Medicare provider payments and utilization data for Texas (TX)
Texas received $62.9B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Clinical Laboratory, accounting for $787.5M in payments across 302 providers.
In 2023, 78.3K providers were actively billing Medicare in Texas.
Annual Medicare spending grew 27% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $5.6B | 182.0M | 58.4K | — |
| 2015 | $5.8B | 187.9M | 60.9K | +3.5% |
| 2016 | $5.9B | 184.3M | 63.2K | +2.9% |
| 2017 | $6.1B | 187.7M | 65.4K | +3.0% |
| 2018 | $6.2B | 187.7M | 67.5K | +2.1% |
| 2019 | $6.6B | 194.5M | 70.0K | +5.5% |
| 2020 | $6.2B | 177.2M | 70.1K | -6.0% |
| 2021 | $7.1B | 183.5M | 73.3K | +14.4% |
| 2022 | $6.5B | 187.7M | 75.9K | -8.4% |
| 2023 | $7.1B | 217.1M | 78.3K | +9.3% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $571.7M | 6.9M | 32.5K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | $293.4M | 25.0M | 2.5K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $250.5M | 4.4M | 29.8K |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $185.8M | 3.1M | 11.8K |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $166.9M | 1.8M | 9.3K |
| J0178 | Injection, aflibercept, 1 mg | $147.3M | 214.1K | 212 |
| J9271 | Injection, pembrolizumab, 1 mg | $119.3M | 2.8M | 231 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $115.0M | 290.4K | 432 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $113.0M | 203.2K | 992 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $94.8M | 729.3K | 10.0K |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $90.9M | 828.1K | 16.4K |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $80.6M | 680.9K | 8.7K |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | $80.1M | 2.3M | 302 |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | $78.5M | 91.3K | 215 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $75.5M | 616.8K | 7.1K |
| Q4262 | Dual layer impax membrane, per square centimeter | $74.2M | 73.2K | 30 |
| 99285 | Emergency department visit with high level of medical decision making | $71.0M | 529.1K | 4.3K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $67.1M | 2.3M | 140 |
| 99291 | Critical care, first 30-74 minutes | $64.4M | 392.0K | 4.7K |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $64.4M | 882.6K | 1.8K |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Clinical Laboratory | $787.5M | 302 | $2.6M |
| Ophthalmology | $508.4M | 1.2K | $431.6K |
| Internal Medicine | $486.1M | 5.8K | $83.4K |
| Nurse Practitioner | $477.0M | 12.2K | $39.2K |
| Family Practice | $350.3M | 6.0K | $58.2K |
| Ambulatory Surgical Center | $338.5M | 409 | $827.5K |
| Ambulance Service Provider | $310.2M | 580 | $534.9K |
| Cardiology | $287.4M | 1.3K | $214.0K |
| Diagnostic Radiology | $216.8M | 2.2K | $97.0K |
| Dermatology | $195.6M | 923 | $211.9K |
| Hematology-Oncology | $167.2M | 555 | $301.3K |
| Independent Diagnostic Testing Facility (IDTF) | $149.2M | 275 | $542.6K |
| Physical Therapist in Private Practice | $143.0M | 3.3K | $43.7K |
| Orthopedic Surgery | $141.6M | 1.5K | $94.9K |
| Rheumatology | $139.6M | 364 | $383.4K |
| Physician Assistant | $125.7M | 5.2K | $24.0K |
| Medical Oncology | $124.8M | 382 | $326.8K |
| Radiation Oncology | $123.6M | 317 | $389.9K |
| Nephrology | $121.0M | 848 | $142.6K |
| Emergency Medicine | $118.2M | 3.3K | $36.1K |
| Neurology | $115.3M | 1.1K | $109.2K |
| Podiatry | $104.2M | 914 | $114.0K |
| Mass Immunizer Roster Biller | $96.1M | 2.2K | $43.6K |
| Interventional Cardiology | $94.3M | 441 | $213.9K |
| Urology | $89.1M | 635 | $140.4K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.