Medicare Enrolled
Dr. Thomas Ratino, M.D.
Interventional Pain Medicine Physician · Fort Worth, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Ratino 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. Ratino?
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What this data tells you about Dr. Ratino
Dr. Thomas Ratino is an interventional pain medicine physician in Fort Worth, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Ratino performed 7,448 Medicare services across 1,439 unique beneficiaries.
Between the years covered by Open Payments, Dr. Ratino received a total of $21,809 from 45 pharmaceutical and/or device companies across 1036 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain medicine physician. 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. Ratino 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.
✓ 18 years in practice
▲ Top 9% volume in TX
$21,809 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,448
Medicare services
Top 9% in TX for interventional pain medicine physician
1,439
Unique beneficiaries
$51
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~414 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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
4,023 | $0 | $4 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,522 | $89 | $232 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
398 | $66 | $156 |
| Compounded drug, not otherwise classified A medication prepared specifically for an individual patient by a pharmacist or physician, tailored to meet unique needs that cannot be fulfilled by commercially available products. |
383 | $154 | $205 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
302 | $65 | $300 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
164 | $195 | $553 |
| Electronic analysis and reprogramming of spinal drug pump This procedure involves electronically analyzing and reprogramming a spinal canal drug infusion pump. It does not include the surgical insertion or removal of the device. |
155 | $34 | $150 |
| Spinal or brain drug pump maintenance A healthcare professional performs maintenance on a drug infusion pump implanted in the spinal canal or brain. |
126 | $86 | $238 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
93 | $123 | $358 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
48 | $196 | $563 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
40 | $56 | $281 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
31 | $184 | $465 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
29 | $42 | $120 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
28 | $352 | $1,286 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
26 | $1,439 | $3,500 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
20 | $154 | $1,400 |
| Spinal canal tube insertion, revision, or repositioning This procedure involves placing, adjusting, or moving a tube within the spinal canal to deliver medication. |
17 | $267 | $880 |
| Insertion of programmable spinal drug infusion pump A surgical procedure to implant a programmable pump into the spinal canal for delivering medication. |
17 | $175 | $850 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
15 | $158 | $2,300 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
11 | $20 | $200 |
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.
0.2% high complexity
58.1% medium
41.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$21,809
Total received (2018-2024)
Avg $3,116/year across 7 years
Top 18% in TX for interventional pain medicine physician
45
Companies
1,036
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
$20,008 (91.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,801 (8.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,934
2023
$2,961
2022
$2,231
2021
$2,738
2020
$3,287
2019
$4,900
2018
$2,759
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Nevro Corp.
$10,235
Medtronic USA, Inc.
$1,916
Vertiflex, Inc.
$1,515
Nalu Medical, Inc.
$1,189
Boston Scientific Corporation
$1,139
BOSTON SCIENTIFIC CORPORATION
$763
BioDelivery Sciences International, Inc.
$599
Medtronic, Inc.
$533
PAINTEQ LLC
$504
Spinal Simplicity, LLC
$454
Daiichi Sankyo Inc.
$404
ABBVIE INC.
$402
Collegium Pharmaceutical, Inc.
$307
Allergan, Inc.
$228
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$186
Abbott Laboratories
$172
Vertos Medical, Inc.
$139
Vertical Pharmaceuticals, LLC
$87
HydroCision, Inc.
$82
Flexion Therapeutics, Inc.
$81
Allergan Inc.
$81
PFIZER INC.
$68
Currax Pharmaceuticals LLC
$63
BIOTRONIK NRO, Inc.
$61
Amgen Inc.
$59
Indivior Inc.
$47
Novartis Pharmaceuticals Corporation
$45
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$43
AbbVie Inc.
$42
PIRAMAL CRITICAL CARE
$42
Stryker Corporation
$32
Shionogi Inc
$29
Kaleo, Inc.
$28
Purdue Pharma L.P.
$28
Acclarent, Inc
$27
SI-BONE, Inc.
$26
Teva Pharmaceuticals USA, Inc.
$26
Forte Bio-Pharma LLC
$22
Valinor Pharma, LLC
$19
Scilex Pharmaceuticals Inc.
$17
Lundbeck LLC
$15
ARBOR PHARMACEUTICALS, INC.
$15
IBSA Pharma Inc.
$14
Merck Sharp & Dohme LLC
$13
Stimwave Technologies Incorporated
$12
Top 3 companies account for 62.7% of total payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AIMOVIG · AJOVY · ASCENDA · Aimovig · BELBUCA · BELSOMRA · BOTOX · BOTOX THERAPEUTIC · BUNAVAIL · BUNAVAIL 2.1 mg 30-count box · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · ETERNA · Evzio · GABLOFEN · GENERAL PAIN MANAGEMENT · HA MINUTEMAN G3-R · Horizant · INJEX · INTELLIS · INTELLIS ADAPTIVESTIM · IVS - MULTIGEN 2RF · Intracept · LORZONE · LYRICA · Licart · METHYLPHENIDATE 72 · MOVANTIK · MYSTIM · Morphabond ER · N'VISION · NALOCET · NURTEC ODT · Nalu Neurostimulation System · OXYCONTIN · Omnia · PAINTEQ · PROCLAIM · Proclaim Family of SCS IPGs · Proclaim IPG · Prospera · QULIPTA · RELISTOR · RESTORE · Relieva Spinplus · SPECTRA WAVEWRITER · SUBLOCADE · SUBOXONE SUBLINGUAL FILM · SUPERION · SYNCHROMED · SYNCHROMEDII · Senza · Senza II · Senza Spinal Cord Stimulation System · StimQ Peripheral Nerve StimulatorSystem · Superion · Superion ISS · Superion Indirect Decompression System · Symproic · TENJET · UBRELVY · VECTRIS · VYEPTI · Vanta · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · iFuse Implant · mild Device Kit
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 (92%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $293 per 100 Medicare services performed
Geographic Context
Interventional pain medicine physicians within 10 mi
17
Per 100K population
0.8
County median income
$81,905
Nearest hospital
JPS HEALTH NETWORK
0.0 mi
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. Ratino is a clinical cardiology specialist, with above-average Medicare volume (top 9% in TX), with low-engagement industry engagement in the top 18% of TX peers, with 18 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. Ratino experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Ratino performed 4,023 dexamethasone injection (steroid) 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. Ratino receive payments from pharmaceutical companies?
Yes. Dr. Ratino received a total of $21,809 from 45 companies across 1,036 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. Ratino's costs compare to other interventional pain medicine physicians in Fort Worth?
Dr. Ratino's average Medicare payment per service is $51. 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. Ratino) 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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