Who bills the most Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (99490) to Medicare in Texas?
Medicare Part B FFS · CY2024 · as published by CMS386 physician groups billed Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (99490) to Medicare fee-for-service in Texas in 2024; the top five named groups hold 19% of that volume, and independent (non-hospital-affiliated) groups deliver 4%.
99490 — Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.
Snapshot covers the whole Texas market — the table below shows the top 100 groups (free tier).
Medicare fee-for-service covers 46% of Medicare in Texas; Medicare Advantage penetration 43% → 54% since 2020.
| # | Physician group | City | St | Specialty | Providers | 99490 svcs | Share* | Phone |
|---|---|---|---|---|---|---|---|---|
| 1 | ORTHOLONESTAR PLLC | DALLAS | TX | PHYSICIAN ASSISTANT | 407 | 16,803 | 2.7% | (214) 220-2468 |
| 2 | WEST TEXAS HEART AND VASCULAR PLLC | LUBBOCK | TX | CARDIOVASCULAR DISEASE (CARDIOLOGY) | 4 | 15,616 | 2.5% | (806) 701-4263 |
| 3 | TYLER INTERNAL MEDICINE ASSOCIATES, P.A | TYLER | TX | NURSE PRACTITIONER | 14 | 14,124 | 2.3% | (903) 533-0644 |
| 4 | UROLOGY CLINICS OF NORTH TEXAS, PLLC | DALLAS | TX | UROLOGY | 72 | 13,555 | 2.2% | (214) 691-9377 |
| 5 | RENAL ASSOCIATES, P.A. | SAN ANTONIO | TX | NEPHROLOGY | 39 | 12,747 | 2.0% | (210) 403-7978 |
| 6 | UROLOGY AUSTIN PLLC | AUSTIN | TX | PHYSICIAN ASSISTANT | 57 | 12,099 | 1.9% | (512) 788-9688 |
| 7 | ETMC PHYSICIAN GROUP, INC. | TYLER | TX | NURSE PRACTITIONER | 373 | 10,200 | 1.6% | (903) 590-5611 |
| 8 | AMARILLO MEDICAL SPECIALISTS,LLP | AMARILLO | TX | NURSE PRACTITIONER | 37 | 9,229 | 1.5% | (806) 358-8331 |
| 9 | HOUSTON METRO UROLOGY | HOUSTON | TX | UROLOGY | 31 | 8,383 | 1.3% | (713) 634-4441 |
| 10 | BAYLOR ST. LUKE'S MEDICAL GROUP | THE WOODLANDS | TX | PHYSICIAN ASSISTANT | 177 | 7,471 | 1.2% | (281) 444-3278 |
| 11 | TEXARKANA GASTROENTEROLOGY CONSULTANTS, PA | TEXARKANA | TX | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 18 | 6,910 | 1.1% | 90379280302080 |
| 12 | FMC MEDICAL FOUNDATION, INC. | AMARILLO | TX | NURSE PRACTITIONER | 40 | 5,761 | 0.9% | (806) 350-3000 |
| 13 | LEGACY HEALTHCARE SERVICES INC | DURHAM | TX | INTERNAL MEDICINE | 3859 | 5,402 | 0.9% | (919) 419-9600 |
| 14 | TEXAS HEALTH CARE PLLC | FORT WORTH | TX | NURSE PRACTITIONER | 364 | 4,477 | 0.7% | (817) 920-0484 |
| 15 | AMER AL-KARADSHEH, M.D., P.A | HOUSTON | TX | ENDOCRINOLOGY | 9 | 4,320 | 0.7% | — |
| 16 | AULT MCINNIS PLLC | JACKSONVILLE | TX | FAMILY PRACTICE | 5 | 4,245 | 0.7% | (903) 284-6105 |
| 17 | LFM ASSOCIATES | LUBBOCK | TX | NURSE PRACTITIONER | 11 | 4,034 | 0.6% | (806) 698-8088 |
| 18 | PHYNET, INC. | LINDEN | TX | NURSE PRACTITIONER | 16 | 4,020 | 0.6% | (903) 756-5581 |
| 19 | RIO GRANDE VALLEY ADULT AND INTERNAL MEDICINE SPECIALISTS PLLC | WESLACO | TX | INTERNAL MEDICINE | 9 | 3,975 | 0.6% | (956) 968-1621 |
| 20 | COLLABORATIVE GERIATRICS INC | KATY | TX | NURSE PRACTITIONER | 46 | 3,956 | 0.6% | (346) 387-7171 |
| 21 | GRACE CLINIC OF LUBBOCK | LUBBOCK | TX | PHYSICIAN ASSISTANT | 45 | 3,858 | 0.6% | (806) 744-7223 |
| 22 | DONNA L CASEY MD PLLC | DALLAS | TX | INTERNAL MEDICINE | 2 | 3,608 | 0.6% | (214) 691-5491 |
| 23 | ASSOCIATED CLINICIANS OF EAST TEXAS | LONGVIEW | TX | PHYSICIAN ASSISTANT | 107 | 3,605 | 0.6% | — |
| 24 | NORTH TEXAS KIDNEY DISEASE ASSOCIATES | LEWISVILLE | TX | NEPHROLOGY | 25 | 3,377 | 0.5% | (972) 219-0558 |
| 25 | DIABETES AND METABOLISM SPECIALISTS | SHAVANO PARK | TX | ENDOCRINOLOGY | 7 | 3,341 | 0.5% | (210) 494-3739 |
| 26 | FAMILY MEDICAL GROUP OF TEXARKANA | TEXARKANA | TX | NURSE PRACTITIONER | 12 | 3,292 | 0.5% | — |
| 27 | AURELIO R CERVERA MD PA | LUBBOCK | TX | CARDIOVASCULAR DISEASE (CARDIOLOGY) | 3 | 3,255 | 0.5% | (806) 516-5922 |
| 28 | ANDREW CHUNG, M.D. PLLC | DALLAS | TX | PHYSICIAN ASSISTANT | 5 | 3,092 | 0.5% | (214) 823-4200 |
| 29 | PCP FOR LIFE PA | HOUSTON | TX | INTERNAL MEDICINE | 5 | 2,964 | 0.5% | (281) 370-7272 |
| 30 | NORTHEAST ENDOCRINOLGY ASSOCIATES | SAN ANTONIO | TX | ENDOCRINOLOGY | 5 | 2,897 | 0.5% | (210) 650-3360 |
| 31 | LIEBER-MOORE CARDIOLOGY ASSOCIATES PA | KINGWOOD | TX | CARDIOVASCULAR DISEASE (CARDIOLOGY) | 16 | 2,774 | 0.4% | (281) 358-1950 |
| 32 | CYPRESS HEART AND VASCULAR CENTER PLLC | CYPRESS | TX | INTERVENTIONAL CARDIOLOGY | 9 | 2,762 | 0.4% | (832) 688-8400 |
| 33 | PARIS FAMILY PHYSICIANS,PA | PARIS | TX | NURSE PRACTITIONER | 6 | 2,742 | 0.4% | (903) 669-0800 |
| 34 | JAIME S GOMEZ MDPA | BROWNSVILLE | TX | CARDIOVASCULAR DISEASE (CARDIOLOGY) | 3 | 2,509 | 0.4% | (956) 504-7121 |
| 35 | UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILTY-PHYSICIAN | TYLER | TX | NURSE PRACTITIONER | 124 | 2,498 | 0.4% | (903) 877-7200 |
| 36 | TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC | DALLAS | TX | GASTROENTEROLOGY | 613 | 2,459 | 0.4% | — |
| 37 | AUSTIN GERIATRIC SPECIALISTS PLLC | AUSTIN | TX | NURSE PRACTITIONER | 62 | 2,449 | 0.4% | (512) 477-4088 |
| 38 | DEEP EAST TEXAS MATERNAL AND FAMILY HEALTH PA | JASPER | TX | NURSE PRACTITIONER | 7 | 2,430 | 0.4% | (409) 384-3430 |
| 39 | PRIVIA MEDICAL GROUP GULF COAST PLLC | HOUSTON | TX | NURSE PRACTITIONER | 515 | 2,403 | 0.4% | (713) 512-7500 |
| 40 | FREDERICKSBURG CLINIC PLLC | FREDERICKSBURG | TX | FAMILY PRACTICE | 10 | 2,384 | 0.4% | 8309972181290 |
| 41 | NEW BOSTON MEDICAL GROUP, LLP | NEW BOSTON | TX | INTERNAL MEDICINE | 3 | 2,366 | 0.4% | (903) 628-0422 |
| 42 | ANTONIO A. FLORES M.D. P.A. | SEGUIN | TX | NURSE PRACTITIONER | 5 | 2,305 | 0.4% | (830) 379-8811 |
| 43 | SAN ANTONIO ENDOCRINOLOGY AND DIABETES CARE PLLC | SAN ANTONIO | TX | INTERNAL MEDICINE | 3 | 2,111 | 0.3% | (210) 352-5006 |
| 44 | SAN ANTONIO-MMC, P.A. | SAN ANTONIO | TX | INTERNAL MEDICINE | 8 | 2,007 | 0.3% | (210) 690-2273 |
| 45 | ARGYLE HEALTH SERVICES, PLLC | ARGYLE | TX | NURSE PRACTITIONER | 8 | 1,990 | 0.3% | (214) 518-5016 |
| 46 | DOCTORS OF INTERNAL MEDICINE PA | PLANO | TX | FAMILY PRACTICE | 25 | 1,941 | 0.3% | (972) 758-4455 |
| 47 | SOUTHERN ENDOCRINOLOGY ASSOCIATES | MESQUITE | TX | ENDOCRINOLOGY | 7 | 1,927 | 0.3% | (214) 909-8903 |
| 48 | SOLAR HEALTH, P.A. | DALLAS | TX | ANESTHESIOLOGY | 19 | 1,903 | 0.3% | (972) 636-5727 |
| 49 | LUBBOCK PRIMARY CARE, PLLC | LUBBOCK | TX | NURSE PRACTITIONER | 14 | 1,889 | 0.3% | (806) 701-4040 |
| 50 | DORA ROBERTS REHABILITATION CENTER | BIG SPRING | TX | ORTHOPEDIC SURGERY | 100 | 1,884 | 0.3% | (432) 267-3806 |
| 51 | CRAIG CARDIOVASCULAR CENTER PA | SAN ANTONIO | TX | CARDIOVASCULAR DISEASE (CARDIOLOGY) | 6 | 1,838 | 0.3% | (830) 672-3845 |
| 52 | INTERNAL MEDICINE ASSOCIATES OF PLANO PA | PLANO | TX | FAMILY PRACTICE | 23 | 1,836 | 0.3% | (972) 981-7500 |
| 53 | DEAN L ZINCONE MD PA | SEGUIN | TX | PHYSICIAN ASSISTANT | 2 | 1,647 | 0.3% | (830) 401-4401 |
| 54 | AUSTIN PULMONARY CONSULTANTS PA | AUSTIN | TX | PULMONARY DISEASE | 13 | 1,517 | 0.2% | (512) 977-0123 |
| 55 | DAVID P ELLENT PLLC | KINGWOOD | TX | FAMILY PRACTICE | 53 | 1,443 | 0.2% | (281) 440-5300 |
| 56 | NORTHWEST HOUSTON HEART CENTER, P.A. | TOMBALL | TX | CARDIOVASCULAR DISEASE (CARDIOLOGY) | 5 | 1,436 | 0.2% | (281) 351-4911 |
| 57 | ACTON MEDICAL CLINIC PA | GRANBURY | TX | NURSE PRACTITIONER | 4 | 1,421 | 0.2% | (817) 326-3440 |
| 58 | TEXAS ASSOCIATES OF ENDOCRINOLOGY AND DIABETES PA | MCKINNEY | TX | ENDOCRINOLOGY | 3 | 1,362 | 0.2% | (214) 547-7557 |
| 59 | SYCAMORE MEDICAL CLINIC | PALESTINE | TX | NURSE PRACTITIONER | 5 | 1,323 | 0.2% | (903) 729-8328 |
| 60 | NIRAJ CHOUDHARY MD PA | WEBSTER | TX | INTERNAL MEDICINE | 3 | 1,314 | 0.2% | — |
| 61 | THURMOND EYE ASSOCIATES PLLC | WESLACO | TX | OPHTHALMOLOGY | 10 | 1,293 | 0.2% | (956) 968-3171 |
| 62 | GASTROENTEROLOGY CLINIC OF SAN ANTONIO PA | SAN ANTONIO | TX | GASTROENTEROLOGY | 8 | 1,293 | 0.2% | (210) 615-8308 |
| 63 | TEXAS CENTER FOR UROLOGY LLP | FORT WORTH | TX | PHYSICIAN ASSISTANT | 14 | 1,290 | 0.2% | (817) 871-9069 |
| 64 | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. | SAN ANTONIO | TX | NEPHROLOGY | 35 | 1,278 | 0.2% | (210) 549-3524 |
| 65 | MEDCHOICE PRIMARY CARE PLLC | BULVERDE | TX | INTERNAL MEDICINE | 2 | 1,262 | 0.2% | (830) 252-5155 |
| 66 | SOUTHEAST TEXAS CARDIOLOGY ASSOCIATES II LLP | BEAUMONT | TX | CARDIOVASCULAR DISEASE (CARDIOLOGY) | 7 | 1,258 | 0.2% | (409) 832-8862 |
| 67 | NORTH TEXAS FAMILY MEDICINE PLLC | PILOT POINT | TX | NURSE PRACTITIONER | 4 | 1,236 | 0.2% | (940) 686-0860 |
| 68 | MEDICAL ASSOCIATES OF KATY PLLC | HOUSTON | TX | INTERNAL MEDICINE | 5 | 1,235 | 0.2% | (281) 206-8070 |
| 69 | KIDNEY CARE ASSOCIATES LLP | DENISON | TX | NEPHROLOGY | 7 | 1,202 | 0.2% | (903) 893-7170 |
| 70 | BEAUMONT INTERNAL MEDICINE AND GERIATRIC ASSOC. | BEAUMONT | TX | NURSE PRACTITIONER | 17 | 1,167 | 0.2% | (409) 898-2994 |
| 71 | KIDNEY SPECIALISTS OF NORTH HOUSTON | SHENANDOAH | TX | NEPHROLOGY | 8 | 1,151 | 0.2% | (936) 273-0836 |
| 72 | COVENANT MEDICAL GROUP | LUBBOCK | TX | NURSE PRACTITIONER | 227 | 1,149 | 0.2% | (806) 725-5844 |
| 73 | RHEUMATOLOGY SOLUTIONS PLLC | WINDCREST | TX | RHEUMATOLOGY | 3 | 1,143 | 0.2% | (210) 590-9596 |
| 74 | OWEN HEALTH GROUP, PLLC | LUBBOCK | TX | FAMILY PRACTICE | 2 | 1,097 | 0.2% | (806) 749-7975 |
| 75 | RENAL SPECIALISTS OF HOUSTON, PA | HOUSTON | TX | NEPHROLOGY | 24 | 1,077 | 0.2% | — |
| 76 | MEDICAL ASSOCIATES OF TEXAS, PA | SHERMAN | TX | NEPHROLOGY | 4 | 1,065 | 0.2% | (903) 870-4611 |
| 77 | CARMEN PURL MD PLLC | DUMAS | TX | FAMILY PRACTICE | 2 | 1,030 | 0.2% | (806) 948-1459 |
| 78 | PREMIER INTERNAL MEDICINE ASSOCIATES OF HOUSTON PLLC | KATY | TX | INTERNAL MEDICINE | 2 | 1,014 | 0.2% | (281) 398-8044 |
| 79 | HOUSTON KIDNEY SPECIALISTS CENTER PLLC | CYPRESS | TX | NEPHROLOGY | 11 | 1,005 | 0.2% | (281) 429-8780 |
| 80 | FAIRFIELD FAMILY PHYSICIANS, PA | CYPRESS | TX | FAMILY PRACTICE | 2 | 998 | 0.2% | (281) 373-0162 |
| 81 | STRATEGIC MEDICAL GROUP TX PLLC | FORT WORTH | TX | FAMILY PRACTICE | 19 | 979 | 0.2% | (817) 789-6333 |
| 82 | MEHTA MEDICAL GROUP PLLC | HUMBLE | TX | INTERNAL MEDICINE | 25 | 966 | 0.2% | (281) 446-7173 |
| 83 | HEREKAR PLLC | EL PASO | TX | NEUROLOGY | 3 | 943 | 0.2% | (915) 974-2200 |
| 84 | SOUTH LAREDO FAMILY CLINIC PA | LAREDO | TX | FAMILY PRACTICE | 2 | 931 | 0.1% | (956) 722-5007 |
| 85 | CSH CORP. | DALLAS | TX | NURSE PRACTITIONER | 14 | 888 | 0.1% | (972) 798-8001 |
| 86 | CENTER FOR FAMILY MEDICINE PA | SHERMAN | TX | FAMILY PRACTICE | 11 | 884 | 0.1% | (903) 892-8398 |
| 87 | CORPUS CHRISTI UROLOGY GROUP PLLC | CORPUS CHRISTI | TX | UROLOGY | 12 | 871 | 0.1% | (361) 561-4106 |
| 88 | SOUTH TEXAS ALLERGY AND ASTHMA MEDICAL PROFESSIONALS PLLC | SAN ANTONIO | TX | NURSE PRACTITIONER | 5 | 870 | 0.1% | (210) 616-5385 |
| 89 | FMC PALLIATIVE CARE, LLC | AMARILLO | TX | NURSE PRACTITIONER | 9 | 847 | 0.1% | (806) 350-7325 |
| 90 | INPATIENT MEDICINE PHYSICIANS PA | NEW BRAUNFELS | TX | NURSE PRACTITIONER | 14 | 842 | 0.1% | (830) 620-0330 |
| 91 | ATLAS VISITING PROVIDERS LLC | GRAPEVINE | TX | NURSE PRACTITIONER | 4 | 838 | 0.1% | (214) 385-2808 |
| 92 | FREDERICKSBURG FAMILY CLINIC PA | COMFORT | TX | FAMILY PRACTICE | 8 | 832 | 0.1% | (830) 995-5633 |
| 93 | TAPIA INTERNAL MEDICINE CLINIC PLLC | PARIS | TX | NURSE PRACTITIONER | 6 | 811 | 0.1% | (903) 739-7920 |
| 94 | EPIPHANY MEDICAL SERVICES PA | LUBBOCK | TX | FAMILY PRACTICE | 2 | 796 | 0.1% | (806) 576-3856 |
| 95 | TOTAL CARE 2 U, LLC | WAXAHACHIE | TX | NURSE PRACTITIONER | 25 | 794 | 0.1% | (877) 868-2528 |
| 96 | ATHENS FAMILY MEDICINE LLC | PIEDMONT | TX | FAMILY PRACTICE | 12 | 782 | 0.1% | (864) 845-3331 |
| 97 | CARITAS FAMILY MEDICINE PA | LIVE OAK | TX | FAMILY PRACTICE | 3 | 773 | 0.1% | (210) 650-9066 |
| 98 | MICAH BOYER MD | WICHITA FALLS | TX | MENTAL HEALTH COUNSELOR | 14 | 772 | 0.1% | (940) 397-5431 |
| 99 | LUBBOCK UROLOGY CLINIC, LLP | LUBBOCK | TX | UROLOGY | 9 | 771 | 0.1% | (806) 771-5882 |
| 100 | KATY INTERNAL MEDICINE ASSOCIATES, L.L.P | KATY | TX | INTERNAL MEDICINE | 8 | 749 | 0.1% | (281) 392-8620 |
*Share of Texas's disclosed Medicare-FFS services for 99490, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99490 in Texas — including groups registered elsewhere ("City" is each group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group.
How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.
Comparing against an all-payer estimate?
These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →