Brian Clarke, MD
Surgical Critical Care · Edgewood, KYNPI 1366804536
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (54.9%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 97.9% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2023 at $4,456 and has fallen 99.0% since, to $46 in 2025. Among surgical critical care clinicians in KY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 19 payments — averaging $239.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- La Jolla Pharmaceutical Company$27
- Pfizer$21
- Reprise Biomedical, Inc.$19
- Kala Pharmaceuticals, Inc.$16
- Takeda Pharmaceuticals U.S.A., Inc.$13
What the payments were for
- Travel & lodging$1,74338%
- Food & beverage$3097%
- Education$2,50055%
General payments by program year
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.
| Company | Payments | Total |
|---|---|---|
| Intuitive Surgical | 14 | $4,456 |
| La Jolla Pharmaceutical Company | 1 | $27 |
| Pfizer | 1 | $21 |
| Reprise Biomedical, Inc. | 1 | $19 |
| Kala Pharmaceuticals, Inc. | 1 | $16 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $13 |
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.
- DAVINCI XI$2,500
- Da Vinci Surgical System$1,808
How this compares
$4,552 in reported general payments places this provider in the 90th percentile of 31 surgical critical care providers in Kentucky.
Medicare billing
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
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 16 | $31 |
Paid to pharmacies, not to this prescriber.
Other surgical critical care in Edgewood
- Prashant KhullarEdgewood$1K
- Matthew BennsLouisville$10K
- Timothy MullettLexington$5K
- William WeberLexington$4K
- Jonathan VacekLouisville$4K
- Matthew BozemanLouisville$4K
- William CheadleLouisville$3K
- Henrik BerdelPikeville$3K
- Caroline NeffPikeville$3K
- Brittany WheelockLexington$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.