Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $582 per patient in 2015.
They performed about 15 services per patient. Here’s how this provider compares.

Number of
Patients
644
Rank: 28th
out of 135 providers in this state & specialty
Services
Performed
10,541
Rank: 32nd
out of 135 providers in this state & specialty
Avg Services
Per Patient
16.4 This Provider
Avg 15.5
Total Paid
by Medicare
$435K
Rank: 27th
out of 135 providers in this state & specialty
Avg Paid
Per Patient
$675 This Provider
Avg $582

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 70 different services in 2015
(40 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
2,849
times performed,
27% of his services

1st 6th

most performed service for this provider most performed service in this state & specialty

130
patients got this service, 20% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.6)
$30,626.75an average of $10.75 per time performed $313.39
an average of $0.11 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
1,819
times performed,
17% of his services

2nd 2nd

most performed service for this provider most performed service in this state & specialty

488
patients got this service, 76% of his patients
3.7
average number of visits a patient made for this service
(Peers: 2.8)
$283,764.00an average of $156.00 per time performed $91,677.60
an average of $50.40 per time performed
medical
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
925
times performed,
9% of his services

3rd 13th

most performed service for this provider most performed service in this state & specialty

461
patients got this service, 72% of his patients
2
average number of visits a patient made for this service
(Peers: 2.1)
$33,300.00an average of $36.00 per time performed $13,579.00
an average of $14.68 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
449
times performed,
4% of his services

4th 3rd

most performed service for this provider most performed service in this state & specialty

285
patients got this service, 44% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.5)
$104,096.16an average of $231.84 per time performed $36,966.17
an average of $82.33 per time performed
medical
NERVOUS SYSTEM

Electronic analysis reprogramming and refill of spinal ca... +

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician ×

Service Code: 62370
Performed in an office
378
times performed,
4% of his services

5th 59th

most performed service for this provider most performed service in this state & specialty

90
patients got this service, 14% of his patients
4.2
average number of visits a patient made for this service
(Peers: 3.3)
$113,400.00an average of $300.00 per time performed $35,248.50
an average of $93.25 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for spine or spinal canal injection +

Fluoroscopic guidance for spine or spinal canal injection ×

Service Code: 77003
Performed in an office
350
times performed,
3% of his services

6th 53rd

most performed service for this provider most performed service in this state & specialty

140
patients got this service, 22% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.8)
$157,500.00an average of $450.00 per time performed $22,904.00
an average of $65.44 per time performed
medical
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in an office
262
times performed,
2% of his services

7th 51st

most performed service for this provider most performed service in this state & specialty

102
patients got this service, 16% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.7)
$144,100.00an average of $550.00 per time performed $43,858.80
an average of $167.40 per time performed
medical

Compounded drug, not otherwise classified

Service Code: Q9977
Performed in an office
216
times performed,
2% of his services

8th 95th

most performed service for this provider most performed service in this state & specialty

69
patients got this service, 11% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2)
$64,914.48an average of $300.53 per time performed $38,867.04
an average of $179.94 per time performed
medical
DRUGS

Noc drugs, other than inhalation drugs, administered thro... +

Noc drugs, other than inhalation drugs, administered through dme ×

Service Code: J7799
Performed in an office
196
times performed,
2% of his services

9th 71st

most performed service for this provider most performed service in this state & specialty

83
patients got this service, 13% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.6)
$117,296.20an average of $598.45 per time performed $19,343.24
an average of $98.69 per time performed
medical
NERVOUS SYSTEM

Electronic analysis and reprogramming of spinal canal dru... +

Electronic analysis and reprogramming of spinal canal drug infusion pump ×

Service Code: 62368
Performed in an office
161
times performed,
2% of his services

10th 105th

most performed service for this provider most performed service in this state & specialty

37
patients got this service, 6% of his patients
4.4
average number of visits a patient made for this service
(Peers: 2.9)
$24,150.00an average of $150.00 per time performed $6,716.92
an average of $41.72 per time performed
drug

Injection, propofol, 10 mg

Service Code: J2704
Performed in an office
161
times performed,
2% of his services

11th 21st

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.9)
$1,610.00an average of $10.00 per time performed $12.88
an average of $0.08 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
154
times performed,
1% of his services

12th 31st

most performed service for this provider most performed service in this state & specialty

154
patients got this service, 24% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$55,132.00an average of $358.00 per time performed $18,233.60
an average of $118.40 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for spine or spinal canal injection +

Fluoroscopic guidance for spine or spinal canal injection ×

Service Code: 77003
Performed in a facility
117
times performed,
1% of his services

13th 63rd

most performed service for this provider most performed service in this state & specialty

63
patients got this service, 10% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$22,581.00an average of $193.00 per time performed $2,792.79
an average of $23.87 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
96
times performed,
0.91% of his services

14th 39th

most performed service for this provider most performed service in this state & specialty

55
patients got this service, 9% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$3,168.00an average of $33.00 per time performed $452.16
an average of $4.71 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
85
times performed,
0.81% of his services

15th 129th

most performed service for this provider most performed service in this state & specialty

66
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$935.00an average of $11.00 per time performed $249.90
an average of $2.94 per time performed
drug
TEMPORARY CODES

Low osmolar contrast material, 300-399 mg/ml iodine conce... +

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ×

Service Code: Q9967
Performed in an office
78
times performed,
0.74% of his services

16th 46th

most performed service for this provider most performed service in this state & specialty

25
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$780.00an average of $10.00 per time performed $7.80
an average of $0.10 per time performed
medical
NERVOUS SYSTEM

Injections of substances into upper or middle spine

Service Code: 62310
Performed in an office
69
times performed,
0.65% of his services

17th 80th

most performed service for this provider most performed service in this state & specialty

29
patients got this service, 5% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.7)
$41,400.00an average of $600.00 per time performed $12,131.58
an average of $175.82 per time performed
medical
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in a facility
61
times performed,
0.58% of his services

18th 37th

most performed service for this provider most performed service in this state & specialty

23
patients got this service, 4% of his patients
2.7
average number of visits a patient made for this service
(Peers: 1.6)
$33,600.02an average of $550.82 per time performed $4,253.53
an average of $69.73 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
57
times performed,
0.54% of his services

19th 43rd

most performed service for this provider most performed service in this state & specialty

30
patients got this service, 5% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.6)
$18,674.91an average of $327.63 per time performed $3,084.27
an average of $54.11 per time performed
medical
MEDICINE

Electronic analysis and programming of implanted complex ... +

Electronic analysis and programming of implanted complex spinal cord or peripheral neurostimulator generator system during or after surgery, first hour ×

Service Code: 95972
Performed in an office
50
times performed,
0.47% of his services

20th 154th

most performed service for this provider most performed service in this state & specialty

27
patients got this service, 4% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$12,500.00an average of $250.00 per time performed $2,128.00
an average of $42.56 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
31
times performed,
0.29% of his services

21st 20th

most performed service for this provider most performed service in this state & specialty

20
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.9)
$744.00an average of $24.00 per time performed $76.26
an average of $2.46 per time performed
medical
NERVOUS SYSTEM

Implantation, revision, or repositioning of spinal canal ... +

Implantation, revision, or repositioning of spinal canal medication catheter ×

Service Code: 62350
Performed in a facility
24
times performed,
0.23% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in TX perform this service

22
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$33,600.00an average of $1,400.00 per time performed $7,290.72
an average of $303.78 per time performed
medical
NERVOUS SYSTEM

Implantation or replacement of programmable spinal canal ... +

Implantation or replacement of programmable spinal canal drug infusion pump ×

Service Code: 62362
Performed in a facility
23
times performed,
0.22% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in TX perform this service

23
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$32,200.00an average of $1,400.00 per time performed $3,505.43
an average of $152.41 per time performed
medical
MEDICINE

Electronic analysis and programming of implanted complex ... +

Electronic analysis and programming of implanted complex spinal cord or peripheral neurostimulator generator system during or after surgery, first hour ×

Service Code: 95972
Performed in a facility
17
times performed,
0.16% of his services

24th 189th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,250.00an average of $250.00 per time performed $557.77
an average of $32.81 per time performed
medical
NERVOUS SYSTEM

Insertion of spinal neurostimulator pulse generator or re... +

Insertion of spinal neurostimulator pulse generator or receiver ×

Service Code: 63685
Performed in a facility
17
times performed,
0.16% of his services

25th 177th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$39,100.00an average of $2,300.00 per time performed $3,533.45
an average of $207.85 per time performed
drug
DRUGS

Injection, fentanyl citrate, 0.1 mg

Service Code: J3010
Performed in an office
17
times performed,
0.16% of his services

26th 12th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$170.00an average of $10.00 per time performed $5.95
an average of $0.35 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves with imaging guidance ×

Service Code: 64636
Performed in an office
15
times performed,
0.14% of his services

27th 60th

most performed service for this provider most performed service in this state & specialty

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$14,400.00an average of $960.00 per time performed $2,367.90
an average of $157.86 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in an office
13
times performed,
0.12% of his services

28th 58th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$8,689.98an average of $668.46 per time performed $2,356.25
an average of $181.25 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in an office
13
times performed,
0.12% of his services

29th 61st

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$4,356.04an average of $335.08 per time performed $1,203.80
an average of $92.60 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves using imaging guidance ×

Service Code: 64635
Performed in an office
12
times performed,
0.11% of his services

30th 85th

most performed service for this provider most performed service in this state & specialty

11
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$26,400.00an average of $2,200.00 per time performed $4,840.20
an average of $403.35 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Thomas M. Ratino
Average for Interventional Pain Medicine Providers in Texas

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.