Medicare Enrolled

Dr. Antonio Ruiz, M.D.

Internal Medicine · Shavano Park, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
115 TUSCANY WAY, Shavano Park, TX 78249
2106993815
In practice since 2005 (20 years)
NPI: 1508856170 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. Ruiz 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. Ruiz? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Ruiz

Dr. Antonio Ruiz is an internal medicine specialist in Shavano Park, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Ruiz performed 2,000 Medicare services across 775 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ruiz received a total of $22,332 from 58 pharmaceutical and/or device companies across 1025 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Ruiz 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.

✓ 20 years in practice ▲ Top 18% volume in TX $22,332 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,000
Medicare services
Top 18% in TX for internal medicine
775
Unique beneficiaries
$59
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~100 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
Nursing facility visit, low complexity 1,162 $45 $101
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 250 $108 $217
Office visit, established patient (30-39 min) 214 $73 $172
Home visit, established patient, moderate complexity 178 $89 $180
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 137 $26 $64
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 21 $23 $56
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 14 $107 $243
Annual wellness visit, follow-up 13 $124 $177
Nursing facility visit, moderate complexity 11 $21 $100
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 ↗
$22,332
Total received (2018-2024)
Avg $3,190/year across 7 years
Top 4% in TX for internal medicine
58
Companies
1,025
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
$22,199 (99.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$133 (0.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,746
2023
$3,916
2022
$3,339
2021
$3,678
2020
$3,294
2019
$3,410
2018
$2,947

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Teva Pharmaceuticals USA, Inc.
$4,422
Sunovion Pharmaceuticals Inc.
$2,478
UCB, Inc.
$2,477
Neurocrine Biosciences, Inc.
$1,224
Astellas Pharma US Inc
$1,148
Amgen Inc.
$998
ITI, Inc.
$919
Janssen Pharmaceuticals, Inc
$913
AbbVie Inc.
$648
Sumitomo Pharma America, Inc.
$612
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$601
Otsuka America Pharmaceutical, Inc.
$565
ACADIA Pharmaceuticals Inc
$545
Vanda Pharmaceuticals Inc.
$530
Novo Nordisk Inc
$437
UROVANT SCIENCES INC
$395
Allergan, Inc.
$268
Bayer HealthCare Pharmaceuticals Inc.
$263
Avanir Pharmaceuticals, Inc.
$258
Amarin Pharma Inc.
$244
Boehringer Ingelheim Pharmaceuticals, Inc.
$229
Eisai Inc.
$219
Novartis Pharmaceuticals Corporation
$152
Almatica Pharma LLC
$148
Allergan Inc.
$145
AstraZeneca Pharmaceuticals LP
$144
JAZZ PHARMACEUTICALS INC.
$141
Neurelis, Inc.
$138
SK Life Science, Inc.
$109
Lilly USA, LLC
$99
Bayer Healthcare Pharmaceuticals Inc.
$72
Alkermes, Inc.
$65
Lundbeck LLC
$60
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$55
ABBVIE INC.
$51
Acorda Therapeutics, Inc
$48
Cumberland Pharmaceuticals, Inc.
$43
Sun Pharmaceutical Industries Inc.
$43
EVOKE PHARMA, INC.
$34
Genentech USA, Inc.
$33
LivaNova USA, Inc.
$32
Braeburn Inc.
$28
Purdue Pharma L.P.
$25
IDORSIA PHARMACEUTICALS US INC
$24
Evoke Pharma, Inc.
$24
Nestle HealthCare Nutrition Inc.
$23
AQUESTIVE THERAPEUTICS, INC.
$21
US WorldMeds, LLC
$20
SI-BONE, Inc.
$18
Abbott Laboratories
$18
GlaxoSmithKline, LLC.
$17
SANOFI-AVENTIS U.S. LLC
$17
Merck Sharp & Dohme Corporation
$16
Circassia Pharmaceuticals Inc
$16
Biogen, Inc.
$16
Ardelyx, Inc.
$16
Takeda Pharmaceuticals U.S.A., Inc.
$15
PFIZER INC.
$12
Top 3 companies account for 42.0% of total payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · ADUHELM · AJOVY · APTIOM · ARISTADA · AUSTEDO · Aimovig · Austedo XR · BAQSIMI · BASAGLAR · BRIXADI · BROVANA · BYDUREON · Briviact · CAPLYTA · CHANTIX · CITALOPRAM · Dayvigo · EMGALITY · ENTRESTO · EPIDIOLEX · EVENITY · FANAPT · FARXIGA · Fanapt · GEMTESA · GIMOTI · GRALISE · HETLIOZ · IBSRELA · INBRIJA · INGREZZA · INVEGA SUSTENNA · INVEGA TRINZA · INVOKANA · JANUVIA · JARDIANCE · KRISTALOSE · Kapspargo Sprinkle (metoprolol succinate) · Kerendia · Kristalose 20gm · LATUDA · LINZESS · LONHALA MAGNAIR · LOREEV XR · MYRBETRIQ · Myrbetriq · NUEDEXTA · NUPLAZID · Nayzilam · Neupro · Nuedexta · Octrode SCS Leads · Ongentys · Otezla · Ozempic · Prolia · QUVIVIQ · REXULTI · RYBELSUS · Riomet (Metformin HCl Oral Solution) · Rybelsus · SOLIQUA · SYMBICORT · SYMPAZAN · SYMPROIC · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Trintellix · UBRELVY · UZEDY · Utibron · VALTOCO · VNS Therapy · VRAYLAR · Vascepa · Vimpat · XARELTO · XCOPRI · XIFAXAN · Xadago · Xofluza · ZENPEP · iFuse Implant
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for internal medicine in TX.

Equivalent to $1,117 per 100 Medicare services performed
Looking for an internal medicine specialist in Shavano Park?
Compare internal medicine physicians in the Shavano Park area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
1,145
Per 100K population
56.2
County median income
$70,571
Nearest hospital
LEGENT ORTHOPEDIC + SPINE
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. Ruiz is a mixed practice specialist, with above-average Medicare volume (top 18% in TX), with low-engagement industry engagement in the top 4% of TX peers, with 20 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. Ruiz experienced with nursing facility visit, low complexity?
Based on Medicare claims data, Dr. Ruiz performed 1,162 nursing facility visit, low complexity 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. Ruiz receive payments from pharmaceutical companies?
Yes. Dr. Ruiz received a total of $22,332 from 58 companies across 1,025 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. Ruiz's costs compare to other internal medicine physicians in Shavano Park?
Dr. Ruiz's average Medicare payment per service is $59. 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. Ruiz) 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 →