Not Medicare Enrolled

Dr. Ruben Tenorio, D.O.

Internal Medicine · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
432 CASTROVILLE RD, San Antonio, TX 78207
2104328871
In practice since 2007 (19 years)
NPI: 1134255250 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 3 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. Tenorio 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. Tenorio? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Tenorio

Dr. Ruben Tenorio is an internal medicine specialist in San Antonio, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Tenorio performed 510 Medicare services across 300 unique beneficiaries.

Between the years covered by Open Payments, Dr. Tenorio received a total of $14,159 from 17 pharmaceutical and/or device companies across 95 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Tenorio 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.

✓ 19 years in practice ▲ 510 Medicare services $14,159 industry payments

Medicare Practice Summary

Medicare Utilization ↗
510
Medicare services
Bottom 41% in TX for internal medicine
300
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~27 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
Blood glucose (sugar) level 105 $4 $12
Office visit, established patient (30-39 min) 101 $72 $150
Hemoglobin A1c test (diabetes monitoring) 73 $9 $30
Blood draw (venipuncture) 71 $8 $12
Assessment of emotional or behavioral problems 43 $3 $19
Office visit, established patient (20-29 min) 38 $41 $90
Advance care planning consultation, first 30 min 23 $39 $78
Urinalysis, manual 19 $3 $10
Flu vaccine administration 19 $28 $30
Flu vaccine, high-dose 18 $68 $80
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 ↗
$14,159
Total received (2018-2024)
Avg $2,023/year across 7 years
Top 6% in TX for internal medicine
17
Companies
95
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$11,055 (78.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,293 (16.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$811 (5.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$109
2023
$211
2022
$27
2021
$119
2020
$162
2019
$3,842
2018
$9,690

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Janssen Pharmaceuticals, Inc
$10,743
MannKind Corporation
$2,293
Astellas Pharma US Inc
$337
AstraZeneca Pharmaceuticals LP
$112
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$110
Novo Nordisk Inc
$99
Janssen Scientific Affairs, LLC
$84
Amarin Pharma Inc.
$75
Lilly USA, LLC
$67
SANOFI-AVENTIS U.S. LLC
$66
Bayer Healthcare Pharmaceuticals Inc.
$38
GlaxoSmithKline, LLC.
$36
Amgen Inc.
$31
Merck Sharp & Dohme Corporation
$24
Boehringer Ingelheim Pharmaceuticals, Inc.
$18
AbbVie, Inc.
$14
Bayer HealthCare Pharmaceuticals Inc.
$14
Top 3 companies account for 94.4% of total payments
Associated products mentioned in payments ›
AFREZZA · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · CYCLOSET · FARXIGA · INVOKANA · JANUVIA · JARDIANCE · Kerendia · MYRBETRIQ · Otezla · Prolia · SOLIQUA · SOLIQUA 100/33 · TOUJEO · TRULICITY · Vascepa · Victoza · XARELTO
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 →

The majority of payments (78%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 6% for internal medicine in TX.

Equivalent to $2,776 per 100 Medicare services performed
Looking for an internal medicine specialist in San Antonio?
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Geographic Context

Internal medicine physicians within 10 mi
1,137
Per 100K population
55.8
County median income
$70,571
Nearest hospital
CHILDREN'S HOSPITAL OF SAN ANTONIO
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment — Not enrolled N/A
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 3 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. Tenorio is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 6% of TX peers, with 19 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. Tenorio experienced with blood glucose (sugar) level?
Based on Medicare claims data, Dr. Tenorio performed 105 blood glucose (sugar) level 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. Tenorio receive payments from pharmaceutical companies?
Yes. Dr. Tenorio received a total of $14,159 from 17 companies across 95 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. Tenorio's costs compare to other internal medicine physicians in San Antonio?
Dr. Tenorio's average Medicare payment per service is $26. 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. Tenorio) 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 →