RxDoctor Payments Data

Alan Swearingen, MD

Interventional Pain Medicine · Boerne, TXNPI 1245588672

Payments from drug & device makers

$11,754in general payments, 2019–2025

Across 433 payments — averaging $27.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Nevro Corp.$3K
  • Relievant Medsystems, Inc.$1K
  • Medtronic$1K
  • Boston Scientific$919
  • Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$646
  • Globus Medical$631
  • plus $4K from 40 others

What the payments were for

  • Travel & lodging$1,46712%
  • Food & beverage$10,07986%
  • Entertainment$2082%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

19
20
21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$11,754 in reported general payments places this provider in the 60th percentile of 287 interventional pain medicine providers in Texas.

See all interventional pain medicine providers in Texas

Medicare billing

Part B allowed, 2024
$405,598
Medicare patients
357
Services billed
5,907

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
RelistorMethylnaltrexone Bromide19$42,876
ZtlidoLidocaine29$24,988
BelbucaBuprenorphine Hcl29$24,006
Buprenorphine125$20,518
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen562$11,636
Xtampza ErOxycodone Myristate18$5,740
Lidocaine37$3,457
Pregabalin202$3,446
Naloxone Hcl47$2,820
Gabapentin161$2,348
Diclofenac Potassium37$2,243
Tramadol Hcl ErTramadol Hcl37$2,234
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen90$2,127
Acetaminophen-CodeineAcetaminophen With Codeine130$1,974
Tramadol Hcl144$1,248

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
Salix Pharmaceuticals, A Division Of Bausch Health US, LLCRelistor$646$42,87619 claims
Collegium Pharmaceutical, Inc.Belbuca, Xtampza Er$565$29,74647 claims
Scilex Pharmaceuticals Inc.Ztlido$626$24,98829 claims
Hikma Pharmaceuticals USABuprenorphine, Morphine Sulfate$21$21,014137 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 60th percentile of 287 interventional pain medicine providers in Texas.

Other interventional pain medicine in Boerne

See the full list for Texas

Where these figures come from

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