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Job Title · City Detail

Physician Iv Salary in Austin, Texas

In Austin, the State of Texas reports 18 public employees holding the PHYSICIAN IV classification. Average annual base pay is $300,176, with a median of $305,170 and a range from $270,900 to $312,817. The largest employer of this title in Austin is HEALTH AND HUMAN SERVICES COMMISSION.

Employees18
Average pay$300,176
Median pay$305,170
Top earner$312,817

How Austin compares for the PHYSICIAN IV role

Across all of Texas state government, the average base pay for the PHYSICIAN IV classification is $300,176, calculated from 18 employees in 2+ agencies statewide. In Austin specifically the average sits at $300,176, which runs about 0% above the statewide figure for this role — a difference of $0.00 per year between an average Austin incumbent and an average Texas incumbent in the same classification. That gap is consistent with what you would expect given the mix of employers active in Austin and the cost-of-living posture of the metro relative to other Texas cities.

Compared to all public-sector employees in Austin (regardless of title), the PHYSICIAN IV role pays about 144% more than the citywide average of $122,907. That places this title in the upper half of Austin's state workforce by pay, reflecting both the seniority that this classification typically carries and the agency mix that employs it locally. For an apples-to-apples comparison against other roles in Austin, see our city profile for Austin or compare against the same title in other Texas cities via the PHYSICIAN IV hub.

Within Austin, the PHYSICIAN IV classification appears at 2 different state employers: HEALTH AND HUMAN SERVICES COMMISSION, TEXAS JUVENILE JUSTICE DEPARTMENT. The single largest employer is HEALTH AND HUMAN SERVICES COMMISSION, which accounts for 17 of the 18 reported records in this combination. Where multiple agencies employ the same classification, pay variation is normal — agencies set individual pay within the state classification plan's salary band based on tenure, market conditions, and any agency-specific salary supplements that have been authorized by the Legislature or by the agency's governing board.

Top Physician Ivs in Austin by pay

NameAgencyAnnual payHire date
Anthony Thompson HEALTH AND HUMAN SERVICES COMMISSION $312,817 February 1, 2018
John Hood HEALTH AND HUMAN SERVICES COMMISSION $311,004 April 7, 2025
David Espino HEALTH AND HUMAN SERVICES COMMISSION $305,191 September 1, 2017
Tran Quan HEALTH AND HUMAN SERVICES COMMISSION $305,191 September 1, 2017
Rita Corona HEALTH AND HUMAN SERVICES COMMISSION $305,191 September 1, 2025
David Jolivet HEALTH AND HUMAN SERVICES COMMISSION $305,191 September 1, 2017
Scott Lepor TEXAS JUVENILE JUSTICE DEPARTMENT $305,191 March 1, 2019
Arthur Austin HEALTH AND HUMAN SERVICES COMMISSION $305,191 July 7, 2020
James Gilley HEALTH AND HUMAN SERVICES COMMISSION $305,191 September 1, 2017
Ashton Wickramasinghe HEALTH AND HUMAN SERVICES COMMISSION $305,149 September 1, 2017
Carol Andrus HEALTH AND HUMAN SERVICES COMMISSION $300,789 December 1, 2020
Lang Nolen HEALTH AND HUMAN SERVICES COMMISSION $299,377 September 11, 2017
Paul Cespedes HEALTH AND HUMAN SERVICES COMMISSION $299,377 November 1, 2023
Ellen Leonard HEALTH AND HUMAN SERVICES COMMISSION $296,868 September 1, 2017
Alfredo Cisneros HEALTH AND HUMAN SERVICES COMMISSION $296,867 September 1, 2017
Wendi Darag HEALTH AND HUMAN SERVICES COMMISSION $296,867 May 1, 2023
Nayantara Jnananand HEALTH AND HUMAN SERVICES COMMISSION $276,816 April 1, 2025
Ryan Van Ramshorst HEALTH AND HUMAN SERVICES COMMISSION $270,900 February 19, 2019

Reading this number in context

The annual pay column on this page reflects what the State of Texas reports as the employee’s annualized base salary at the time of the most recent payroll snapshot. It does not include benefits, retirement contributions (such as TRS or ERS employer contributions), longevity pay, hazardous-duty pay, paid leave cash-outs, contract buyouts, or any supplements paid out of foundation, athletic, or grant funds — categories that can add materially to total compensation, especially in academic medical centers and senior university roles. Use the figures here as an apples-to-apples baseline for comparison; treat them as the starting point of a conversation, not the final word.

Two employees in Austin with the same PHYSICIAN IV title can earn very different amounts for legitimate reasons. The State of Texas operates a position classification plan in which most titles map to a salary group with a defined minimum, midpoint, and maximum, and agencies are free to set individual pay anywhere within that band. Universities and elected-officials’ offices are exempt from the standard plan altogether and set pay independently. Tenure, prior agency service, market-pay adjustments approved under Texas Government Code Chapter 659, and acting-leadership stipends all contribute to within-title variation. For the full set of caveats, see our methodology.

If you want to compare what the PHYSICIAN IV role pays in other Texas cities, the PHYSICIAN IV hub aggregates every reported incumbent statewide. To see what other classifications pay in Austin, the Austin city profile breaks down the local mix of employers and titles. For peer roles, the job-titles index is the master list.