Teresa Nunez
February 6th, 2026
My experience was excellent from beginning to end. Didn't wait long at any of the stations I passed to my initial room with Dr Ryland MA was great pray techs were awesome Dr Ryland was exceptional. Never had a Dr explain my xrays so thorough I've never seen my xrays before Dr in the past only verbally said what was going on some of us have difficulty with medical language Dr Ryland explained where I was able to see and understand.
Alex Coomer
February 4th, 2026
More than likely, you will not have a choice about where you get your orthopedic surgery bc, well, insurance limits choices and insurance is the worst. But, if you do happen to have a choice, I strongly recommend looking elsewhere. While I thought my surgeon did his job and was a nice enough guy, the rest of the staff I interacted with throughout the process have treated me like a number to bill against, not a patient. I got the impression that it is all about the $$$ and not rendering care. Beyond that, the anesthesiologist left me with nerve pain in my hand for about 4 weeks after the surgery. I understand that doesn't necessarily mean he made a mistake, because that field of medicine isn't exact, it was still very unpleasant.
Susan Peirick
January 16th, 2026
Terrible experience here. I was taken to the back and told I would have to have an x-ray taken prior to seeing the doctor. I told the technician that I would like to see the doctor and discuss my problem before an x-ray. How does a doctor know what diagnostic tool to use if they don't have any idea why the person is there? Why take x-rays for many issues that involve soft tissue? Who is ordering the x-ray if I haven't seen the doctor yet? Why would I consent to receive radiation when no doctor has asked me why I am there? Who is even deciding what x-ray to take?
The technician was polite but seemed to be confused. She made a call from her watch whereupon the doctor's assistant came in and told me I could not see the doctor without an x-ray. She was disheveled and rude, seemed to be exhausted. When I told her I was not comfortable getting an x-ray before seeing the doctor she rudely said "You are free to go". And I left, without seeing a doctor.
I took time off work, drove an hour, and filled out paperwork twice only to be sent away without being seen. Terrible experience. Seems to be they are in business to make momey rather than to treat people. No respect.
Front office person was friendly and efficient.
Robert Fink
December 23rd, 2025
This review concerns billing for a MRI review call with Dr Norris on June 4, 2025 and subsequent interactions with the TOI Business Office.
Because travel to simply discuss the results of the MRI would require 100 miles of driving, I was granted a phone visit. In the course of the phone call, no mention of a co-payment ever occurred. From previous experience with other medical providers, it was reasonable for me to assume that TOI would not again bill me to simply provide me with the results of testing that I paid dearly for, but if they did again require a co-payment, they would notify me at the time of service which is customary of all businesses, including those of a medical nature.
In December, 2025, I received a surprise letter from a collections agency demanding the past due payment of $40 for the June 4 visit. That letter was the first notification of any kind of an amount due that I had received. I immediately called TOI and was transferred to a representative from the TOI Business Office who falsely claimed that TOI had mailed billing statements in June, July, and August. She told me the dates of the statements and confirmed my address. I questioned why it was that the collections agency could successfully mail a single demand letter and I would receive it, yet three TOI statements somehow got lost in the mail. She insisted that they were mailed.
I paid the $40 to the the representative during that phone call and demanded evidence that TOI had mailed statements. Soon, I received three printed statments in a single envelope from the TOI Business Office in Dallas. The representative had simply printed them from her computer, and highlighted the dates on the three printouts as if that was somehow proof that they had actually been mailed.
During the call with the representative, she also stated that the statements were available on my patient portal. It then took a call to TOI for me to setup a password for that portal, and I verified that yes, there were PDF copies of statements there. Yet, I had received no notifications by email, text, phone, mail, or otherwise that the payment was due. Who logs onto some patient portal just to check to see if there might be some payment due? That is not how billing has ever worked in the United States, and I have things to do other than recreationally check patient portals for bills.
For the poor business practices of TOI, I give them one star. First off, TOI should have discussed any amounts due at the time the medical service was provided way back on June 4th. After failing at that, TOI had endless opportunities to notify me by mail, phone call, text, or email, and I would gladly have paid the amount due. Finally, one would think that a representative from the billing department of the Business Office could be trained to understand that a PDF file viewed on a computer is not evidence that a statement had been mailed. If it had been mailed, I surely would have received at least one of the three allegedly mailed statements, and I would have taken prompt action to pay it, just as I did once I received a demand letter from a collection agency that was truly mailed.
If you enjoy being treated as a deadbeat by TOI and a collection agency for not paying bills you weren’t notified were due, then ignore my one star review.
Jan Harris
January 28th, 2026
I didn't have to wait six months for an appointment. They got me right in amazing doctor. Explain everything that was going on with my hand took x-rays confirmed it didn't push surgery. Found an alternative and we'll see if it works.