RxDoctor Payments Data

Daniel Swartz, MD

General Surgery · Fresno, CANPI 1831134899

Payments from drug & device makers

What this record shows

This record is dominated by education: $50,500 of the $83,338 with a category attached, or 60.6%. Intuitive Surgical accounts for 96.7% of it on its own, with 22 other manufacturers making up the rest. Reporting peaked in 2022 at $39,660 and has fallen 98.8% since, to $486 in 2025. Among general surgery clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$83,338in general payments, 2019–2025

Across 181 payments — averaging $460.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Intuitive Surgical$81K
  • Teleflex LLC$381
  • Inspire Medical Systems, Inc.$376
  • TELA Bio, Inc.$330
  • Lilly USA, LLC$248
  • Johnson & Johnson$229
  • plus $1K from 17 others

What the payments were for

  • Speaking & faculty fees$14,00017%
  • Travel & lodging$8,60710%
  • Food & beverage$10,23112%
  • Education$50,50061%

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

$83,338 in reported general payments places this provider in the 95th percentile of 167 general surgery providers in California.

See all general surgery providers in California

Medicare billing

Part B allowed, 2024
$63,374
Medicare patients
136
Services billed
270

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
OzempicSemaglutide46$50,377
MounjaroTirzepatide15$16,320
XareltoRivaroxaban16$8,857
Omeprazole65$884
Famotidine29$579
Topiramate23$291
Pantoprazole Sodium31$279
Prochlorperazine Maleate23$146
Oxycodone Hcl14$37
Gabapentin11$9

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
Novo NordiskOzempic$95$50,37746 claims
Lilly USA, LLCMounjaro$248$16,32015 claims
Johnson & JohnsonXarelto$229$8,85716 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 95th percentile of 167 general surgery providers in California.

Other general surgery in Fresno

See the full list for California

Where these figures come from

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