Daniel Kean, MD
Physical Medicine & Rehabilitation · Louisville, KYNPI 1407866528
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.8% of the total across 79 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Salix Pharmaceuticals, A Division Of Bausch Health US, LLC at 31.8% of the total. Reporting peaked in 2019 at $827 and has fallen 85.2% since, to $123 in 2025.
Across 79 payments — averaging $22.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$554
- Daiichi Sankyo Inc.$187
- Medtronic$183
- Vertos Medical, Inc.$148
- Abiomed$144
- MDD US Operations, LLC$124
- plus $399 from 9 others
What the payments were for
- Food & beverage$1,71899%
- Education$211%
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
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 |
|---|---|---|
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 45 | $554 |
| Daiichi Sankyo Inc. | 8 | $187 |
| Medtronic(2 entities) | 2 | $183 |
| Vertos Medical, Inc. | 1 | $148 |
| Abiomed | 1 | $144 |
| MDD US Operations, LLC | 1 | $124 |
| Si-bone, Inc. | 2 | $111 |
| Hikma Pharmaceuticals USA | 3 | $55 |
| Pfizer | 4 | $50 |
| Collegium Pharmaceutical, Inc. | 3 | $45 |
| Tonix Medicines, Inc. | 2 | $41 |
| Biodelivery Sciences International, Inc. | 3 | $37 |
| Shionogi Inc | 2 | $29 |
| Pernix Therapeutics Holdings, Inc. | 1 | $18 |
| Ferring Pharmaceuticals Inc. | 1 | $14 |
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.
- INTELLIS ADAPTIVESTIM$168
- mild Device Kit$148
- Impella$144
- Morphabond ER$129
- Lucemyra/Lofexidine$124
How this compares
$1,739 in reported general payments places this provider in the 75th percentile of 104 physical medicine & rehabilitation providers in Kentucky.
See all physical medicine & rehabilitation 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 |
|---|---|---|
| RelistorMethylnaltrexone Bromide | 37 | $89,311 |
| NucyntaTapentadol Hcl | 30 | $37,887 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 915 | $19,055 |
| MovantikNaloxegol Oxalate | 19 | $10,577 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 325 | $9,879 |
| Gabapentin | 590 | $8,244 |
| BelbucaBuprenorphine Hcl | 18 | $7,553 |
| Celecoxib | 84 | $7,171 |
| Buprenorphine | 22 | $6,945 |
| Pregabalin | 227 | $6,252 |
| VyvanseLisdexamfetamine Dimesylate | 15 | $5,683 |
| Meloxicam | 101 | $2,071 |
| Tramadol Hcl | 235 | $1,771 |
| Baclofen | 121 | $1,583 |
| Oxycodone Hcl | 74 | $1,395 |
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 |
|---|---|---|
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLCRelistor | $554 | $89,31137 claims |
| Collegium Pharmaceutical, Inc.Nucynta, Belbuca | $45 | $45,44148 claims |
| Hikma Pharmaceuticals USABuprenorphine | $55 | $6,94522 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 75th percentile of 104 physical medicine & rehabilitation providers in Kentucky.
Other physical medicine & rehabilitation in Louisville
- Darryl KaelinLouisville$19K
- Megan NelsonLouisville$3K
- Louie WilliamsLouisville$2K
- Mariko KubinecLouisville$2K
- Lewis HargettLouisville$2K
- Sarah WagersLouisville$2K
- Rodney ChouLouisville$1K
- Rinkoo AggarwalLouisville$1K
- Camilo CastilloLouisville$1K
- Lindsay GravesLouisville$943
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.