We analyzed 1,461 medical practices in Texas. A typical one is losing an estimated $109,800 to $183,600 a year. Texas ranks 32 of 51 states (1 = highest loss).
Online booking in Texas: 38%, about the same as the national 40%. Front-desk time valued at $20.80 an hour, the Texas average.
| City | Practices | No online booking | Est. lost / month |
|---|---|---|---|
| Cypress | 11 | 91% | $9,600–$16,050 |
| Garland | 16 | 69% | $9,550–$15,900 |
| McAllen | 18 | 72% | $9,550–$15,900 |
| Webster | 14 | 86% | $9,550–$15,900 |
| Lufkin | 11 | 91% | $9,500–$15,850 |
| Midland | 11 | 73% | $9,500–$15,850 |
| Richardson | 15 | 67% | $9,450–$15,700 |
| Irving | 20 | 70% | $9,400–$15,700 |
| Lubbock | 13 | 62% | $9,400–$15,650 |
| El Paso | 46 | 65% | $9,350–$15,550 |
| Laredo | 11 | 82% | $9,300–$15,550 |
| San Antonio | 87 | 61% | $9,250–$15,400 |
| Katy | 25 | 48% | $9,250–$15,400 |
| New Braunfels | 11 | 55% | $9,250–$15,400 |
| Carrollton | 10 | 60% | $9,250–$15,450 |
| Pearland | 15 | 53% | $9,250–$15,350 |
| Houston | 185 | 63% | $9,200–$15,350 |
| Arlington | 16 | 69% | $9,200–$15,350 |
| Plano | 49 | 63% | $9,150–$15,250 |
| Conroe | 12 | 50% | $9,150–$15,250 |
| Cedar Park | 14 | 79% | $9,100–$15,200 |
| Frisco | 36 | 56% | $9,100–$15,150 |
| Dallas | 99 | 51% | $9,050–$15,100 |
| Fort Worth | 36 | 61% | $9,050–$15,050 |
| Austin | 74 | 49% | $9,050–$15,050 |
| McKinney | 26 | 58% | $9,050–$15,050 |
| Southlake | 14 | 79% | $9,050–$15,050 |
| The Woodlands | 13 | 62% | $9,050–$15,050 |
| Sugar Land | 25 | 64% | $9,000–$14,950 |
| Edinburg | 13 | 62% | $8,950–$14,900 |
| Allen | 15 | 53% | $8,900–$14,800 |
Across 500 medical practices in these communities, a typical practice loses an estimated $9,150 to $15,200 a month, and 63% have no online booking. Towns where we analyzed fewer than 10 practices are counted in the Texas figures above.
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See your own practice’s numbers: free leak auditA typical medical practice in Texas loses an estimated $9,150 to $15,300 a month, based on 1,461 practices we analyzed. Front-desk time is valued at $20.80 an hour, the average for medical front-desk staff in Texas.
38% do, about the same as the national figure of 40%. The option most often missing is a way to reach the office after hours (85% of websites lack it).
Texas ranks 32 of 51 for estimated monthly loss per typical medical practice (1 = highest loss).
How these figures were built. From the public websites of 1,461 medical practices in Texas that we could read clearly. Each site was checked for seven things that decide whether a patient who can’t get through by phone still reaches the schedule. Dollar figures are estimates for a typical independent practice: our working figures for missed calls, no-shows, cancellations and overdue patients, adjusted for what each site offers and valued at the local front-desk wage (U.S. Bureau of Labor Statistics, May 2025). They are estimates, not measurements of any one practice. No practice is named on this page.