| Year |
Employer |
Vendor Name |
Amount |
Source |
| 2020 |
Teacher Retirement System Of Texas |
Aetna Us Healthcare |
$2,041,161,426.64 |
Texas State Checkbook |
| 2017 |
Health And Human Services Commission |
Bankers Reserve Life Insurance Co Of Wisconsin |
$2,032,733,556.49 |
Texas State Checkbook |
| 2019 |
Health And Human Services Commission |
Molina Healthcare Of Texas Inc |
$2,023,875,989.57 |
Texas State Checkbook |
| 2018 |
Health And Human Services Commission |
Bankers Reserve Life Insurance Co Of Wisconsin |
$2,015,984,837.90 |
Texas State Checkbook |
| 2019 |
Health And Human Services Commission |
Bankers Reserve Life Insurance Co Of Wisconsin |
$2,011,905,012.45 |
Texas State Checkbook |
| 2023 |
Health And Human Services Commission |
Community Health Choice Texas Inc |
$2,001,528,991.80 |
Texas State Checkbook |
| 2025 |
Health And Human Services Commission |
Accenture Llp |
$1,968,568,624.09 |
Texas State Checkbook |
| 2018 |
Health And Human Services Commission |
Confidential |
$1,913,033,412.83 |
Texas State Checkbook |
| 2018 |
Health And Human Services Commission |
United Healthcare Community Plan Of Texas Llc |
$1,912,379,206.76 |
Texas State Checkbook |
| 2020 |
Health And Human Services Commission |
Texas Children's Health Plan |
$1,896,359,744.23 |
Texas State Checkbook |
| 2022 |
Health And Human Services Commission |
Community Health Choice Texas Inc |
$1,886,549,359.27 |
Texas State Checkbook |
| 2024 |
University Of Texas System |
Bank Of New York Mellon |
$1,876,362,208.86 |
Texas State Checkbook |
| 2024 |
Health And Human Services Commission |
Americaid Tx - Chip |
$1,861,720,929.48 |
Texas State Checkbook |
| 2023 |
University Of Texas System |
Bank Of New York Mellon |
$1,843,164,645.93 |
Texas State Checkbook |
| 2020 |
Health And Human Services Commission |
United Healthcare Community Plan Of Texas Llc |
$1,842,245,029.78 |
Texas State Checkbook |
| 2019 |
Teacher Retirement System Of Texas |
Aetna Us Healthcare |
$1,829,911,421.26 |
Texas State Checkbook |
| 2023 |
Health And Human Services Commission |
Amerigroup Insurance Company |
$1,823,137,046.35 |
Texas State Checkbook |
| 2024 |
Health And Human Services Commission |
Accenture Llp |
$1,802,994,832.93 |
Texas State Checkbook |
| 2022 |
Department Of State Health Services |
Bcfs Health And Human Services |
$1,796,287,928.40 |
Texas State Checkbook |
| 2022 |
Health And Human Services Commission |
Amerigroup Insurance Company |
$1,782,905,765.88 |
Texas State Checkbook |
| 2021 |
Teacher Retirement System Of Texas |
Health Care Services Corporation; A Mutual Legal R |
$1,781,671,147.46 |
Texas State Checkbook |
| 2023 |
Health And Human Services Commission |
United Healthcare Insurance Company |
$1,771,994,539.47 |
Texas State Checkbook |
| 2022 |
Health And Human Services Commission |
United Healthcare Insurance Company |
$1,751,245,889.32 |
Texas State Checkbook |
| 2022 |
Health And Human Services Commission |
Confidential |
$1,746,128,684.26 |
Texas State Checkbook |
| 2025 |
Texas Department Of Transportation |
Texas Transportation Finance Corporation |
$1,731,730,721.00 |
Texas State Checkbook |
| 2025 |
University Of Texas System |
Bank Of New York Mellon |
$1,720,355,325.49 |
Texas State Checkbook |
| 2020 |
Health And Human Services Commission |
Confidential |
$1,698,874,604.78 |
Texas State Checkbook |
| 2021 |
Health And Human Services Commission |
Confidential |
$1,692,709,238.96 |
Texas State Checkbook |
| 2018 |
Health And Human Services Commission |
Texas Children's Health Plan |
$1,631,334,731.93 |
Texas State Checkbook |
| 2021 |
Health And Human Services Commission |
Community Health Choice Texas Inc |
$1,589,518,111.05 |
Texas State Checkbook |
| 2019 |
Health And Human Services Commission |
United Healthcare Community Plan Of Texas Llc |
$1,582,528,511.41 |
Texas State Checkbook |
| 2024 |
Health And Human Services Commission |
United Healthcare Insurance Company |
$1,566,464,344.14 |
Texas State Checkbook |
| 2019 |
Health And Human Services Commission |
Texas Children's Health Plan |
$1,563,048,074.64 |
Texas State Checkbook |
| 2017 |
Health And Human Services Commission |
Texas Children's Health Plan |
$1,561,158,012.25 |
Texas State Checkbook |
| 2021 |
Health And Human Services Commission |
United Healthcare Insurance Company |
$1,555,184,434.38 |
Texas State Checkbook |
| 2023 |
Health And Human Services Commission |
Unitedhealthcare Community Plan Of Texas Llc |
$1,503,445,564.72 |
Texas State Checkbook |
| 2020 |
Health And Human Services Commission |
United Healthcare Insurance Company |
$1,498,850,966.63 |
Texas State Checkbook |
| 2023 |
Health And Human Services Commission |
Federal Supplementary Medical Ins Trust Fnd-Part B |
$1,495,474,538.30 |
Texas State Checkbook |
| 2019 |
Health And Human Services Commission |
Confidential |
$1,490,534,282.37 |
Texas State Checkbook |
| 2022 |
General Land Office |
State Street Bank And Trust Company |
$1,483,847,829.62 |
Texas State Checkbook |
| 2025 |
Texas Department Of Criminal Justice |
Confidential |
$1,477,584,343.08 |
Texas State Checkbook |
| 2017 |
Health And Human Services Commission |
Molina Healthcare Of Texas Inc |
$1,472,451,791.56 |
Texas State Checkbook |
| 2021 |
Health And Human Services Commission |
Amerigroup Insurance Company |
$1,469,236,665.70 |
Texas State Checkbook |
| 2025 |
Health And Human Services Commission |
Federal Supplementary Medical Ins Trust Fnd-Part B |
$1,456,153,164.20 |
Texas State Checkbook |
| 2023 |
Health And Human Services Commission |
Driscoll Children's Health Plan |
$1,440,130,095.17 |
Texas State Checkbook |
| 2024 |
Health And Human Services Commission |
Community Health Choice Texas Inc |
$1,437,802,836.50 |
Texas State Checkbook |
| 2025 |
Health And Human Services Commission |
Harris County Hospital District |
$1,402,683,210.90 |
Texas State Checkbook |
| 2022 |
Health And Human Services Commission |
Federal Supplementary Medical Ins Trust Fnd-Part B |
$1,400,444,624.00 |
Texas State Checkbook |
| 2024 |
Texas Department Of Criminal Justice |
Confidential |
$1,351,211,409.05 |
Texas State Checkbook |
| 2024 |
Teacher Retirement System Of Texas |
Express Scripts Inc |
$1,332,315,504.17 |
Texas State Checkbook |
| 2022 |
Health And Human Services Commission |
Unitedhealthcare Community Plan Of Texas Llc |
$1,327,292,467.70 |
Texas State Checkbook |
| 2022 |
Health And Human Services Commission |
Driscoll Children's Health Plan |
$1,311,784,922.62 |
Texas State Checkbook |
| 2025 |
Health And Human Services Commission |
Driscoll Children's Health Plan |
$1,309,866,177.08 |
Texas State Checkbook |
| 2019 |
Health And Human Services Commission |
United Healthcare Insurance Company |
$1,273,672,239.95 |
Texas State Checkbook |
| 2024 |
Health And Human Services Commission |
Federal Supplementary Medical Ins Trust Fnd-Part B |
$1,249,245,724.90 |
Texas State Checkbook |
| 2025 |
Health And Human Services Commission |
Community First Health Plans Inc |
$1,246,386,919.95 |
Texas State Checkbook |
| 2018 |
Employees Retirement System Of Texas |
Confidential |
$1,235,857,449.10 |
Texas State Checkbook |
| 2021 |
Health And Human Services Commission |
Federal Supplementary Medical Ins Trust Fnd-Part B |
$1,234,254,381.30 |
Texas State Checkbook |
| 2023 |
Texas Department Of Criminal Justice |
Confidential |
$1,230,198,702.40 |
Texas State Checkbook |
| 2025 |
Health And Human Services Commission |
Unitedhealthcare Community Plan Of Texas Llc |
$1,219,585,728.30 |
Texas State Checkbook |
| 2023 |
Health And Human Services Commission |
Parkland Community Health Plan Inc |
$1,215,435,426.31 |
Texas State Checkbook |
| 2024 |
Health And Human Services Commission |
Driscoll Children's Health Plan |
$1,202,656,760.38 |
Texas State Checkbook |
| 2025 |
Health And Human Services Commission |
Dallas County Hospital District |
$1,183,258,635.93 |
Texas State Checkbook |
| 2020 |
Health And Human Services Commission |
Federal Supplementary Medical Ins Trust Fnd-Part B |
$1,172,959,637.10 |
Texas State Checkbook |
| 2023 |
Health And Human Services Commission |
Harris County Hospital District |
$1,170,224,531.01 |
Texas State Checkbook |
| 2017 |
Texas Department Of Criminal Justice |
Confidential |
$1,166,938,272.62 |
Texas State Checkbook |
| 2020 |
Health And Human Services Commission |
Amerigroup Insurance Company |
$1,149,400,576.19 |
Texas State Checkbook |
| 2020 |
Texas Department Of Criminal Justice |
Confidential |
$1,141,310,180.74 |
Texas State Checkbook |
| 2023 |
Health And Human Services Commission |
Dallas County Hospital District |
$1,116,726,431.47 |
Texas State Checkbook |
| 2021 |
Texas Department Of Criminal Justice |
Confidential |
$1,106,973,703.11 |
Texas State Checkbook |
| 2020 |
General Land Office |
State Street Bank And Trust Company |
$1,101,476,198.41 |
Texas State Checkbook |
| 2022 |
Texas Department Of Criminal Justice |
Confidential |
$1,094,091,242.12 |
Texas State Checkbook |
| 2025 |
Health And Human Services Commission |
Aetna Better Health Of Texas Inc |
$1,093,379,988.10 |
Texas State Checkbook |
| 2025 |
Texas Education Agency |
Idea Academy Inc |
$1,090,746,621.45 |
Texas State Checkbook |
| 2025 |
Comptroller-State Fiscal |
Houston Metropolitan Transit Authority |
$1,085,063,284.28 |
Texas State Checkbook |
| 2023 |
Health And Human Services Commission |
Aetna Better Health Of Texas Inc |
$1,081,184,823.09 |
Texas State Checkbook |
| 2024 |
Health And Human Services Commission |
Harris County Hospital District |
$1,075,173,814.43 |
Texas State Checkbook |
| 2018 |
Texas Department Of Criminal Justice |
Confidential |
$1,071,448,942.91 |
Texas State Checkbook |
| 2019 |
Employees Retirement System Of Texas |
Confidential |
$1,070,555,841.07 |
Texas State Checkbook |
| 2018 |
Health And Human Services Commission |
Federal Supplementary Medical Ins Trust Fnd-Part B |
$1,063,733,277.70 |
Texas State Checkbook |
| 2020 |
Comptroller-State Fiscal |
Texas Treasury Safekeeping Trust Company |
$1,055,000,000.00 |
Texas State Checkbook |
| 2021 |
Health And Human Services Commission |
Healthspring Life & Health Insurance Company Inc |
$1,052,572,767.34 |
Texas State Checkbook |
| 2024 |
Health And Human Services Commission |
Unitedhealthcare Community Plan Of Texas Llc |
$1,047,842,515.54 |
Texas State Checkbook |
| 2024 |
Health And Human Services Commission |
Parkland Community Health Plan Inc |
$1,046,438,179.70 |
Texas State Checkbook |
| 2020 |
Health And Human Services Commission |
Healthspring Life & Health Insurance Company Inc |
$1,045,947,366.20 |
Texas State Checkbook |
| 2024 |
Texas Education Agency |
Idea Academy Inc |
$1,035,533,615.15 |
Texas State Checkbook |
| 2018 |
University Of Texas System |
Bank Of New York Mellon |
$1,032,429,168.79 |
Texas State Checkbook |
| 2024 |
Comptroller-State Fiscal |
Houston Metropolitan Transit Authority |
$1,032,153,073.78 |
Texas State Checkbook |
| 2025 |
Health And Human Services Commission |
Parkland Community Health Plan Inc |
$1,029,577,341.73 |
Texas State Checkbook |
| 2023 |
Comptroller-State Fiscal |
Houston Metropolitan Transit Authority |
$1,028,747,260.81 |
Texas State Checkbook |
| 2021 |
Health And Human Services Commission |
Driscoll Children's Health Plan |
$1,028,085,574.50 |
Texas State Checkbook |
| 2023 |
Health And Human Services Commission |
Cook Children's Health Plan |
$1,027,646,604.60 |
Texas State Checkbook |
| 2019 |
Texas Department Of Criminal Justice |
Confidential |
$1,018,290,841.71 |
Texas State Checkbook |
| 2017 |
Health And Human Services Commission |
Federal Supplementary Medical Ins Trust Fnd-part B |
$1,017,033,465.20 |
Texas State Checkbook |
| 2021 |
Health And Human Services Commission |
Unitedhealthcare Community Plan Of Texas Llc |
$1,011,676,273.08 |
Texas State Checkbook |
| 2022 |
Health And Human Services Commission |
Dallas County Hospital District |
$1,010,258,368.73 |
Texas State Checkbook |
| 2020 |
Health And Human Services Commission |
Community Health Choice Texas Inc |
$1,009,346,079.16 |
Texas State Checkbook |
| 2022 |
Health And Human Services Commission |
Harris County Hospital District |
$1,003,119,662.99 |
Texas State Checkbook |
| 2021 |
Comptroller-State Fiscal |
Texas Treasury Safekeeping Trust Company |
$999,750,000.00 |
Texas State Checkbook |
| 2023 |
Teacher Retirement System Of Texas |
Silverscript Insurance Company |
$994,683,251.34 |
Texas State Checkbook |