Senior Medical Assistant Salary in North Richland Hills, TX: $48,897 (2026)
Quick Answer:The top tier of medical assistants working in North Richland Hills, TX — those at or above the 90th percentile — pull in $48,897/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 31-9092. Strip back North Richland Hills's price premium (BEA RPP 96.0, 4% below national) and that top-decile pay carries the same buying power as $50,934 in average-cost America. The 28% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

Achieving a top-tier salary as an experienced medical assistant in North Richland Hills, TX, can lead to opportunities in earning up to $48,897 annually, which represents the 90th percentile for this profession in 2026. This figure significantly surpasses the median annual salary of $38,141, reinforcing the financial benefits of extensive experience in the field. The competitive salary structure also indicates a considerable experience premium that distinguishes seasoned medical assistants from their less experienced counterparts. To reach this pinnacle of compensation, candidates often need to pursue further specialization, demonstrate advanced clinical skills, and actively engage in continuous professional development.
About the North Richland Hills Market
Salary estimated from Texas average ($40,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in North Richland Hills
Experienced medical assistants at the top of the pay scale in North Richland Hills earn between $40,854 and $48,897 per year (2026 est.). This $18,444 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The North Richland Hills median of $38,141 sits 20.47% below the US median.
Top MA, CMA Salary Comparison
| Level | North Richland Hills | National |
|---|---|---|
| Median (P50) | $38,141 | $47,961 |
| 75th Percentile | $40,854 | $51,624 |
| 90th Percentile (Top 10%) | $48,897 | $62,258 |
In North Richland Hills, experienced medical assistants (P90) earn 28.20% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Medical Assistant Pay in North Richland Hills
Advanced Certifications in Texas
TX medical assistants with additional specialty certifications within the medical assisting field earn significantly above the $38,141 median. Expanded-scope credentials are increasingly valued by North Richland Hills employers.
Specialty Focus
Medical Assistants focusing on high-acuity or specialty areas within the medical assisting field in North Richland Hills command premium compensation, often reaching the $40,854–$48,897 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the North Richland Hills metro area often pay above-market rates for experienced medical assistants who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured medical assistants in North Richland Hills with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Medical Assistants in Texas who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Medical Assistant Career & Wage Growth Path in North Richland Hills
Clinical Medical Assistant
0-5 yearsSenior/Lead Medical Assistant
5-10 yearsMedical Assistant Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedNorth Richland Hills ranks #61 of 109 Texas cities for top earner medical assistant salary (90th percentile: $48,897).
Top 10% medical assistant compensation in North Richland Hills ($48,897) is 7.55% below the Texas average P90 ($52,890).
2019 BLS Actual
$38,265
2025 BLS Actual
$46,582
2026 Current Est.
$48,897
2019–2027 Growth
+34.1%
Salary Trajectory for Medical Assistants in North Richland Hills (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.97% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $38,265 | Actual |
| 2020 | $39,725 | Actual |
| 2021 | $37,833 | Actual |
| 2022 | $40,613 | Actual |
| 2023 | $44,359 | Actual |
| 2024 | $48,076 | Actual |
| 2025 | $46,582 | Actual |
| 2026(current) | $48,897 | Estimated |
| 2027 | $51,327 | Projected |
Top-earning medical assistants (90th percentile) in North Richland Hills saw their compensation grow 21.7% from $38,265 in 2019 to $46,582 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 4.97% annual growth rate, senior-level pay is projected to reach $51,327 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the North Richland Hills metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 4.97% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Maximizing Your Medical Assistant Earnings in North Richland Hills
In North Richland Hills, several specialized roles command higher salaries, particularly within the senior medical assistant pay TX domain. Positions that require additional expertise, such as phlebotomy, EKG proficiency, and support in dermatology or OB-GYN practices, often yield greater compensation. For example, working in cardiology or specialty clinics often results in higher pay than primary care settings. Compensation also varies depending on the type of employer, with urgent care chains and specialty practices generally offering more competitive wages compared to traditional physician offices. Furthermore, pursuing leadership roles—like clinical operations supervisor or practice manager—can enhance earnings potential significantly. Credentials such as CMA or RMA, along with ongoing education, play a vital role in securing these higher-paying positions and expanding one’s responsibilities, ultimately driving both salary growth and career advancement.
More salary data for North Richland Hills, TX:
Frequently Asked Questions
How much do experienced medical assistants make in North Richland Hills in 2026?
What drives higher medical assistant pay in North Richland Hills?
What certifications boost medical assistant salary in North Richland Hills?
Can experienced medical assistants make six figures in North Richland Hills?
How much does medical assistant salary increase over time in North Richland Hills?
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Written by Emma Chen, CMA
Career Analyst
Emma has over 8 years of experience as a medical assistant. She has worked in both outpatient clinics and hospitals. Her expertise includes patient care and administrative support.
Methodology & Data Source
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $46,582 for medical assistants in the North Richland Hills metro area. A 4.97% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Salary data for North Richland Hills is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 4.97%, derived from historical BLS wage trends for medical assistants (SOC 31-9092).
Compiled and verified by Emma Chen, CMA, a licensed medical assistant with 10+ years of clinical experience. · View source data at BLS.gov