Brian Swain, MD
Surgery · Murray, KYNPI 1598767998
Payments from drug & device makers
What this record shows
This record is dominated by education: $14,500 of the $20,583 with a category attached, or 70.4%. Intuitive Surgical accounts for 87.9% of it on its own, with 30 other manufacturers making up the rest. Reporting peaked in 2023 at $16,834 and has fallen 99.1% since, to $152 in 2025. Among surgery 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 180 payments — averaging $114.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$18K
- AbbVie$768
- Covidien LP$353
- TELA Bio, Inc.$189
- Johnson & Johnson$143
- Pacira Pharmaceuticals Incorporated$127
- plus $916 from 25 others
What the payments were for
- Travel & lodging$2,87414%
- Food & beverage$3,20016%
- Education$14,50070%
- Gifts$90%
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 | 41 | $18,087 |
| AbbVie(2 entities) | 52 | $768 |
| Covidien LP | 3 | $353 |
| TELA Bio, Inc. | 15 | $189 |
| Johnson & Johnson(2 entities) | 10 | $143 |
| Pacira Pharmaceuticals Incorporated | 3 | $127 |
| Medtronic(2 entities) | 6 | $119 |
| Merck | 6 | $87 |
| Endo Pharmaceuticals Inc. | 6 | $86 |
| Tetraphase Pharmaceuticals, Inc. | 5 | $74 |
| Endogastric Solutions, Inc | 8 | $72 |
| Innocoll Pharmaceuticals Limited | 1 | $50 |
| Standard Bariatrics, Inc. | 1 | $43 |
| Paratek Pharmaceuticals, Inc. | 3 | $38 |
| Teleflex LLC | 2 | $34 |
| KCI USA, Inc. | 2 | $34 |
| Smith+Nephew | 2 | $27 |
| Organogenesis Inc. | 1 | $24 |
| EKOS Corporation | 1 | $24 |
| Conmed Corporation | 1 | $22 |
| Hologic Inc | 1 | $21 |
| Regeneron Healthcare Solutions, Inc. | 1 | $20 |
| Angiodynamics, Inc. | 1 | $20 |
| Solventum Corporation | 1 | $17 |
| W. L. Gore & Associates, Inc. | 1 | $17 |
| Stryker | 1 | $16 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $16 |
| Boston Scientific | 1 | $15 |
| Melinta Therapeutics, LLC | 1 | $14 |
| OVIK Health, LLC | 1 | $13 |
| KARL Storz Endoscopy-america | 1 | $12 |
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$14,500
- Da Vinci Surgical System$2,966
- LigaSure$330
How this compares
$20,583 in reported general payments places this provider in the 90th percentile of 377 surgery 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 |
|---|---|---|
| LinzessLinaclotide | 22 | $12,716 |
| Dexlansoprazole DrDexlansoprazole | 11 | $1,230 |
| Sucralfate | 19 | $566 |
| Omeprazole | 38 | $307 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 55 | $222 |
| Famotidine | 14 | $133 |
| Levothyroxine Sodium | 13 | $49 |
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.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieLinzess | $768 | $12,71622 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 90th percentile of 377 surgery providers in Kentucky.
Other surgery in Murray
- Eric SmithAshland$1.1M
- John RothLexington$820K
- John OldhamLouisville$515K
- George MundayDanville$271K
- Amber KoonHenderson$210K
- Frank MillerLouisville$119K
- Jared DavisLouisville$89K
- Aaron HouseCorbin$79K
- James WatkinsCampbellsville$70K
- Katrina KolasaDanville$66K
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.