Data Analysis

Medicare Costs by Specialty in Texas

Medicare reimbursement rates vary significantly across medical specialties. This analysis examines average Medicare payments per service for providers in Texas, ranked by reimbursement level. Understanding these differences helps contextualize specialty costs and resource allocation across the healthcare system.

Data source: CMS Open Payments + Medicare Part B Coverage: 2023–2023 Providers analyzed: 1,277 State: Texas

1,277

Providers Analyzed

With at least one payment on record

$141

Avg Medicare Payment

Per service across all procedures

ⓘ

Context: Industry payments to physicians are legally required to be disclosed under the Physician Payments Sunshine Act. Receiving payments does not imply wrongdoing. Payments may reflect consulting expertise, research participation, or speaking engagements. This data is provided to support transparency, not to render clinical judgments.

Average Medicare Payment by Specialty — Texas

CMS Open Payments

#	Specialty	Avg Medicare Payment	Providers	Total Services
1	Ambulatory Surgical Clinic/Center	$859	1	253
2	Wound Care Registered Nurse	$354	9	9,310
3	Oral & Maxillofacial Surgery (D.M.D.)	$303	15	1,969
4	Thoracic Surgery	$245	194	43,359
5	Vascular Surgery	$232	69	13,622
6	Phlebology Physician	$187	12	10,120
7	Vascular Surgery Physician	$185	153	120,800
8	Critical Care Medicine (Obstetrics & Gynecology) Physician	$177	1	19
9	Paramedic	$170	1	325
10	General Acute Care Hospital	$138	37	41,362
11	Orthopedic Registered Nurse	$135	1	356
12	Neurological Surgery	$134	364	196,596
13	Military Hospital	$134	1	18
14	Transplant Surgery Physician	$134	48	13,942
15	Orthodontics and Dentofacial Orthopedics Dentistry	$130	1	11
16	Hypertension Specialist Physician	$129	1	4,859
17	Flight Registered Nurse	$126	2	114
18	Critical Care Medicine (Anesthesiology) Physician	$123	46	7,748
19	Emergency Registered Nurse	$122	41	11,599
20	Health Psychologist	$117	1	135
21	Chronic Disease Hospital	$113	1	844
22	Public Health or Welfare Agency	$113	1	48
23	Neurocritical Care Physician	$113	19	9,228
24	Nuclear Radiology Physician	$112	17	45,990
25	MOHS-Micrographic Surgery Physician	$112	58	252,028
26	Family Psychologist	$112	1	429
27	Surgical Oncology Physician	$111	81	20,241
28	Community/Behavioral Health Agency	$111	3	140
29	Rural Acute Care Hospital	$109	1	113
30	Orthopaedic Surgery of the Spine Physician	$109	97	63,857

State payment context — Texas

CMS Open Payments

Across 125,273 Texas providers with at least one disclosed industry payment over 2018–2024, the median provider received $411 in total payments, compared with a national median of $339 across 1,571,086 paid providers.

Texas accounts for 8.0% of the $16,205,257,917 in industry payments recorded nationwide in this database, and its per-provider median runs above the national benchmark.

Top specialties by median industry payment — Texas

Specialty	Median per provider	Providers paid	Total payments
Hepatology Physician	$53,378	25	$4,309,961
Clinical Cardiac Electrophysiology Physician	$22,602	91	$4,444,228
Orthopaedic Foot and Ankle Surgery Physician	$18,054	50	$10,073,518
Orthopaedic Trauma Physician	$17,442	44	$6,193,513
Adult Reconstructive Orthopaedic Surgery Physician	$11,964	79	$10,522,071

Industry payments in Texas by year

Year	Total payments	Providers paid	Transactions
2018	$190,174,415	49,849	987,841
2019	$189,968,488	49,874	954,753
2020	$139,617,972	40,261	556,152
2021	$164,280,431	64,300	1,087,958
2022	$195,711,371	73,267	1,261,933
2023	$208,716,498	78,850	1,386,672
2024	$203,093,596	82,229	1,438,888

Methodology Average Medicare payment per service calculated from Medicare Part B Utilization data for providers licensed in Texas. Only specialties with at least one recorded procedure are included. Average reflects the mean of per-service payment amounts across all procedures within each specialty grouping, not total expenditure. Data source: CMS Medicare Part B Utilization, accessed via doctransparency.com database.