Medicare Enrolled

Dr. Tim Ratino, M.D.

Interventional Pain Medicine Physician · Fort Worth, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1307 8TH AVE STE 506, Fort Worth, TX 76104
8173326092
In practice since 2008 (17 years)
NPI: 1154574044 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. Tim Ratino is an interventional pain medicine physician in Fort Worth, TX, with 17 years in practice. Based on federal Medicare data, Dr. Ratino performed 6,939 Medicare services across 1,155 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ratino received a total of $65,524 from 51 pharmaceutical and/or device companies across 1164 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.

✓ 17 years in practice▲ Top 10% volume in TX$ $65,524 industry payments

Medicare Practice Summary

Medicare Utilization ↗
6,939
Medicare services
Top 10% in TX for interventional pain medicine physician
1,155
Unique beneficiaries
$43
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~408 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)4,622$0$4
Office visit, established patient (30-39 min)1,514$89$232
Injection of substance into lower spine canal using imaging guidance137$196$553
Office visit, established patient (20-29 min)137$65$156
New patient office visit (45-59 min)117$124$358
Joint injection, major joint63$57$289
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level61$205$884
Injection of substance into middle or upper spine canal using imaging guidance40$184$563
Insertion of spinal neurostimulator electrode array through skin38$1,400$3,500
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint29$330$1,200
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint28$193$450
Injection of lower or sacral spine facet joint using imaging guidance, single level25$208$790
Injection of lower or sacral spine facet joint using imaging guidance, second level25$107$396
Insertion of spinal neurostimulator generator or receiver24$180$2,300
Injection of trigger points, 3 or more muscles23$45$240
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance23$159$1,478
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level20$89$494
Injection of anesthetic agent and/or steroid into other nerve or branch13$60$336
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 ↗
$65,524
Total received (2018-2024)
Avg $9,361/year across 7 years
Top 5% in TX for interventional pain medicine physician
51
Companies
1,164
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
$35,275 (53.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$20,833 (31.8%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$9,416 (14.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$21,621
2023
$13,641
2022
$10,711
2021
$3,245
2020
$4,762
2019
$6,196
2018
$5,348

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Nevro Corp.
$42,000
Nalu Medical, Inc.
$11,194
Vertiflex, Inc.
$1,515
PAINTEQ LLC
$1,474
Spinal Simplicity, LLC
$1,397
Boston Scientific Corporation
$1,053
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$936
BOSTON SCIENTIFIC CORPORATION
$827
BioDelivery Sciences International, Inc.
$742
Daiichi Sankyo Inc.
$606
Medtronic, Inc.
$488
ABBVIE INC.
$406
Vertos Medical, Inc.
$334
Medtronic USA, Inc.
$305
Allergan, Inc.
$239
Collegium Pharmaceutical, Inc.
$199
Abbott Laboratories
$172
BIOTRONIK NRO, Inc.
$166
Amgen Inc.
$160
Allergan Inc.
$105
Curonix LLC
$98
Vertical Pharmaceuticals, LLC
$87
Flexion Therapeutics, Inc.
$84
HydroCision, Inc.
$82
PFIZER INC.
$68
Currax Pharmaceuticals LLC
$63
Kaleo, Inc.
$61
ARBOR PHARMACEUTICALS, INC.
$52
Novartis Pharmaceuticals Corporation
$45
AbbVie Inc.
$42
PIRAMAL CRITICAL CARE
$42
Bioventus LLC
$39
IBSA Pharma Inc.
$39
Pylant Medical
$35
Stryker Corporation
$32
RedHill Biopharma Inc.
$30
Shionogi Inc
$29
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$27
SI-BONE, Inc.
$26
Purdue Pharma L.P.
$26
Teva Pharmaceuticals USA, Inc.
$26
REVANCE THERAPEUTICS, INC.
$24
Forte Bio-Pharma LLC
$22
Valinor Pharma, LLC
$21
Egalet US Inc
$17
Pernix Therapeutics Holdings, Inc.
$17
Horizon Therapeutics plc
$16
Lundbeck LLC
$15
Biohaven Pharmaceuticals, Inc.
$14
Avanos Medical
$14
Stimwave Technologies Incorporated
$12
Top 3 companies account for 83.5% of total payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AIMOVIG · AJOVY · ARYMO ER · Aimovig · BELBUCA · BIOTRONIK · BONESCALPEL & SONICONE (O.R.) · BOTOX · BOTOX THERAPEUTIC · BUNAVAIL · BUNAVAIL 2.1 mg 30-count box · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · COOLIEF* COOLED RADIOFREQUENCY · DAXXIFY · 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 · Morphabond ER · Movantik · N'VISION · NALOCET · NURTEC ODT · Nalu Neurostimulation System · OSTEOCOOL RF ABLATION SYSTEM · OXYCONTIN · Omnia · PAINTEQ · PENNSAID · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · Proclaim Family of SCS IPGs · Proclaim IPG · Prospera · QULIPTA · RELISTOR · RESTORE · SPECTRA WAVEWRITER · SUPERION · SYMPROIC · SYNCHROMED · Senza · Senza II · Senza Spinal Cord Stimulation System · StimQ Peripheral Nerve StimulatorSystem · Superion · Superion ISS · Superion Indirect Decompression System · Symproic · TENJET · Tirosint · UBRELVY · VECTRIS · VYEPTI · XTAMPZA · XTAMPZAER · ZOHYDRO ER · 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 (54%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for interventional pain medicine physician in TX.

Equivalent to $944 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 10% in TX), and high industry engagement (low-engagement, top 5%), with 17 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 4,622 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 $65,524 from 51 companies across 1,164 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 $43. 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 →