Texas Medicare prescriber rankings

95,720 Texas prescribers billed $20.1 billion in Medicare Part D drugs in 2024, the 4th largest of 56 states and territories. Opioids were 3.62 of every 100 of those claims (CMS), above the national 3.52.

CMS Medicare Part D Prescribers, 2024; CMS NPPES · method · Verify with CMS →

Built from the named public files by PlainDoctor's data pipeline (how it is made).

Prescribers95,720
Part D drug cost$20.1 billion
Average per prescriber$209,705
Wrote an opioid (CMS)53,969 (56.39%)
Opioid claims per 100 claims (CMS)3.62

Reading the Texas tables

Texas's 95,720 prescribers wrote 114,622,272 Part D claims in 2024, about $209,705 in drug cost per prescriber. A high total usually reflects specialty practice, such as cancer, rheumatology or HIV care, and a high opioid rate often reflects pain, palliative or hospice care. These are billing tables, not quality ratings.

Top 50 by drug cost

Prescriber	Drug cost	Claims
1Elvin GarciaRheumatology Physician	$43.4 million	42,032
2Amanda MatthewsMedical Physician Assistant	$34.5 million	5,072
3Anthony OlivaInternal Medicine Physician	$30.3 million	163,162
4Sandeep SahayPulmonary Disease Physician	$29.0 million	3,037
5Jamiel RamosFamily Nurse Practitioner	$28.2 million	2,881
6Naiara AlvarezRheumatology Physician	$26.3 million	6,950
7Alejandra Moscoso-AgostoFamily Medicine Physician	$22.8 million	142,726
8Eugenio GalindoHematology & Oncology Physician	$20.5 million	4,905
9Tram PhamMedical Physician Assistant	$19.7 million	4,605
10Zeenat SafdarPulmonary Disease Physician	$19.3 million	3,252
11Todd ShenkenbergHematology & Oncology Physician	$18.5 million	14,699
12Scarlett HardenNurse Practitioner	$17.5 million	3,558
13Joseph GatheInfectious Disease Physician	$16.8 million	11,690
14Mohsen Ghadimi-MahaniMedical Oncology Physician	$16.6 million	4,218
15Larry AndersonMedical Oncology Physician	$16.1 million	2,703
16Maria AlobaHematology & Oncology Physician	$15.6 million	4,144
17Mohamed KhalilNeurology Physician	$14.9 million	3,905
18Firas AkhrassEndocrinology, Diabetes & Metabolism Physician	$14.3 million	12,006
19John DallasPulmonary Disease Physician	$14.2 million	1,615
20Victor TestPulmonary Disease Physician	$13.3 million	2,653
21Najmuddin KarimjeeInternal Medicine Physician	$13.3 million	117,257
22Hing-Sheung FungRheumatology Physician	$13.1 million	8,044
23Lloyd VanwinkleFamily Medicine Physician	$13.0 million	63,994
24Praveen TumulaHematology & Oncology Physician	$12.7 million	3,935
25Kunjan BhattAdvanced Heart Failure and Transplant Cardiology Physician	$12.6 million	5,159
26Luis SalayandiaRheumatology Physician	$12.5 million	9,708
27Barry TrachtenbergAdvanced Heart Failure and Transplant Cardiology Physician	$12.3 million	6,067
28Matthew ButlerHematology & Oncology Physician	$12.1 million	1,727
29Aftab MahmoodHematology & Oncology Physician	$12.1 million	4,912
30Ronjay RakkhitHematology & Oncology Physician	$11.5 million	3,230
31Enrique GriegoFamily Medicine Physician	$11.4 million	50,546
32Melissa TonnPreventive Medicine/Occupational Environmental Medicine Physician	$11.3 million	47,654
33Zening HeMedical Oncology Physician	$11.3 million	2,867
34Rodolfo Estrada AnzuetoPulmonary Disease Physician	$10.8 million	1,406
35Rohit KapoorHematology & Oncology Physician	$10.8 million	2,316
36Sanober KablePulmonary Disease Physician	$10.4 million	5,852
37Sheeba ThomasMedical Oncology Physician	$10.3 million	1,232
38Jeffrey SpierSpecialist	$10.3 million	3,521
39Amir RasheedHematology & Oncology Physician	$10.1 million	3,071
40Haroutioun ShahinianHematology & Oncology Physician	$9.9 million	1,952
41Alex NguyenHematology & Oncology Physician	$9.7 million	2,382
42Daniel SaltzsteinUrology Physician	$9.7 million	5,446
43Ann Aleman WeinmannRheumatology Physician	$9.7 million	11,611
44Sergio RovnerEndocrinology, Diabetes & Metabolism Physician	$9.6 million	15,532
45Khoren HekimianFamily Medicine Physician	$9.6 million	111,851
46James VestalUrology Physician	$9.6 million	2,408
47Tri VuHematology & Oncology Physician	$9.5 million	3,378
48Kayvan KamaliRheumatology Physician	$9.4 million	17,518
49Ruben SaezHematology & Oncology Physician	$9.3 million	2,824
50Peter YauPulmonary Disease Physician	$9.3 million	1,467

Top 50 by opioid rate

Prescriber	Opioid rate	Opioid claims
1Ahmed ElhessyOrthopaedic Hand Surgery Physician	100.0%	14
2Alyssa MowrerSurgery Physician	100.0%	11
3Kimmie TallieFamily Nurse Practitioner	100.0%	29
4Daniel McLaughlinSurgery Physician	100.0%	12
5James CrossSurgery Physician	100.0%	18
6Rebecca DuranFamily Nurse Practitioner	100.0%	38
7Kavina JunejaSurgery Physician	100.0%	34
8Gene EarlInternal Medicine Physician	100.0%	12
9Jonathan ChongSurgery Physician	100.0%	16
10Mark LieserTrauma Surgery Physician	100.0%	11
11Ernest GonzalezSurgery Physician	100.0%	15
12Jennifer BarkerHospice and Palliative Medicine (Internal Medicine) Physician	99.0%	99
13Harvey ChenTransplant Surgery Physician	97.5%	78
14Jay CheekSurgery Physician	97.4%	38
15David DuvallSurgical Critical Care Physician	97.4%	37
16Christopher TaylorNeurological Surgery Physician	97.3%	36
17Miriam Garcia-HockerNurse Practitioner	97.0%	32
18Roy EdwardsSurgical Critical Care Physician	96.4%	27
19Daniel De ArmondThoracic Surgery (Cardiothoracic Vascular Surgery) Physician	96.4%	27
20Avafia DossaSurgery Physician	96.2%	25
21Matthew BowerSurgical Oncology Physician	96.0%	72
22Rhett LohmanSurgery Physician	95.6%	109
23Laurence RosenfieldGeneral Practice Physician	95.6%	391
24Sarah BaldwinNurse Practitioner	95.5%	85
25Debra DohertyTransplant Surgery Physician	95.5%	63
26Jon Paul HarmerAnesthesiology Physician	95.4%	3,671
27Ashleigh FontenotSurgical Critical Care Physician	95.2%	20
28Raheel BengaliInterventional Pain Medicine Physician	95.2%	2,263
29Sergey ShimunovSurgery Physician	95.1%	58
30Nicholas LongPhysician Assistant	94.4%	17
31Phuong TranGerontology Nurse Practitioner	94.4%	17
32Norberto VargasPain Medicine Physician	94.4%	4,739
33Jillian FleisherSurgery Physician	94.3%	82
34Sherry LimSurgery Physician	94.1%	16
35Lixana Vega VegaSurgery Physician	94.1%	16
36Augusto FloresAdult Health Nurse Practitioner	94.0%	63
37Andrew StoebnerOrthopaedic Hand Surgery Physician	93.8%	213
38Laura SchickPhysical Medicine & Rehabilitation Physician	93.8%	424
39Omair ToorPain Medicine (Anesthesiology) Physician	93.8%	2,314
40Craig DanielSurgery Physician	93.8%	15
41Fatima LomeliPhysician Assistant	93.8%	45
42James ParkerAnesthesiology Physician	93.5%	29
43Sassan EhdaiePain Medicine (Anesthesiology) Physician	93.5%	8,760
44John CliftonPain Medicine (Anesthesiology) Physician	93.4%	1,395
45Alexandra Hahn WaldenmaierSurgical Critical Care Physician	93.3%	14
46Darren NelsonEmergency Medicine Physician	92.9%	13
47Alda TamDiagnostic Radiology Physician	92.9%	13
48Mohamed IbrahimSurgery Physician	92.9%	26
49Mahan OstadianPain Medicine (Anesthesiology) Physician	92.6%	1,554
50Matthew NevittOrthopaedic Hand Surgery Physician	92.6%	349

Source: CMS Medicare Part D Prescribers by Provider, 2024 (data.cms.gov), matched to CMS NPPES by NPI. Opioid ranking needs at least 10 opioid claims; CMS leaves out counts under 11 beneficiaries.

Common questions

How many Medicare prescribers are in Texas?

Texas has 95,720 Medicare Part D prescribers who filed 114,622,272 claims totaling $20.1 billion in drug costs.

What is the opioid prescribing rate in Texas?

Opioids were 3.62 of every 100 Medicare Part D claims written by Texas prescribers in 2024, against 3.52 nationally (CMS). 53,969 of the state's 95,711 Part D prescribers (56.39%) wrote at least one opioid.

Checking a prescriber

Open the prescriber's record for the full NPI entry and prescribing detail, then confirm the license on the state board search. The Part D file covers Medicare Part D only; commercial, Medicaid, VA and cash prescriptions are not in it.