Dr. Ralph Menard, MD
What this data tells you about Dr. Menard
Dr. Ralph Menard is an interventional pain medicine physician in Fredericksburg, TX, with 19 years in practice. Based on federal Medicare data, Dr. Menard performed 2,064 Medicare services across 1,330 unique beneficiaries.
Between the years covered by Open Payments, Dr. Menard received a total of $7,176 from 34 pharmaceutical and/or device companies across 254 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. Menard 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.
Medicare Practice Summary
Medicare Utilization ↗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) | 539 | $90 | $276 |
| Injection, methylprednisolone acetate, 40 mg | 175 | $6 | $12 |
| Injection, methylprednisolone acetate, 80 mg | 175 | $9 | $22 |
| Injection of substance into lower spine canal using imaging guidance | 173 | $192 | $662 |
| Dexamethasone injection (steroid) | 171 | $0 | $1 |
| Office visit, established patient (20-29 min) | 151 | $65 | $188 |
| New patient office visit (45-59 min) | 149 | $118 | $427 |
| Steroid injection (triamcinolone) | 130 | $1 | $5 |
| Injection of trigger points, 1-2 muscles | 70 | $37 | $143 |
| Injection of substance into middle or upper spine canal using imaging guidance | 57 | $195 | $673 |
| Joint injection, major joint | 56 | $52 | $190 |
| Office visit, established patient, complex (40-54 min) | 42 | $130 | $364 |
| Blood draw (venipuncture) | 39 | $8 | $8 |
| Office visit, established patient (10-19 min) | 38 | $38 | $113 |
| New patient office visit (30-44 min) | 34 | $64 | $283 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 20 | $130 | $464 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 18 | $162 | $469 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 16 | $95 | $240 |
| X-ray of upper spine, 2-3 views | 11 | $20 | $84 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
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. Menard is a clinical cardiology specialist, with moderate Medicare volume, and low-engagement industry engagement, with 19 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. Menard experienced with office visit, established patient (30-39 min)?
Does Dr. Menard receive payments from pharmaceutical companies?
How do Dr. Menard's costs compare to other interventional pain medicine physicians in Fredericksburg?
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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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