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I just reviewed the 2026 Medicare Revenue Report Card for Texas. Key findings: - Overall Grade: F - Estimated Missed Revenue: $3.3M - Low adoption of care management programs (CCM, RPM, BHI, AWV) The data comes directly from CMS public records — every medical practice can see exactly how much revenue they're leaving on the table. See the full Texas report card:
https://npixray.com/reports/states/texas
Total Providers
78K
in Texas
Total Medicare Payment
$7074.7M
Avg Payment / Provider
$90K
Est. Missed Revenue
$3.3M
across all providers
Care Management Program Adoption
How Texas providers compare to the national average in adopting revenue-generating care management programs.
CCM
Chronic Care Management
$62/patient/mo potential revenue
RPM
Remote Patient Monitoring
$120/patient/mo potential revenue
BHI
Behavioral Health Integration
$50/patient/mo potential revenue
AWV
Annual Wellness Visits
$175/visit potential revenue
Texas Trend 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
0.0%
-100.0% vs benchmark · national 2.4%
RPM Adoption
0.0%
-100.0% vs benchmark · national 1.1%
AWV Completion
0.0%
-100.0% vs benchmark · national 7.8%
E&M Coding Distribution
How Texas providers distribute evaluation and management visits compared to the national benchmark. Higher 99214/99215 rates indicate thorough documentation and appropriate complexity coding.
99213
Level 3
33.0%
National: 31.2%
99214
Level 4
34.0%
National: 56.4%
99215
Level 5
33.0%
National: 9.3%
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 |
City Report Cards 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
Top 20 Providers in Texas
Highest-volume Medicare providers by total payment.
| Provider | Patients | Medicare $ |
|---|---|---|
| Boston Scientific Cardiac Diagnostic Services, Llc | 78,230 | $84.2M |
| Clinical Pathology Laboratories, Inc. | 261,256 | $47.7M |
| Quest Diagnostics Clinical Laboratories Inc | 246,548 | $46.7M |
| Texas Molecular Diagnostics Laboratory | 10,969 | $43.0M |
| Yellowstone Labs, Llc | 16,491 | $35.4M |
| Laboratory Corporation Of America | 180,282 | $34.0M |
| Medshield Labs Llc | 318,299 | $31.5M |
| Quest Diagnostics Clinical Laboratories Inc | 166,631 | $31.0M |
| American Premier Labs | 7,390 | $28.6M |
| Sval | 290,491 | $27.7M |
| Laboratory Corporation Of America | 140,539 | $27.2M |
| Lone Star Medlab Laboratory Llc | 289,091 | $27.2M |
| Samuel JurcaDO | 216 | $24.0M |
| Ipseity Diagnostics Llc | 117,168 | $19.3M |
| Healthtrackrx Indiana, Inc | 47,996 | $18.7M |
| Babak Baharloo | 321 | $18.3M |
| Acadian Ambulance Service Of Texas Llc | 27,226 | $16.8M |
| Altru Diagnostics, Inc | 8,364 | $16.6M |
| Sheeba MathaiFNP-BC | 169,754 | $16.2M |
| Biodx Labs | 42,924 | $15.1M |
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