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
900 JEROME ST STE 400, Fort Worth, TX 76104
8173326092
In practice since 2007 (18 years)
NPI: 1104030782 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. 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? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Ratino

Dr. Thomas Ratino is an interventional pain medicine physician in Fort Worth, TX, with 18 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Dexamethasone injection (steroid)4,023$0$4
Office visit, established patient (30-39 min)1,522$89$232
Office visit, established patient (20-29 min)398$66$156
Compounded drug, not otherwise classified383$154$205
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician302$65$300
Injection of substance into lower spine canal using imaging guidance164$195$553
Electronic analysis and reprogramming of spinal canal drug infusion pump155$34$150
Maintenance of spinal canal or brain drug infusion pump by health care professional126$86$238
New patient office visit (45-59 min)93$123$358
Injection of substance into middle or upper spine canal using imaging guidance48$196$563
Joint injection, major joint40$56$281
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint31$184$465
Injection of trigger points, 1-2 muscles29$42$120
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint28$352$1,286
Insertion of spinal neurostimulator electrode array through skin26$1,439$3,500
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance20$154$1,400
Insertion, revision, or repositioning of spinal canal tube for medication administration17$267$880
Insertion of programmable spinal canal drug infusion pump17$175$850
Insertion of spinal neurostimulator generator or receiver15$158$2,300
Telephone medical discussion with physician, 5-10 minutes11$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.
8.1% high complexity
58.8% medium
33.1% 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
Looking for a interventional pain medicine physician in Fort Worth?
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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

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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), and high industry engagement (low-engagement, top 18%), with 18 years of practice experience.

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 →
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 →