Medicare Part D in Texas
Prescribing data for 92,813 providers in Texas, totaling $19.28B in drug costs.
Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026
92,813
Prescribers
$19.28B
Drug Cost
108,209,524
Claims
$1,266
Cost/Patient
29,529
Opioid Prescribers
7,074
High Opioid Rate
14.1%
Avg Opioid Rate
177
Flagged Providers
🔎 Data Overview
💰
Ranks #4 nationally in total Medicare Part D drug spending. This state accounts for 7.0% of all Part D costs.
🔍
177 providers in this state have been flagged for unusual prescribing patterns — one of the highest counts nationally. This doesn't mean fraud, but these providers show statistical outlier patterns compared to their specialty peers.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Drug Cost Trends (2019–2023)
Opioid Prescribing Trends
Top Specialties in Texas
| # | Specialty | Providers |
|---|---|---|
| 1 | Internal Medicine | 326 |
| 2 | Family Practice | 281 |
| 3 | Nurse Practitioner | 99 |
| 4 | Physician Assistant | 33 |
| 5 | Emergency Medicine | 23 |
| 6 | Pain Management | 20 |
| 7 | Dentist | 20 |
| 8 | Cardiology | 19 |
| 9 | Physical Medicine and Rehabilitation | 17 |
| 10 | Anesthesiology | 17 |
Flagged Providers in Texas
| Provider | Drug Cost | Risk Score |
|---|---|---|
| Rodolfo Herrera Bedford | $862K | 66 |
| Marco Benitez Lufkin | $806K | 55 |
| Kayvan Kamali Longview | $8.0M | 52 |
| Odette Campbell Plano | $7.8M | 51 |
| Todd Pearson Temple | $29K | 48 |
| Marvin Delgado-Guay Houston | $16K | 48 |
| Andrew Klymiuk Arlington | $178K | 48 |
| Autumn Stratton Temple | $37K | 48 |
| Akhila Reddy Houston | $24K | 48 |
| Sean Hutchinson Dallas | $96K | 48 |
| Yvonne Heung Houston | $23K | 48 |
| Jaya Amaram-Davila Houston | $23K | 48 |
| Jennifer Fan Temple | $25K | 48 |
| Paul Watts Abilene | $202K | 46 |
| Desi Barroga Dallas | $5,341 | 45 |
| Vishnu Prathap Dallas | $19K | 43 |
| Sharika Kumar Dallas | $16K | 43 |
| Modupe Idowu Houston | $789K | 43 |
| Nagamani Kota Sugar Land | $17K | 43 |
| Culver Werner Grapevine | $71K | 43 |
| Sandra Frellsen Austin | $32K | 43 |
| Matthew Rios Fort Worth | $35K | 43 |
| Jacquelyn Covington College Station | $40K | 43 |
| Jason Kirk Temple | $59K | 43 |
| Paige Farinholt Houston | $19K | 43 |
| Matthew Meehan Killeen | $208K | 42 |
| Kent Mitchell Fort Worth | $192K | 42 |
| Jason Butler Mansfield | $145K | 42 |
| Luis Nieves Hurst | $203K | 42 |
| Li Ling Houston | $5,442 | 42 |
| Ronald Killam Houston | $1.3M | 41 |
| Jorge Raichman Houston | $1.5M | 41 |
| Adam Bruggeman San Antonio | $7,541 | 41 |
| Terry Gerber Marshall | $402K | 41 |
| Randall Rodgers Whitehouse | $565K | 40 |
| Gregory Anstead San Antonio | $1.6M | 40 |
| Karen Brown Austin | $2,370 | 40 |
| Michelle Marroquin Nederland | $3,307 | 40 |
| Adeel Haq Frisco | $21K | 40 |
| Jennifer Pauli Mansfield | $11K | 40 |
| Neil Adelman Tyler | $1.0M | 40 |
| William Dreiss Tyler | $33K | 40 |
| James Mason Temple | $3.6M | 39 |
| Ariel Carter-Wheeler Sugar Land | $60K | 39 |
| Susy Varghese Houston | $5,469 | 39 |
| Monica Aceves Houston | $6,726 | 39 |
| Parema Enriquez Houston | $5,849 | 39 |
| Maxine Grace De La Cruz Houston | $8,273 | 39 |
| Alex De Jesus San Antonio | $8,414 | 38 |
| Patricia Salvato Houston | $6.2M | 38 |
| Danny Dubberly Corpus Christi | $575K | 38 |
| Natasha Lee Austin | $27K | 38 |
| Lisa Rengifo Huntsville | $339K | 38 |
| Kenneth Haygood Tyler | $202K | 38 |
| Irfan Jawed Houston | $1.3M | 38 |
| David Jones Orange | $648K | 38 |
| Charles Nolan Seguin | $45K | 38 |
| Maria Asprilla Fort Worth | $16K | 38 |
| Carlos Hornedo Iii Laredo | $1.8M | 38 |
| Ernesto Malave Killeen | $2.8M | 38 |
| Sina Najafi Dallas | $44K | 38 |
| Reeni Abraham Dallas | $17K | 38 |
| Deno Barroga Dallas | $21K | 37 |
| Brittany Potter Cedar Hill | $94K | 37 |
| Edward Okelley Atlanta | $310K | 37 |
| Daniel Brown Texarkana | $109K | 37 |
| Frank Fossella Houston | $3.2M | 36 |
| Anumol Thomas Houston | $6,641 | 36 |
| Morvarid Rezaie Fort Worth | $1.5M | 36 |
| Latha Neerukonda Fort Worth | $2.5M | 36 |
| Micah Boyer Wichita Falls | $1.5M | 36 |
| Heather Dalton Dallas | $3,728 | 36 |
| Brian Connolly San Antonio | $36K | 36 |
| Stephanie Terauchi Dallas | $6,286 | 36 |
| Everton Edmondson Houston | $161K | 36 |
| Ayo Adu Victoria | $602K | 36 |
| Lindsey Brown Beaumont | $7,196 | 35 |
| Carolyn Salter Palestine | $8,144 | 35 |
| Cindy Ng Mansfield | $42K | 35 |
| Makayla Mccoskey Austin | $9,364 | 35 |
| Thomas Madden Killeen | $16K | 35 |
| Lacresha Carson Ft Worth | $17K | 35 |
| Monica Ray Austin | $3,705 | 35 |
| Philip Jackson Austin | $3,490 | 35 |
| Kimberly Smith Paris | $9,173 | 35 |
| Margaret Hayden Tyler | $5,162 | 35 |
| Tiffany Hughes Texarkana | $16K | 35 |
| Faith Nwawuba Paris | $12K | 35 |
| Jun Sang Cho Mission | $938 | 35 |
| Aleksandra Olsson-Detwiler Tyler | $15K | 35 |
| Geoff Weikle San Antonio | $59K | 35 |
| Phillip Harvey Lackland A F B | $1,973 | 35 |
| James Mckinley Tyler | $16K | 35 |
| David Martin Tyler | $7,974 | 35 |
| Ars Prasad Houston | $18K | 35 |
| Brennen Cheek Dallas | $3,438 | 34 |
| Monika Ummat Houston | $264K | 34 |
| Juan Garcia Conroe | $803 | 34 |
| Dylan Lippert Dallas | $1,662 | 34 |
| Salman Ahmad Lubbock | $5.1M | 33 |
| William Walstad Dallas | $811 | 33 |
| Kate Bridges Amarillo | $229K | 33 |
| Jerome Wasserstein Houston | $2.0M | 33 |
| Laura Schick Frisco | $31K | 33 |
| Rachel Mansker Victoria | $1,660 | 33 |
| Cecelia Harris Amarillo | $248K | 33 |
| Adolphus Lewis Fort Worth | $3.0M | 33 |
| Kenneth Warnock Wichita Falls | $733K | 33 |
| Matthew Nevitt Dallas | $21K | 33 |
| Rachele Williams Houston | $8,263 | 33 |
| Wesley Myers Conroe | $1,075 | 33 |
| Bertha Mendieta Victoria | $1,601 | 33 |
| Ryane Cordero San Antonio | $1,329 | 33 |
| Ashwin Gowda Austin | $25K | 33 |
| Robert Bacon Houston | $690K | 33 |
| John Arcure Flower Mound | $14K | 33 |
| Benny Sanchez The Woodlands | $1.7M | 33 |
| Sharhonda Martin Bedford | $65K | 33 |
| Ricardo Pardo Baytown | $2.5M | 33 |
| Jack Stephenson Tyler | $1,183 | 33 |
| Udit Verma Dallas | $790K | 32 |
| Janet Dean Dallas | $67K | 32 |
| Basem Hamid Houston | $191K | 32 |
| Ayushi Chauhan Houston | $672K | 32 |
| John Mason Houston | $4,238 | 32 |
| Kaoswi Shih Houston | $12K | 32 |
| Sunny Lai Dallas | $1.0M | 32 |
| Debra Gummelt Shenandoah | $20K | 32 |
| Jeffery Hawkins Fort Worth | $720K | 32 |
| Easwar Sundaram Sherman | $3.1M | 32 |
| Tatiana Jacobson Austin | $5,060 | 31 |
| Crystal Acosta Corpus Christi | $8,211 | 31 |
| Nusrat Begum Shaik Odessa | $135K | 31 |
| Daniel Verret Plano | $663 | 31 |
| Kendra Wiley Lubbock | $6,704 | 31 |
| Eduardo Miranda Laredo | $8.3M | 31 |
| Eric Hollabaugh Prosper | $611 | 31 |
| Priscilla Baber Southlake | $50K | 31 |
| Alejandro Jimenez Corpus Christi | $17K | 31 |
| James Gray Bryan | $79K | 31 |
| Gerald Rosenberg San Antonio | $2.7M | 31 |
| Martha Nunez Odessa | $656 | 31 |
| Jessica Gillen Dallas | $2,515 | 31 |
| Carl Svajda Bryan | $761 | 31 |
| Brenda Harrison Midland | $60K | 31 |
| Chaethana Yalamanchili Dallas | $16K | 31 |
| Chimay Allis Amarillo | $107K | 31 |
| Jennifer Robertson Mckinney | $7,765 | 31 |
| Mason Kizziar Amarillo | $664 | 31 |
| Steven Holloway Dallas | $92K | 31 |
| William Vintzileos Dallas | $114K | 31 |
| Megan Fournier The Woodlands | $47K | 31 |
| Kimberly Galusha Manchaca | $15K | 31 |
| Waqas Ali Rockwall | $20K | 31 |
| Christine Lerback Bandera | $1.8M | 30 |
| Jack Menges Texarkana | $4,167 | 30 |
| Rosalie Hudson Austin | $5,397 | 30 |
| Donovan Reed Jbsa Lackland | $3,766 | 30 |
| Ryan O'quinn San Antonio | $14K | 30 |
| Robert Hein Arlington | $11K | 30 |
| Bryan Lane Temple | $1,653 | 30 |
| Arash Kimyai-Asadi Bellaire | $26K | 30 |
| Lloyd Vanwinkle Castroville | $24.2M | 30 |
| Francis Burch San Antonio | $9,872 | 30 |
| Magdaleno Cardenas El Paso | $1.5M | 30 |
| Enrique Rodriguez Lubbock | $2.0M | 30 |
| Azim Karim Houston | $261K | 30 |
| Makoto Saigusa Tyler | $1,762 | 30 |
| Pablo Uceda Dallas | $84K | 30 |
| Antonio Ruiz San Antonio | $4.8M | 30 |
| Rajendra Sajjan Tyler | $31K | 30 |
| Clay Elswick Arlington | $3,836 | 30 |
| Randy Stewart Claude | $172K | 30 |
| George Ansoanuur Houston | $26K | 30 |
| Kurt Berneburg Austin | $14K | 30 |
| John Lindemann Mission | $4,703 | 30 |
| Maria Chong-Ramasute Houston | $1.2M | 30 |
Top Opioid Prescribers in Texas
| Provider | Opioid Rate | Opioid Claims |
|---|---|---|
| Julie Sprunt Austin | 88.6% | N/A |
| Brandon Tinkler Tyler | 88.1% | N/A |
| Jeanette Ferrer Houston | 82.8% | N/A |
| Angela Seda Arlington | 69.3% | N/A |
| Salim Durrani Houston | 65.6% | N/A |
| Eduardo Ozuna New Braunfels | 60.8% | N/A |
| Stephanie Pearson San Antonio | 57.6% | N/A |
| Jennifer Minneman Galveston | 54.8% | N/A |
| Vijian Dhevan Harlingen | 53.2% | N/A |
| Mario Quesada Brownsville | 51.2% | N/A |
| Suzanne Manzi Houston | 46.7% | N/A |
| Alecia Nero Dallas | 42.5% | N/A |
| Michael Burris Austin | 39.8% | N/A |
| Scott Hrnack Keller | 35.1% | N/A |
| David Dewalch Tyler | 33.2% | N/A |
| Tatiana Jacobson Austin | 32.4% | N/A |
| Ranan Mendelsberg Garland | 31.9% | N/A |
| Agustin Cornejo Esquerra San Antonio | 31.0% | N/A |
| Allison Dipasquale Dallas | 29.8% | N/A |
| Justin Wright Corsicana | 29.5% | N/A |
Prescribers in Texas
| Provider | Claims | Drug Cost |
|---|---|---|
| Juliette Zumwalt Houston | 49 | $445 |
| Kasey Warren Kyle | 20 | $518 |
| Michal Wolski Waxahachie | 147 | $8,079 |
| Samatha Kadiyala Lake Jackson | 1,004 | $179K |
| Uma Pakkivenkata Dallas | 1,017 | $264K |
| Cyrus Farahani Smithville | 69 | $503 |
| Natalie Philbrick Corpus Christi | 7,496 | $938K |
| Darleen Dansby Dallas | 28 | $484 |
| Saad Al-Saab Tomball | 196 | $16K |
| Mamta Gupta Dallas | 160 | $6,966 |
| Hussein Yamani Conroe | 6,029 | $993K |
| Obinna Uzowulu San Antonio | 382 | $61K |
| Eduardo Ozuna New Braunfels | 953 | $55K |
| Mimi Idicula Irving | 92 | $53K |
| Danique Vandongen Katy | 1,364 | $77K |
| Anthony Perri Conroe | 4,493 | $265K |
| Mace Brindley Temple | 307 | $71K |
| Andrea Hatchette Carrollton | 1,205 | $70K |
| Karen Mackenney Shenandoah | 50 | $23K |
| Bradford Commons Dallas | 136 | $1,377 |
| Vijian Dhevan Harlingen | 479 | $1,911 |
| Lance Monteau San Marcos | 4,679 | $513K |
| Scott Hrnack Keller | 77 | $494 |
| Anna Schroeder Fort Worth | 202 | $5,327 |
| Mario Quesada Brownsville | 615 | $15K |
| Kristen Hawthorne Austin | 4,973 | $1.1M |
| Wah Wai Koo Houston | 55 | $304 |
| Tricia Punsalan Conroe | 3,069 | $146K |
| Jeff Sensenig San Antonio | 268 | $5,253 |
| Merry Chen Houston | 354 | $15K |
| Jyothsna Gattineni Dallas | 75 | $54K |
| Nusrat Ahmed Freeport | 29 | $6,019 |
| Kristina Kypuros El Paso | 12 | $316 |
| Jose De Leon Del Rio | 539 | $36K |
| Yinghui Liu Plano | 7,358 | $660K |
| Melissa Mizesko Corpus Christi | 13 | $99K |
| Vijaya Mummadi Dallas | 928 | $140K |
| Tatiana Jacobson Austin | 142 | $5,060 |
| Ninh Nguyen Houston | 1,272 | $38K |
| Staci Ianiro Austin | 95 | $752 |
| Michael Burris Austin | 98 | $913 |
| Arturo Molina Laredo | 23 | $100 |
| Wendy Foster Plano | 2,480 | $863K |
| David Midkiff Lubbock | 84 | $3,019 |
| Ryan Ahern College Station | 88 | $1,523 |
| James Spillman Dallas | 30 | $222 |
| Chris Hart Austin | 175 | $18K |
| Huy Tran Houston | 22 | $1,786 |
| Jessica Baez Spring | 17 | $83 |
| Robert Raposo San Antonio | 69 | $2,300 |