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Medicare Texas · CY2024

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 CMS
386
Billing groups
374,368
Named-group FFS services
$39,337,780
Named-group submitted charges
$105
Avg charge / service
$59
Avg allowed / service
19%
Top-5 concentration
4%
Independent share

386 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).

Payer-mix context

Medicare fee-for-service covers 46% of Medicare in Texas; Medicare Advantage penetration 43% → 54% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 99490 svcs Share*Phone
1 ORTHOLONESTAR PLLC DALLASTXPHYSICIAN ASSISTANT 407 16,803 2.7% (214) 220-2468
2 WEST TEXAS HEART AND VASCULAR PLLC LUBBOCKTXCARDIOVASCULAR DISEASE (CARDIOLOGY) 4 15,616 2.5% (806) 701-4263
3 TYLER INTERNAL MEDICINE ASSOCIATES, P.A TYLERTXNURSE PRACTITIONER 14 14,124 2.3% (903) 533-0644
4 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLASTXUROLOGY 72 13,555 2.2% (214) 691-9377
5 RENAL ASSOCIATES, P.A. SAN ANTONIOTXNEPHROLOGY 39 12,747 2.0% (210) 403-7978
6 UROLOGY AUSTIN PLLC AUSTINTXPHYSICIAN ASSISTANT 57 12,099 1.9% (512) 788-9688
7 ETMC PHYSICIAN GROUP, INC. TYLERTXNURSE PRACTITIONER 373 10,200 1.6% (903) 590-5611
8 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLOTXNURSE PRACTITIONER 37 9,229 1.5% (806) 358-8331
9 HOUSTON METRO UROLOGY HOUSTONTXUROLOGY 31 8,383 1.3% (713) 634-4441
10 BAYLOR ST. LUKE'S MEDICAL GROUP THE WOODLANDSTXPHYSICIAN ASSISTANT 177 7,471 1.2% (281) 444-3278
11 TEXARKANA GASTROENTEROLOGY CONSULTANTS, PA TEXARKANATXCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 18 6,910 1.1% 90379280302080
12 FMC MEDICAL FOUNDATION, INC. AMARILLOTXNURSE PRACTITIONER 40 5,761 0.9% (806) 350-3000
13 LEGACY HEALTHCARE SERVICES INC DURHAMTXINTERNAL MEDICINE 3859 5,402 0.9% (919) 419-9600
14 TEXAS HEALTH CARE PLLC FORT WORTHTXNURSE PRACTITIONER 364 4,477 0.7% (817) 920-0484
15 AMER AL-KARADSHEH, M.D., P.A HOUSTONTXENDOCRINOLOGY 9 4,320 0.7%
16 AULT MCINNIS PLLC JACKSONVILLETXFAMILY PRACTICE 5 4,245 0.7% (903) 284-6105
17 LFM ASSOCIATES LUBBOCKTXNURSE PRACTITIONER 11 4,034 0.6% (806) 698-8088
18 PHYNET, INC. LINDENTXNURSE PRACTITIONER 16 4,020 0.6% (903) 756-5581
19 RIO GRANDE VALLEY ADULT AND INTERNAL MEDICINE SPECIALISTS PLLC WESLACOTXINTERNAL MEDICINE 9 3,975 0.6% (956) 968-1621
20 COLLABORATIVE GERIATRICS INC KATYTXNURSE PRACTITIONER 46 3,956 0.6% (346) 387-7171
21 GRACE CLINIC OF LUBBOCK LUBBOCKTXPHYSICIAN ASSISTANT 45 3,858 0.6% (806) 744-7223
22 DONNA L CASEY MD PLLC DALLASTXINTERNAL MEDICINE 2 3,608 0.6% (214) 691-5491
23 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEWTXPHYSICIAN ASSISTANT 107 3,605 0.6%
24 NORTH TEXAS KIDNEY DISEASE ASSOCIATES LEWISVILLETXNEPHROLOGY 25 3,377 0.5% (972) 219-0558
25 DIABETES AND METABOLISM SPECIALISTS SHAVANO PARKTXENDOCRINOLOGY 7 3,341 0.5% (210) 494-3739
26 FAMILY MEDICAL GROUP OF TEXARKANA TEXARKANATXNURSE PRACTITIONER 12 3,292 0.5%
27 AURELIO R CERVERA MD PA LUBBOCKTXCARDIOVASCULAR DISEASE (CARDIOLOGY) 3 3,255 0.5% (806) 516-5922
28 ANDREW CHUNG, M.D. PLLC DALLASTXPHYSICIAN ASSISTANT 5 3,092 0.5% (214) 823-4200
29 PCP FOR LIFE PA HOUSTONTXINTERNAL MEDICINE 5 2,964 0.5% (281) 370-7272
30 NORTHEAST ENDOCRINOLGY ASSOCIATES SAN ANTONIOTXENDOCRINOLOGY 5 2,897 0.5% (210) 650-3360
31 LIEBER-MOORE CARDIOLOGY ASSOCIATES PA KINGWOODTXCARDIOVASCULAR DISEASE (CARDIOLOGY) 16 2,774 0.4% (281) 358-1950
32 CYPRESS HEART AND VASCULAR CENTER PLLC CYPRESSTXINTERVENTIONAL CARDIOLOGY 9 2,762 0.4% (832) 688-8400
33 PARIS FAMILY PHYSICIANS,PA PARISTXNURSE PRACTITIONER 6 2,742 0.4% (903) 669-0800
34 JAIME S GOMEZ MDPA BROWNSVILLETXCARDIOVASCULAR DISEASE (CARDIOLOGY) 3 2,509 0.4% (956) 504-7121
35 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILTY-PHYSICIAN TYLERTXNURSE PRACTITIONER 124 2,498 0.4% (903) 877-7200
36 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLASTXGASTROENTEROLOGY 613 2,459 0.4%
37 AUSTIN GERIATRIC SPECIALISTS PLLC AUSTINTXNURSE PRACTITIONER 62 2,449 0.4% (512) 477-4088
38 DEEP EAST TEXAS MATERNAL AND FAMILY HEALTH PA JASPERTXNURSE PRACTITIONER 7 2,430 0.4% (409) 384-3430
39 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTONTXNURSE PRACTITIONER 515 2,403 0.4% (713) 512-7500
40 FREDERICKSBURG CLINIC PLLC FREDERICKSBURGTXFAMILY PRACTICE 10 2,384 0.4% 8309972181290
41 NEW BOSTON MEDICAL GROUP, LLP NEW BOSTONTXINTERNAL MEDICINE 3 2,366 0.4% (903) 628-0422
42 ANTONIO A. FLORES M.D. P.A. SEGUINTXNURSE PRACTITIONER 5 2,305 0.4% (830) 379-8811
43 SAN ANTONIO ENDOCRINOLOGY AND DIABETES CARE PLLC SAN ANTONIOTXINTERNAL MEDICINE 3 2,111 0.3% (210) 352-5006
44 SAN ANTONIO-MMC, P.A. SAN ANTONIOTXINTERNAL MEDICINE 8 2,007 0.3% (210) 690-2273
45 ARGYLE HEALTH SERVICES, PLLC ARGYLETXNURSE PRACTITIONER 8 1,990 0.3% (214) 518-5016
46 DOCTORS OF INTERNAL MEDICINE PA PLANOTXFAMILY PRACTICE 25 1,941 0.3% (972) 758-4455
47 SOUTHERN ENDOCRINOLOGY ASSOCIATES MESQUITETXENDOCRINOLOGY 7 1,927 0.3% (214) 909-8903
48 SOLAR HEALTH, P.A. DALLASTXANESTHESIOLOGY 19 1,903 0.3% (972) 636-5727
49 LUBBOCK PRIMARY CARE, PLLC LUBBOCKTXNURSE PRACTITIONER 14 1,889 0.3% (806) 701-4040
50 DORA ROBERTS REHABILITATION CENTER BIG SPRINGTXORTHOPEDIC SURGERY 100 1,884 0.3% (432) 267-3806
51 CRAIG CARDIOVASCULAR CENTER PA SAN ANTONIOTXCARDIOVASCULAR DISEASE (CARDIOLOGY) 6 1,838 0.3% (830) 672-3845
52 INTERNAL MEDICINE ASSOCIATES OF PLANO PA PLANOTXFAMILY PRACTICE 23 1,836 0.3% (972) 981-7500
53 DEAN L ZINCONE MD PA SEGUINTXPHYSICIAN ASSISTANT 2 1,647 0.3% (830) 401-4401
54 AUSTIN PULMONARY CONSULTANTS PA AUSTINTXPULMONARY DISEASE 13 1,517 0.2% (512) 977-0123
55 DAVID P ELLENT PLLC KINGWOODTXFAMILY PRACTICE 53 1,443 0.2% (281) 440-5300
56 NORTHWEST HOUSTON HEART CENTER, P.A. TOMBALLTXCARDIOVASCULAR DISEASE (CARDIOLOGY) 5 1,436 0.2% (281) 351-4911
57 ACTON MEDICAL CLINIC PA GRANBURYTXNURSE PRACTITIONER 4 1,421 0.2% (817) 326-3440
58 TEXAS ASSOCIATES OF ENDOCRINOLOGY AND DIABETES PA MCKINNEYTXENDOCRINOLOGY 3 1,362 0.2% (214) 547-7557
59 SYCAMORE MEDICAL CLINIC PALESTINETXNURSE PRACTITIONER 5 1,323 0.2% (903) 729-8328
60 NIRAJ CHOUDHARY MD PA WEBSTERTXINTERNAL MEDICINE 3 1,314 0.2%
61 THURMOND EYE ASSOCIATES PLLC WESLACOTXOPHTHALMOLOGY 10 1,293 0.2% (956) 968-3171
62 GASTROENTEROLOGY CLINIC OF SAN ANTONIO PA SAN ANTONIOTXGASTROENTEROLOGY 8 1,293 0.2% (210) 615-8308
63 TEXAS CENTER FOR UROLOGY LLP FORT WORTHTXPHYSICIAN ASSISTANT 14 1,290 0.2% (817) 871-9069
64 SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. SAN ANTONIOTXNEPHROLOGY 35 1,278 0.2% (210) 549-3524
65 MEDCHOICE PRIMARY CARE PLLC BULVERDETXINTERNAL MEDICINE 2 1,262 0.2% (830) 252-5155
66 SOUTHEAST TEXAS CARDIOLOGY ASSOCIATES II LLP BEAUMONTTXCARDIOVASCULAR DISEASE (CARDIOLOGY) 7 1,258 0.2% (409) 832-8862
67 NORTH TEXAS FAMILY MEDICINE PLLC PILOT POINTTXNURSE PRACTITIONER 4 1,236 0.2% (940) 686-0860
68 MEDICAL ASSOCIATES OF KATY PLLC HOUSTONTXINTERNAL MEDICINE 5 1,235 0.2% (281) 206-8070
69 KIDNEY CARE ASSOCIATES LLP DENISONTXNEPHROLOGY 7 1,202 0.2% (903) 893-7170
70 BEAUMONT INTERNAL MEDICINE AND GERIATRIC ASSOC. BEAUMONTTXNURSE PRACTITIONER 17 1,167 0.2% (409) 898-2994
71 KIDNEY SPECIALISTS OF NORTH HOUSTON SHENANDOAHTXNEPHROLOGY 8 1,151 0.2% (936) 273-0836
72 COVENANT MEDICAL GROUP LUBBOCKTXNURSE PRACTITIONER 227 1,149 0.2% (806) 725-5844
73 RHEUMATOLOGY SOLUTIONS PLLC WINDCRESTTXRHEUMATOLOGY 3 1,143 0.2% (210) 590-9596
74 OWEN HEALTH GROUP, PLLC LUBBOCKTXFAMILY PRACTICE 2 1,097 0.2% (806) 749-7975
75 RENAL SPECIALISTS OF HOUSTON, PA HOUSTONTXNEPHROLOGY 24 1,077 0.2%
76 MEDICAL ASSOCIATES OF TEXAS, PA SHERMANTXNEPHROLOGY 4 1,065 0.2% (903) 870-4611
77 CARMEN PURL MD PLLC DUMASTXFAMILY PRACTICE 2 1,030 0.2% (806) 948-1459
78 PREMIER INTERNAL MEDICINE ASSOCIATES OF HOUSTON PLLC KATYTXINTERNAL MEDICINE 2 1,014 0.2% (281) 398-8044
79 HOUSTON KIDNEY SPECIALISTS CENTER PLLC CYPRESSTXNEPHROLOGY 11 1,005 0.2% (281) 429-8780
80 FAIRFIELD FAMILY PHYSICIANS, PA CYPRESSTXFAMILY PRACTICE 2 998 0.2% (281) 373-0162
81 STRATEGIC MEDICAL GROUP TX PLLC FORT WORTHTXFAMILY PRACTICE 19 979 0.2% (817) 789-6333
82 MEHTA MEDICAL GROUP PLLC HUMBLETXINTERNAL MEDICINE 25 966 0.2% (281) 446-7173
83 HEREKAR PLLC EL PASOTXNEUROLOGY 3 943 0.2% (915) 974-2200
84 SOUTH LAREDO FAMILY CLINIC PA LAREDOTXFAMILY PRACTICE 2 931 0.1% (956) 722-5007
85 CSH CORP. DALLASTXNURSE PRACTITIONER 14 888 0.1% (972) 798-8001
86 CENTER FOR FAMILY MEDICINE PA SHERMANTXFAMILY PRACTICE 11 884 0.1% (903) 892-8398
87 CORPUS CHRISTI UROLOGY GROUP PLLC CORPUS CHRISTITXUROLOGY 12 871 0.1% (361) 561-4106
88 SOUTH TEXAS ALLERGY AND ASTHMA MEDICAL PROFESSIONALS PLLC SAN ANTONIOTXNURSE PRACTITIONER 5 870 0.1% (210) 616-5385
89 FMC PALLIATIVE CARE, LLC AMARILLOTXNURSE PRACTITIONER 9 847 0.1% (806) 350-7325
90 INPATIENT MEDICINE PHYSICIANS PA NEW BRAUNFELSTXNURSE PRACTITIONER 14 842 0.1% (830) 620-0330
91 ATLAS VISITING PROVIDERS LLC GRAPEVINETXNURSE PRACTITIONER 4 838 0.1% (214) 385-2808
92 FREDERICKSBURG FAMILY CLINIC PA COMFORTTXFAMILY PRACTICE 8 832 0.1% (830) 995-5633
93 TAPIA INTERNAL MEDICINE CLINIC PLLC PARISTXNURSE PRACTITIONER 6 811 0.1% (903) 739-7920
94 EPIPHANY MEDICAL SERVICES PA LUBBOCKTXFAMILY PRACTICE 2 796 0.1% (806) 576-3856
95 TOTAL CARE 2 U, LLC WAXAHACHIETXNURSE PRACTITIONER 25 794 0.1% (877) 868-2528
96 ATHENS FAMILY MEDICINE LLC PIEDMONTTXFAMILY PRACTICE 12 782 0.1% (864) 845-3331
97 CARITAS FAMILY MEDICINE PA LIVE OAKTXFAMILY PRACTICE 3 773 0.1% (210) 650-9066
98 MICAH BOYER MD WICHITA FALLSTXMENTAL HEALTH COUNSELOR 14 772 0.1% (940) 397-5431
99 LUBBOCK UROLOGY CLINIC, LLP LUBBOCKTXUROLOGY 9 771 0.1% (806) 771-5882
100 KATY INTERNAL MEDICINE ASSOCIATES, L.L.P KATYTXINTERNAL 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 →