OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. States
  3. Texas

Texas Medicare Spending

Medicare provider payments and utilization data for Texas (TX)

🔎 Data Analysis

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.

⚠️

36 AI-Flagged Providers in Texas

Providers in this state flagged by the ML v2 fraud detection model

Rajanikant UsgaonkerInternal Medicine
93.5%
Thilo BurzlaffFamily Practice
93.7%
Remy ZockazockInternal Medicine
92.0%
View all ML-flagged providers →
Total Payments (10yr)
$62.9B
+9.3% vs 2022
Active Providers (2023)
78.3K
217.1M services
Top Specialty
Clinical Laboratory
$787.5M total
Specialties
30
$90.4K per provider

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$5.6B182.0M58.4K—
2015$5.8B187.9M60.9K+3.5%
2016$5.9B184.3M63.2K+2.9%
2017$6.1B187.7M65.4K+3.0%
2018$6.2B187.7M67.5K+2.1%
2019$6.6B194.5M70.0K+5.5%
2020$6.2B177.2M70.1K-6.0%
2021$7.1B183.5M73.3K+14.4%
2022$6.5B187.7M75.9K-8.4%
2023$7.1B217.1M78.3K+9.3%

Top Providers in Texas

#ProviderSpecialtyPaymentsServices
1Boston Scientific Cardiac Diagnostic Services, LlcIndependent Diagnostic Testing Facility (IDTF)$84.2M176.7K
2Clinical Pathology Laboratories, Inc.Clinical Laboratory$47.7M4.1M
3Quest Diagnostics Clinical Laboratories IncClinical Laboratory$46.7M3.8M
4Texas Molecular Diagnostics LaboratoryClinical Laboratory$43.0M387.9K
5Yellowstone Labs, LlcClinical Laboratory$35.4M898.9K
6Laboratory Corporation Of AmericaClinical Laboratory$34.0M3.0M
7Medshield Labs LlcClinical Laboratory$31.5M2.7M
8Quest Diagnostics Clinical Laboratories IncClinical Laboratory$31.0M2.7M
9American Premier LabsClinical Laboratory$28.6M261.2K
10SvalClinical Laboratory$27.7M2.3M
11Laboratory Corporation Of AmericaClinical Laboratory$27.2M2.4M
12Lone Star Medlab Laboratory LlcClinical Laboratory$27.2M2.3M
13Samuel JurcaFamily Practice$24.0M26.6K
14Ipseity Diagnostics LlcClinical Laboratory$19.3M1.6M
15Healthtrackrx Indiana, IncClinical Laboratory$18.7M513.3K
16Babak BaharlooPodiatry$18.3M51.0K
17Acadian Ambulance Service Of Texas LlcAmbulance Service Provider$16.8M677.8K
18Altru Diagnostics, IncClinical Laboratory$16.6M514.7K
19Sheeba MathaiNurse Practitioner$16.2M1.4M
20Biodx LabsClinical Laboratory$15.1M97.6K
21Trident Diagnostics Limited Liability CompanyClinical Laboratory$14.9M1.3M
22Maxcare DiagnosticsClinical Laboratory$13.6M97.6K
23Lone Star Ambulance 1, LlcAmbulance Service Provider$13.4M573.7K
24David JensonPodiatry$13.1M41.3K
25Owen EllingtonInternal Medicine$11.5M18.2K

Most Billed Procedures in Texas

CodeDescriptionPaymentsServicesProviders
99214Established patient office or other outpatient visit, 30-39 minutes$571.7M6.9M32.5K
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count$293.4M25.0M2.5K
99213Established patient office or other outpatient visit, 20-29 minutes$250.5M4.4M29.8K
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$185.8M3.1M11.8K
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$166.9M1.8M9.3K
J0178Injection, aflibercept, 1 mg$147.3M214.1K212
J9271Injection, pembrolizumab, 1 mg$119.3M2.8M231
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)$115.0M290.4K432
66984Removal of cataract with insertion of prosthetic lens$113.0M203.2K992
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$94.8M729.3K10.0K
99204New patient office or other outpatient visit, 45-59 minutes$90.9M828.1K16.4K
99215Established patient office or other outpatient visit, 40-54 minutes$80.6M680.9K8.7K
87798Detection test by nucleic acid for organism, amplified probe technique$80.1M2.3M302
93229Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional$78.5M91.3K215
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$75.5M616.8K7.1K
Q4262Dual layer impax membrane, per square centimeter$74.2M73.2K30
99285Emergency department visit with high level of medical decision making$71.0M529.1K4.3K
J2777Injection, faricimab-svoa, 0.1 mg$67.1M2.3M140
99291Critical care, first 30-74 minutes$64.4M392.0K4.7K
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$64.4M882.6K1.8K

Spending by Specialty

SpecialtyPaymentsProvidersAvg per Provider
Clinical Laboratory$787.5M302$2.6M
Ophthalmology$508.4M1.2K$431.6K
Internal Medicine$486.1M5.8K$83.4K
Nurse Practitioner$477.0M12.2K$39.2K
Family Practice$350.3M6.0K$58.2K
Ambulatory Surgical Center$338.5M409$827.5K
Ambulance Service Provider$310.2M580$534.9K
Cardiology$287.4M1.3K$214.0K
Diagnostic Radiology$216.8M2.2K$97.0K
Dermatology$195.6M923$211.9K
Hematology-Oncology$167.2M555$301.3K
Independent Diagnostic Testing Facility (IDTF)$149.2M275$542.6K
Physical Therapist in Private Practice$143.0M3.3K$43.7K
Orthopedic Surgery$141.6M1.5K$94.9K
Rheumatology$139.6M364$383.4K
Physician Assistant$125.7M5.2K$24.0K
Medical Oncology$124.8M382$326.8K
Radiation Oncology$123.6M317$389.9K
Nephrology$121.0M848$142.6K
Emergency Medicine$118.2M3.3K$36.1K
Neurology$115.3M1.1K$109.2K
Podiatry$104.2M914$114.0K
Mass Immunizer Roster Biller$96.1M2.2K$43.6K
Interventional Cardiology$94.3M441$213.9K
Urology$89.1M635$140.4K

Explore More

Browse
← All States
Fraud Analysis
Fraud risk in Texas →
Compare
Compare TX to other states →
Watchlist
Flagged providers in TX →
Investigation
State spending breakdown →
Investigation
Geographic inequality →
Investigation
Houston: Medicare Capital →
Investigation
The State Spending Divide →
Analysis
Fraud Analysis Hub →
Investigation
Internal Medicine: Fraud Ground Zero →
Share:

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

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.