CMS Open Payments · Program Year 2024
Texas
Texas received $224,714,621.51 in pharmaceutical-industry payments to 58,838 physicians and 87 teaching hospitals across 1,485,278 transactions.
- $224.7M
- Total payments
- $184.6M
- To physicians
- $19.4M
- To teaching hospitals
- #5
- of 59 states
In CMS Open Payments Program Year 2024, pharmaceutical and medical-device companies reported $224.7M in payments to 58,838 physicians and 87 teaching hospitals in Texas. That ranks Texas #5 of 59 states and territories (1.6% of the US total), averaging $3.1K per physician. Figures are company-reported under the Physician Payments Sunshine Act; a reported payment is a financial relationship, not evidence of wrongdoing.
The verdict
Texas pairs top-10% payment volume with a physician-heavy payment mix.
- #5
- of 59 states
- 1.6%
- of the national total
- 82.1%
- to physicians vs. hospitals
- 58,838
- physicians paid
What the Data Shows for Texas
Texas sits in the high-volume tercile at #5 of 59 by all-tracks dollars (1.6% of the US total): $224,714,621.51 across 1,485,278 PY2024 transactions.
Physician versus hospital mix is near the corpus middle (82.1% / 8.6%). Average transaction $151.29. Leading nature of payment: "Compensation for Services Other Than Consulting" at $52.4M (23.3% of the state file; top-three natures 60.5%).
Texas sits in the 93rd percentile (top-10 nationally). Just above: Massachusetts ($230.3M). Just below: New York ($216.8M). For context: top-ranked California ($342.4M) is 1.5× larger than Texas. CMS Sunshine Act framework and methodology.
Physician vs Hospital Payments
How pharmaceutical payments in Texas are distributed between physicians and teaching hospitals.
Physician Payments
$184.6M
82.1% of total · 58,838 recipients · $3.1K avg
Teaching Hospital Payments
$19.4M
8.6% of total · 87 hospitals · $222.8K avg
Payment Breakdown by Type
Texas has 16 types of pharmaceutical payments. "Compensation for Services Other Than Consulting" accounts for 23.3%.
Nature concentration in Texas
Top three Open Payments natures are 60.5% of state dollars; residual is every other reported nature
Payment categories in Texas
Top categories by total reported dollar volume
| Payment Type | Amount | Transactions | % of State |
|---|---|---|---|
| Compensation for Services Other Than Consulting | $52.4M | 21,433 | 23.3% |
| Royalty or License | $42.4M | 1,154 | 18.9% |
| Consulting Fee | $41.1M | 15,969 | 18.3% |
| Food and Beverage | $39.5M | 1,369,541 | 17.6% |
| Travel and Lodging | $18.5M | 54,548 | 8.2% |
| Education | $6.0M | 13,875 | 2.7% |
| Debt Forgiveness | $5.7M | 782 | 2.5% |
| Grant | $4.3M | 280 | 1.9% |
| Honoraria | $4.0M | 1,540 | 1.8% |
| Long-Term Medical Supply or Device Loan | $3.8M | 1,758 | 1.7% |
| Compensation for Faculty or Speaker (Medical Education) | $2.8M | 1,142 | 1.3% |
| Space Rental or Facility Fees | $2.5M | 363 | 1.1% |
| Acquisitions | $753.2K | 46 | 0.3% |
| Gift | $501.8K | 2,220 | 0.2% |
| Charitable Contribution | $199.7K | 17 | 0.1% |
| Entertainment | $53.8K | 610 | 0.0% |
Read with this Texas Open Payments read
Volume neighbors, physician-share peers, and the national nature catalog, not the same three guides on every state page.
- Next higher total: Massachusetts ($230.3M)
- Next lower total: New York ($216.8M)
- Nearest physician-share mix: New Jersey (81.7% to physicians)
- Nearest physician-share mix: Guam (82.6% to physicians)
- Nearest physician-share mix: Oregon (81.6% to physicians)
- National catalog for leading nature here: Compensation for Services Other Th… (23.3% of Texas)
- State payment rankings (includes Texas at #5)
- How Open Payments natures are defined
Data Source: Centers for Medicare & Medicaid Services (CMS) Open Payments, Program Year 2024. Data includes general payments, research payments, and physician ownership/investment interests as required by the Physician Payments Sunshine Act. Total industry payments: $13.9B across 1,925 companies.
Read our methodology - how this data is sourced, computed, and verified.
Source: CMS Open Payments Database Industry payments to physicians and teaching hospitals · 2024
What Texas totals can and cannot tell you
The aggregate payment figure for Texas measures reportable industry–physician engagement inside this state's geographic footprint for Program Year 2024, not any one physician's or hospital's relationship with industry. CMS collects the data under the Physician Payments Sunshine Act; manufacturers must report transfers of value above the de minimis threshold. The file does not capture DTC advertising, internal R&D, wholesale drug pricing, or salary support that is not a reportable transfer of value.
Correlations between payment receipt and prescribing appear in peer-reviewed work for specific drugs and specialties, but this page's state total does not establish causation. Open the company and recipient detail pages for category and year-over-year cuts.
Every figure on PlainPharmaWatch is rendered directly from federal source data, no number is typed in by an editor. This page draws directly on federal source data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-07-26.