Medicare Enrolled
Dr. Coty Tino, M.D.
Family Medicine · Crystal River, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Tino from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Tino
Dr. Coty Tino is a family medicine in Crystal River, FL, with 10 years in practice. Based on federal Medicare data, Dr. Tino performed 37,933 Medicare services across 23,631 unique beneficiaries.
Between the years covered by Open Payments, Dr. Tino received a total of $1,841 from 25 pharmaceutical and/or device companies across 112 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Tino is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 10 years in practice▲ Top 0% volume in FL$ $1,841 industry payments
Medicare Practice Summary
Medicare Utilization ↗37,933
Medicare services
Top 0% in FL for family medicine
23,631
Unique beneficiaries
$18
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~3,793 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) | 1,844 | $85 | $140 |
| Blood draw (venipuncture) | 1,722 | $8 | $10 |
| Blood potassium level | 1,507 | $5 | $9 |
| Blood creatinine level | 1,499 | $5 | $10 |
| Blood chloride level | 1,497 | $5 | $7 |
| Blood glucose (sugar) level | 1,495 | $4 | $8 |
| Blood sodium level | 1,495 | $5 | $10 |
| Urea nitrogen level to assess kidney function, quantitative | 1,494 | $4 | $10 |
| Complete blood count (CBC) with differential | 1,485 | $8 | $25 |
| Phosphatase (enzyme) level, alkaline | 1,407 | $5 | $9 |
| Bilirubin level, total | 1,406 | $5 | $9 |
| Liver enzyme (sgot), level | 1,403 | $5 | $10 |
| Liver enzyme (sgpt), level | 1,402 | $5 | $10 |
| Calcium level, total | 1,378 | $5 | $10 |
| Total protein level, blood | 1,368 | $4 | $8 |
| Thyroid stimulating hormone (TSH) test | 1,212 | $16 | $45 |
| Lipid panel (cholesterol and triglycerides) | 1,204 | $13 | $29 |
| Vitamin B-12 level test | 1,110 | $15 | $33 |
| Folic acid level test | 1,074 | $14 | $32 |
| Dexamethasone injection (steroid) | 728 | $0 | $2 |
| Office visit, established patient (20-29 min) | 690 | $61 | $100 |
| Homocysteine (amino acid) level | 674 | $18 | $35 |
| Advance care planning consultation, first 30 min | 663 | $80 | $110 |
| Vitamin D level test | 660 | $29 | $60 |
| Annual wellness visit, follow-up | 628 | $125 | $135 |
| Hemoglobin A1c test (diabetes monitoring) | 573 | $10 | $22 |
| Thyroid hormone, t3 measurement, free | 510 | $17 | $35 |
| Thyroxine (thyroid chemical), total | 417 | $7 | $20 |
| Apolipoprotein level | 388 | $21 | $34 |
| Annual alcohol misuse screening, 5 to 15 minutes | 380 | $18 | $20 |
| Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 341 | $26 | $30 |
| Annual depression screening | 314 | $18 | $20 |
| Glutamyltransferase (liver enzyme) level | 310 | $7 | $12 |
| Uric acid level test | 291 | $4 | $8 |
| Automated urinalysis | 201 | $2 | $5 |
| Magnesium level test | 196 | $7 | $15 |
| Infectious disease DNA/RNA test | 187 | $34 | $50 |
| Albumin (protein) level | 174 | $5 | $9 |
| Phosphate level test | 161 | $5 | $20 |
| Urine microalbumin (protein) analysis | 158 | $6 | $10 |
| Creatinine test (kidney function) | 157 | $5 | $10 |
| Face-to-face behavioral counseling for obesity, 15 minutes | 155 | $25 | $30 |
| Drug injection, under skin or into muscle | 149 | $10 | $30 |
| Parathyroid hormone level test | 134 | $40 | $80 |
| Iron level test | 104 | $6 | $15 |
| Free thyroxine (T4) test | 93 | $9 | $18 |
| Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique | 93 | $34 | $50 |
| Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique | 93 | $34 | $50 |
| Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 93 | $140 | $150 |
| Injection, methylprednisolone acetate, 80 mg | 91 | $8 | $25 |
| Chest X-ray, 2 views | 85 | $24 | $60 |
| New patient office visit (45-59 min) | 68 | $88 | $215 |
| Electrocardiogram (EKG), 12-lead | 64 | $11 | $40 |
| PSA test (prostate cancer screening) | 55 | $18 | $50 |
| Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 52 | $1 | $15 |
| X-ray of lower and sacral spine, 2-3 views | 51 | $27 | $70 |
| Prostate cancer screening; prostate specific antigen test (psa) | 48 | $19 | $50 |
| Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 44 | $162 | $175 |
| Telephone medical discussion with physician, 5-10 minutes | 42 | $28 | $50 |
| Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | 40 | $6 | $40 |
| Transitional care management services for problem of high complexity | 36 | $211 | $311 |
| Ferritin level test (iron stores) | 30 | $13 | $30 |
| Transferrin (iron binding protein) level | 27 | $12 | $25 |
| Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 25 | $162 | $185 |
| Ultrasound of both sides of head and neck blood flow | 24 | $138 | $350 |
| Transitional care management services for problem of at least moderate complexity | 24 | $152 | $220 |
| Hip X-ray, 2-3 views | 23 | $30 | $60 |
| Glycated protein level | 23 | $16 | $31 |
| Echocardiogram, transthoracic | 23 | $140 | $350 |
| C-peptide (protein) level | 21 | $20 | $40 |
| Telephone medical discussion with physician, 11-20 minutes | 21 | $68 | $100 |
| X-ray of upper spine, 6 or more views | 20 | $41 | $140 |
| Shoulder X-ray, 2+ views | 20 | $27 | $60 |
| X-ray of knee, 1-2 views | 20 | $20 | $55 |
| Testosterone (hormone) level, total | 20 | $25 | $60 |
| Lipase (fat enzyme) level | 19 | $7 | $15 |
| X-ray of hand, minimum of 3 views | 15 | $26 | $50 |
| Complete ultrasound scan of abdomen | 15 | $84 | $215 |
| Insulin measurement, total | 15 | $11 | $24 |
| X-ray of ribs on both sides of body, 3 views | 14 | $29 | $60 |
| Ultrasound scan of abdominal aorta | 14 | $102 | $115 |
| Prolactin (milk producing hormone) level | 14 | $19 | $32 |
| Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 14 | $18 | $32 |
| Joint injection, major joint | 13 | $47 | $120 |
| Ultrasound scan of head and neck soft tissue | 13 | $79 | $165 |
| Measurement of total estradiol (hormone) | 13 | $27 | $60 |
| Foot X-ray, 3+ views | 12 | $23 | $45 |
| Gonadotropin, follicle stimulating (reproductive hormone) level | 12 | $18 | $35 |
| Gonadotropin, luteinizing (reproductive hormone) level | 12 | $18 | $35 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 12 | $118 | $300 |
| New patient office visit (30-44 min) | 12 | $66 | $140 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.1% high complexity
2.9% medium
97.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,841
Total received (2018-2024)
Avg $263/year across 7 years
Top 24% in FL for family medicine
25
Companies
112
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,841 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$89
2023$51
2022$25
2021$203
2020$325
2019$751
2018$398
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$334
Amgen Inc.
$315
Novo Nordisk Inc
$294
Janssen Pharmaceuticals, Inc
$201
Boehringer Ingelheim Pharmaceuticals, Inc.
$154
GlaxoSmithKline, LLC.
$112
PFIZER INC.
$84
SANOFI-AVENTIS U.S. LLC
$39
AbbVie Inc.
$31
EAGLE PHARMACEUTICALS, INC.
$29
Amarin Pharma Inc.
$28
Lilly USA, LLC
$24
Astellas Pharma US Inc
$21
Nalpropion Pharmaceuticals LLC
$19
Kowa Pharmaceuticals America, Inc.
$18
Echosens North America, Inc.
$18
ARBOR PHARMACEUTICALS, INC.
$17
Merck Sharp & Dohme Corporation
$16
AbbVie, Inc.
$14
Novartis Pharmaceuticals Corporation
$14
Circassia Pharmaceuticals Inc
$13
Roche Diagnostics Corporation
$12
Eisai Inc.
$12
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$12
Genentech USA, Inc.
$11
Top 3 companies account for 51.2% of total payments
Associated products mentioned in payments ›
ANORO · ANORO ELLIPTA · Aimovig · BARHEMSYS · BYDUREON · CD cobas Analyzer Series · CHANTIX · CONTRAVE · CREON · Creon · DUAKLIR PRESSAIR · Dayvigo · ELIQUIS · ENTRESTO · EVENITY · Edarbyclor · FARXIGA · FibroScan · JANUVIA · JARDIANCE · Livalo · Ozempic · PREVNAR 13 · Prolia · Repatha · SHINGRIX · SOLIQUA 100/33 · SPRAVATO · STIOLTO RESPIMAT · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · Tresiba · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · Xofluza
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $5 per 100 Medicare services performed
Geographic Context
Family Medicines within 10 mi
82
Per 100K population
51.7
County median income
$55,355
Nearest hospital
TAMPA GENERAL HOSPITAL CRYSTAL RIVER
6.6 mi
6.6 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Tino is a mixed practice specialist, with above-average Medicare volume (top 0% in FL), and low-engagement industry engagement.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Tino experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Tino performed 1,844 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Tino receive payments from pharmaceutical companies?
Yes. Dr. Tino received a total of $1,841 from 25 companies across 112 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Tino's costs compare to other family medicines in Crystal River?
Dr. Tino's average Medicare payment per service is $18. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Tino) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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