Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Thomas Ratino

Interventional Pain Medicine Fort Worth, TX Medical Doctor

NPI 1104030782 CMS profile 4869

900 Jerome St Ste 400, Fort Worth, TX 76104

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General payments

$20,330

858 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Thomas Ratino of Fort Worth, TX is reported in the CMS Open Payments database as having received $20,330 across 858 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 86th percentile of Interventional Pain Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,280 43
2024 General $2,934 71
2023 General $2,961 59
2022 General $2,231 57
2021 General $2,738 167
2020 General $3,287 175
2019 General $4,900 286

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Thomas Ratino
  • Interventional Pain Medicine median
  • Middle half of Interventional Pain Medicine
  • National median

In program year 2025, general payments to Thomas Ratino were reported at $1,280. Among 1,891 Interventional Pain Medicine profiles paid that year, the median was $657 and the middle half received between $184 and $1,753.

Show as a table
Year Thomas Ratino Interventional Pain Medicine median Middle half National median
2019 $4,900 $684 $216–$2,079 $163
2020 $3,287 $382 $122–$1,109 $114
2021 $2,738 $552 $167–$1,554 $132
2022 $2,231 $605 $187–$1,924 $149
2023 $2,961 $671 $195–$1,915 $160
2024 $2,934 $684 $206–$1,837 $164
2025 $1,280 $657 $184–$1,753 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Nevro Corp. $9,313 217 payments
  2. Boston Scientific Corporation $1,886 97 payments
  3. Vertiflex, Inc. $1,405 80 payments
  4. Nalu Medical, Inc. $1,295 50 payments
  5. Medtronic USA, Inc. $1,071 73 payments
  6. Spinal Simplicity, LLC $865 27 payments
  7. Medtronic, Inc. $610 35 payments
  8. Biodelivery Sciences International, Inc. $586 121 payments
  9. AbbVie, Inc. $552 31 payments
  10. Painteq LLC $504 13 payments
  11. Other $2,243 114 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $18,545 854 payments
  2. Compensation for serving as faculty or as a speaker for a medical education program $1,410 2 payments
  3. Travel and Lodging $375 2 payments
Products named General payments · program years 2019–2025
  1. Senza Spinal Cord Stimulation System $3,679 137 payments
  2. Omnia $2,547 48 payments
  3. Senza Spinal Cord Stimulator $2,188 35 payments
  4. Superion ISS $1,405 80 payments
  5. Nalu Neurostimulation System $1,295 50 payments
  6. Senza Spinal Cord Stimulator $940 1 payment
  7. HA MINUTEMAN G3-R $865 27 payments
  8. SUPERION Pain Management $840 45 payments
  9. Superion Pain Management $686 42 payments
  10. ADAPTIVESTIM $576 31 payments
  11. Other $6,379 517 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 62 drugs

Part D claims

23,841

Median for Interventional Pain Management: 1,220

Drug cost

$1,073,965

Median for Interventional Pain Management: $39,344

Branded share of claims

49%

Median for Interventional Pain Management: 34.8%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 7,804 $328,827
Xtampza Er Oxycodone Myristate Brand 177 $85,736
Percocet Oxycodone Hcl/Acetaminophen Brand 12 $77,053
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 1,663 $70,237
Relistor Methylnaltrexone Bromide Brand 25 $58,888
Movantik Naloxegol Oxalate Brand 107 $46,953
Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl Brand 161 $41,769
Linzess Linaclotide Brand 63 $33,990
Gabapentin Generic 2,010 $25,809
Morphine Sulfate Er Morphine Sulfate Brand 1,069 $25,076

The 10 drugs with the highest cost, of 62 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 1,476 Part D prescribers listed as Interventional Pain Management; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 56 billing codes

Paid by Medicare

$398,596

Of which drugs: $14,835

Medicare patients

582

Average age 69

Services billed

10,517

381 women, 201 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 75%
Depression 45%
Diabetes 38%
COPD 32%
Ischemic heart disease 31%
Chronic kidney disease 31%
Heart failure 24%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, dexamethasone sodium phosphate, 1 mg J1100 Office 155 3,972 $351
Injection, bupivicaine, not otherwise specified, 0.5 mg J0665 Office 72 319 $2

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

5 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
BOTOX
  • AbbVie, Inc. $100
$100 — —
GABLOFEN
  • Piramal Critical Care $34
$34 — —
QULIPTA
  • AbbVie, Inc. $21
$21 — —
UBRELVY
  • AbbVie, Inc. $16
$16 — —
MITIGO
  • Piramal Critical Care $8
$8 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

Records

858 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Interventional Pain Medicine in Texas

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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