Medicare Enrolled

Dr. Sauman Rafii, M.D.

Pain Medicine · Austin, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
12176 N MOPAC EXPY STE D, Austin, TX 78758
5129817246
In practice since 2009 (16 years)
NPI: 1811128887 verify on NPPES ↗
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. Rafii 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 →
Are you Dr. Rafii? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Rafii

Dr. Sauman Rafii is a pain medicine specialist in Austin, TX, with 16 years of NPI registration. Based on federal Medicare data, Dr. Rafii performed 1,758 Medicare services across 737 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rafii received a total of $24,744 from 47 pharmaceutical and/or device companies across 505 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain 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. Rafii 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.

✓ 16 years in practice ▲ Top 40% volume in TX $24,744 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,758
Medicare services
Top 40% in TX for pain medicine
737
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~110 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) 621 $92 $694
Testing for presence of drug, read by direct observation 230 $12 $100
Dexamethasone injection (steroid) 155 $0 $5
Injection, midazolam hydrochloride, per 1 mg 136 $0 $25
Betamethasone steroid injection 113 $5 $30
Office visit, established patient, complex (40-54 min) 108 $132 $932
Injection, methylprednisolone acetate, 40 mg 60 $6 $48
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 41 $41 $424
New patient office visit, complex (60-74 min) 41 $158 $975
Ultrasonic guidance for needle placement 36 $46 $1,049
Injection, methylprednisolone acetate, 80 mg 30 $9 $48
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 28 $247 $3,109
Injection of trigger points, 3 or more muscles 26 $49 $528
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 25 $292 $2,758
Injection of substance into lower spine canal using imaging guidance 24 $202 $2,148
Blood glucose (sugar) test performed by hand-held instrument 20 $3 $20
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 18 $9 $89
Office visit, established patient (20-29 min) 18 $72 $613
Injection, fentanyl citrate, 0.1 mg 15 $1 $28
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 13 $530 $6,658
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$24,744
Total received (2018-2024)
Avg $3,535/year across 7 years
Top 9% in TX for pain medicine
47
Companies
505
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
$24,723 (99.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$21 (0.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$6,461
2023
$3,790
2022
$3,127
2021
$2,224
2020
$867
2019
$3,518
2018
$4,757

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$4,303
Abbott Laboratories
$3,261
SI-BONE, Inc.
$2,538
Vertiflex, Inc.
$1,980
BOSTON SCIENTIFIC CORPORATION
$1,493
Medtronic, Inc.
$1,485
Relievant Medsystems, Inc.
$1,142
Spinal Simplicity, LLC
$1,047
SI-BONE, INC.
$936
Nalu Medical, Inc.
$724
ABBVIE INC.
$657
BioDelivery Sciences International, Inc.
$626
Collegium Pharmaceutical, Inc.
$606
Pernix Therapeutics Holdings, Inc.
$534
PFIZER INC.
$422
Genesys Orthopedics Systems, L.L.C.
$399
Stryker Corporation
$331
Scilex Pharmaceuticals Inc.
$221
Allergan, Inc.
$213
GRT US Holding, Inc.
$202
Flexion Therapeutics, Inc.
$177
Purdue Pharma L.P.
$153
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$141
Horizon Therapeutics plc
$123
Biohaven Pharmaceutical Holding Company Ltd.
$117
Pacira Pharmaceuticals Incorporated
$116
Averitas Pharma Inc.
$91
Lundbeck LLC
$88
Kaleo, Inc.
$85
USWM, LLC
$75
Amgen Inc.
$63
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$49
Merz Pharmaceuticals, LLC
$40
Hikma Pharmaceuticals USA
$38
ARBOR PHARMACEUTICALS, INC.
$33
Orexo US, Inc.
$31
IBSA Pharma Inc.
$29
RedHill Biopharma Inc.
$28
Azurity Pharmaceuticals, Inc.
$22
Lilly USA, LLC
$22
Shionogi Inc
$20
SpineSmith Holdings, LLC
$18
SCILEX PHARMACEUTICALS INC.
$17
Ipsen Biopharmaceuticals, Inc
$15
Daiichi Sankyo Inc.
$12
Nevro Corp.
$12
Horizon Pharma plc
$12
Top 3 companies account for 40.8% of total payments
Associated products mentioned in payments ›
Aimovig · BELBUCA · BOTOX · BUNAVAIL 2.1 mg 30-count box · Belbuca · COMIRNATY · DRG IPGs · DUEXIS · DYSPORT · ELYXYB - celecoxib · EMGALITY · ETERNA · EVZIO · EXPAREL · Evzio · GENERAL THERAPIES · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL - THERAPIES · GENERAL PAIN MANAGEMENT · General - Pain Management · General - Therapies · HA MINUTEMAN G3-R · HORIZANT · Horizant · IFUSE IMPLANT SYSTEM · INCEPTIV · INTELLIS ADAPTIVESTIM · IVS - IVAS · IVS - VERTEBRAL AUGMENTATION PRODUCTS · Intracept · Iovera · Kloxxado · LIBERTY SI · LICART · LYRICA · Lucemyra · Morphabond ER · Movantik · N/A · NURTEC ODT · Nalu Neurostimulation System · Nucynta · Nucynta ER · PENNSAID · PENTA · PROCLAIM · Penta SCS Leads · Proclaim Family of SCS IPGs · Proclaim IPG · QULIPTA · QUTENZA · Qutenza · RELISTOR · SACROILIAC JOINT FUSION SYSTEM · SILENOR · SPECTRA WAVEWRITER · SUPERION · SYMPROIC · SYNCHROMEDII · Senza Spinal Cord Stimulation System · Superion ISS · Symproic · Tirosint · UBRELVY · VANTA ADAPTIVESTIM · VIMOVO · VYEPTI · WaveWriter Alpha Prime 16 · XTAMPZA · Xeomin · Xtampza ER · ZIMHI · ZOHYDRO ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · Zubsolv · iFuse Implant
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. Total industry engagement is in the top 9% for pain medicine in TX.

Equivalent to $1,408 per 100 Medicare services performed
Looking for a pain medicine specialist in Austin?
Compare pain medicines in the Austin area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Pain medicines within 10 mi
27
Per 100K population
2.1
County median income
$97,169
Nearest hospital
NORTH AUSTIN MEDICAL CENTER
0.0 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. Rafii is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 9% of TX peers, with 16 years of NPI registration.

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. Rafii experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rafii performed 621 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. Rafii receive payments from pharmaceutical companies?
Yes. Dr. Rafii received a total of $24,744 from 47 companies across 505 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. Rafii's costs compare to other pain medicines in Austin?
Dr. Rafii's average Medicare payment per service is $65. 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. Rafii) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →