Station
Top 50 Providers in Texas
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