Texas / Health and Human Services Commission / Physician IV

Job-title file

Physician IV

Diagnose and treat patients, direct clinical care, and supervise other medical staff.

20 employees hold this title in Health and Human Services Commission. Median total compensation for the role is $305,170, above the department median of $50,368.

Employees: 20
Total payroll: $6M
Role median: $305,170
Agency median: $50,368
Comparison: Above

What the records show

Role pay distribution

Pay distribution for this role

$267,468$327,011+

Hover a bar for its range; click to filter the list below.

How total compensation varies among the 20 people in this role. Even for one job title, pay differs with seniority, step, overtime, and tenure. Each bar is a pay range; the far-right bar collects the highest earners.

Compared with the local labor market

Physician IV pay vs. Texas

Across all employers in Texas, the median wage for Physicians, All Other — about 30,720 people — is $269,800. Health and Human Services Commission pays a median base salary of $269,268 for this role, in line with that figure — about the 50th percentile of local pay for the occupation.

Where Health and Human Services Commission sits in the local pay range

10th

25th

Median

75th

90th

$60,600

$108,990

$269,800

$370,990

$457,450

Health and Human Services Commission median · $269,268

The bar is the range of annual wages for Physicians, All Other across every employer in Texas, from the 10th to the 90th percentile, with the middle 50% highlighted. The marker shows Health and Human Services Commission’s median base salary for this role. Both figures are base pay only.

And across the country

Nationwide, the median wage for Physicians, All Other — about 342,720 people — is $265,930. Health and Human Services Commission’s median base salary is 1% above that national figure, about the 51st percentile of pay for the occupation nationally.

10th

25th

Median

75th

90th

$69,170

$102,930

$265,930

$378,770

$452,360

Health and Human Services Commission median · $269,268

Local and national wages differ for reasons beyond how well a job pays — cost of living, the mix of employers, and local demand for the occupation all move the Texas range relative to the national one.

Median total compensation for this role at Health and Human Services Commission is $269,268, which includes overtime and employer-paid benefits. The benchmark above excludes both, so total compensation is deliberately not compared against it.

Benchmark: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (May 2025). BLS Occupational Employment and Wage Statistics (OEWS) covers all employers in the area — private, non-profit, and government alike — so this is a comparison against the whole local labor market for the occupation, not against private-sector pay. OEWS wages are straight-time pay and exclude overtime, shift differentials, and employer-paid benefits, so the government figure shown here is base pay on the same basis. Total compensation is not comparable to it. Job titles are matched to the closest standard occupation, so the comparison is between similar work rather than an identical job classification.

Compare departments

This role across Texas

Physician IV is held in 2 Texas departments. In Health and Human Services Commission, the median of $305,170 ranks #2 of 2.

Highest-paying departments for this role

Texas Juvenile Justice Department

$305,191 · 1

Median total compensation for the Physician IV role in other Texasdepartments (highest first). Each bar links to that department’s page for this role.

Compare jurisdictions

Physician beyond Texas

This role is reported in 11 jurisdictions. In Texas, the median of $252,224 ranks #1 of 11. See Physician across all of Texas →

Highest-paying jurisdictions for this role

Tennessee

$218,842 · 40

New York Public Authorities

$202,045 · 278

$184,126 · 37

$164,650 · 12

$113,232 · 36

$80,653 · 7

Ramsey County, Minnesota

$66,125 · 6

City of Philadelphia

$50,063 · 56

Median total compensation for comparable Physicianroles in other jurisdictions. Titles are matched by normalized name across sources, not identical job classification, and pay is not cost-of-living adjusted. Each bar links to that jurisdiction’s page for the role.

Record list

Employees with this title

Page 1

Ricardo Vega

Physician IV/Health and Human Services Commission

2025 total comp

$335,710

Base pay: $335,710
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $335,710
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1

Source-specific fields

Class Code: 4439
Hire Date: Mar 1, 2025
Monthly Pay: $27,976
State Employee Number: 1772624

At Health and Human Services Commission, Ricardo Vega serves as a Physician IV. They work crf - classified regular full-time. Their 2025 pay totaled $335,710.

Anthony Thompson

Physician IV/Health and Human Services Commission

2026 total comp

$312,817

Base pay: $312,817
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $312,817
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: J

Source-specific fields

Class Code: 4439
Hire Date: Feb 1, 2018
Monthly Pay: $26,068
State Employee Number: 1100526

Anthony Thompson holds the role of Physician IV at Health and Human Services Commission. Their status is crf - classified regular full-time. In 2026, their total compensation was $312,817.

John Hood

Physician IV/Health and Human Services Commission

2026 total comp

$311,004

Base pay: $311,004
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $311,004
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: B

Source-specific fields

Class Code: 4439
Hire Date: Apr 7, 2025
Monthly Pay: $25,917
State Employee Number: 199419

John Hood holds the role of Physician IV at Health and Human Services Commission. Their status is crf - classified regular full-time. In 2026, their total compensation was $311,004.

Arthur Austin

Physician IV/Health and Human Services Commission

2026 total comp

$305,191

Base pay: $305,191
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $305,191
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1

Source-specific fields

Class Code: 4439
Hire Date: Jul 7, 2020
Monthly Pay: $25,433
State Employee Number: 53778

At Health and Human Services Commission, Arthur Austin serves as a Physician IV. They work crf - classified regular full-time. Their 2026 pay totaled $305,191.

Tran Quan

Physician IV/Health and Human Services Commission

2026 total comp

$305,191

Base pay: $305,191
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $305,191
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: B

Source-specific fields

Class Code: 4439
Hire Date: Sep 1, 2017
Monthly Pay: $25,433
State Employee Number: 109755

Tran Quan works as a Physician IV for Health and Human Services Commission. Their status is crf - classified regular full-time. Tran earned $305,191 in 2026.

David Espino

Physician IV/Health and Human Services Commission

2026 total comp

$305,191

Base pay: $305,191
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $305,191
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1

Source-specific fields

Class Code: 4439
Hire Date: Sep 1, 2017
Monthly Pay: $25,433
State Employee Number: 355281

David Espino holds the role of Physician IV at Health and Human Services Commission. Their status is crf - classified regular full-time. In 2026, their total compensation was $305,191.

David Jolivet

Physician IV/Health and Human Services Commission

2026 total comp

$305,191

Base pay: $305,191
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $305,191
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: A

Source-specific fields

Class Code: 4439
Hire Date: Sep 1, 2017
Monthly Pay: $25,433
State Employee Number: 748297

David Jolivet holds the role of Physician IV at Health and Human Services Commission. Their status is crf - classified regular full-time. In 2026, their total compensation was $305,191.

James Gilley

Physician IV/Health and Human Services Commission

2026 total comp

$305,191

Base pay: $305,191
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $305,191
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: T

Source-specific fields

Class Code: 4439
Hire Date: Sep 1, 2017
Monthly Pay: $25,433
State Employee Number: 782468

James Gilley is a Physician IV at Health and Human Services Commission. They work crf - classified regular full-time. 2026 total compensation came to $305,191.

Carolyn Mcdougald

Physician IV/Health and Human Services Commission

2025 total comp

$305,191

Base pay: $305,191
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $305,191
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: J

Source-specific fields

Class Code: 4439
Hire Date: Oct 20, 2022
Monthly Pay: $25,433
State Employee Number: 1261000

Carolyn Mcdougald works as a Physician IV for Health and Human Services Commission. Their status is crf - classified regular full-time. Carolyn earned $305,191 in 2025.

Rita Corona

Physician IV/Health and Human Services Commission

2026 total comp

$305,191

Base pay: $305,191
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $305,191
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: E

Source-specific fields

Class Code: 4439
Hire Date: Sep 1, 2025
Monthly Pay: $25,433
State Employee Number: 619621

Rita Corona works as a Physician IV for Health and Human Services Commission. Their status is crf - classified regular full-time. Rita earned $305,191 in 2026.

Ashton Wickramasinghe

Physician IV/Health and Human Services Commission

2026 total comp

$305,149

Base pay: $305,149
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $305,149
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: S

Source-specific fields

Class Code: 4439
Hire Date: Sep 1, 2017
Monthly Pay: $25,429
State Employee Number: 343114

Ashton Wickramasinghe works as a Physician IV for Health and Human Services Commission. Their status is crf - classified regular full-time. Ashton earned $305,149 in 2026.

Carol Andrus

Physician IV/Health and Human Services Commission

2026 total comp

$300,789

Base pay: $300,789
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $300,789
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: A

Source-specific fields

Class Code: 4439
Hire Date: Dec 1, 2020
Monthly Pay: $25,066
State Employee Number: 1297506

Carol Andrus works as a Physician IV for Health and Human Services Commission. Their status is crf - classified regular full-time. Carol earned $300,789 in 2026.

Lang Nolen

Physician IV/Health and Human Services Commission

2026 total comp

$299,377

Base pay: $299,377
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $299,377
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: D

Source-specific fields

Class Code: 4439
Hire Date: Sep 11, 2017
Monthly Pay: $24,948
State Employee Number: 1084270

Lang Nolen holds the role of Physician IV at Health and Human Services Commission. Their status is crf - classified regular full-time. In 2026, their total compensation was $299,377.

Paul Cespedes

Physician IV/Health and Human Services Commission

2026 total comp

$299,377

Base pay: $299,377
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $299,377
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1

Source-specific fields

Class Code: 4439
Hire Date: Nov 1, 2023
Monthly Pay: $24,948
State Employee Number: 1677597

Paul Cespedes works as a Physician IV for Health and Human Services Commission. Their status is crf - classified regular full-time. Paul earned $299,377 in 2026.

Ellen Leonard

Physician IV/Health and Human Services Commission

2026 total comp

$296,868

Base pay: $296,868
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $296,868
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: I

Source-specific fields

Class Code: 4439
Hire Date: Sep 1, 2017
Monthly Pay: $24,739
State Employee Number: 1065575

Ellen Leonard is a Physician IV at Health and Human Services Commission. They work crf - classified regular full-time. 2026 total compensation came to $296,868.

Wendi Darag

Physician IV/Health and Human Services Commission

2026 total comp

$296,867

Base pay: $296,867
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $296,867
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1

Source-specific fields

Class Code: 4439
Hire Date: May 1, 2023
Monthly Pay: $24,739
State Employee Number: 1635656

Wendi Darag works as a Physician IV for Health and Human Services Commission. Their status is crf - classified regular full-time. Wendi earned $296,867 in 2026.

Alfredo Cisneros

Physician IV/Health and Human Services Commission

2026 total comp

$296,867

Base pay: $296,867
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $296,867
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: D

Source-specific fields

Class Code: 4439
Hire Date: Sep 1, 2017
Monthly Pay: $24,739
State Employee Number: 144369

Alfredo Cisneros works as a Physician IV for Health and Human Services Commission. Their status is crf - classified regular full-time. Alfredo earned $296,867 in 2026.

Nayantara Jnananand

Physician IV/Health and Human Services Commission

2026 total comp

$276,816

Base pay: $276,816
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $276,816
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1

Source-specific fields

Class Code: 4439
Hire Date: Apr 1, 2025
Monthly Pay: $23,068
State Employee Number: 1776118

Nayantara Jnananand is a Physician IV at Health and Human Services Commission. They work crf - classified regular full-time. 2026 total compensation came to $276,816.

Ryan Van Ramshorst

Physician IV/Health and Human Services Commission

2026 total comp

$270,900

Base pay: $270,900
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $270,900
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1

Source-specific fields

Class Code: 4439
Hire Date: Feb 19, 2019
Monthly Pay: $22,575
State Employee Number: 373323

Ryan Van Ramshorst holds the role of Physician IV at Health and Human Services Commission. Their status is crf - classified regular full-time. In 2026, their total compensation was $270,900.

John Wells

Physician IV/Health and Human Services Commission

2025 total comp

$267,468

Base pay: $267,468
Overtime: $0
Other pay: $0
Benefits: $0
Total compensation: $267,468
Employment type: Crf - Classified Regular Full-Time
Full-time equivalent (FTE): 1
Middle name: A

Source-specific fields

Class Code: 4439
Hire Date: Apr 1, 2023
Monthly Pay: $22,289
State Employee Number: 1629013

John Wells is a Physician IV at Health and Human Services Commission. They work crf - classified regular full-time. 2025 total compensation came to $267,468.