Ravi Swamy
Otolaryngology · Alexandria, VANPI 1164555363
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,135 of the $4,329 with a category attached, or 72.4%. 26 manufacturers reported payments, led by Aerin Medical Inc. at 42.5% of the total. Reporting peaked in 2024 at $2,107 and has fallen 54.8% since, to $953 in 2025.
Across 121 payments — averaging $35.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aerin Medical Inc.$2K
- Inspire Medical Systems, Inc.$488
- AbbVie$304
- Sanofi$280
- Regeneron Healthcare Solutions, Inc.$235
- Pfizer$216
- plus $965 from 20 others
Across 26 payments — averaging $2238.26 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Neurent Medical Limited$48K
- Stryker$7K
- Arrinex, Inc.$3K
What the payments were for
- Travel & lodging$1,19328%
- Food & beverage$3,13572%
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 |
|---|---|---|
| Aerin Medical Inc. | 21 | $1,841 |
| Inspire Medical Systems, Inc. | 7 | $488 |
| AbbVie | 11 | $304 |
| Sanofi | 13 | $280 |
| Regeneron Healthcare Solutions, Inc. | 10 | $235 |
| Pfizer | 12 | $216 |
| GSK | 11 | $202 |
| Lundbeck LLC | 6 | $157 |
| Alk-abello, Inc | 6 | $95 |
| Acclarent, Inc | 4 | $61 |
| Intersect ENT, Inc. | 2 | $57 |
| Integra Lifesciences Corporation | 2 | $54 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $52 |
| Supernus Pharmaceuticals, Inc. | 2 | $42 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $30 |
| Amgen | 1 | $26 |
| Novartis | 1 | $25 |
| Stryker | 1 | $21 |
| Johnson & Johnson | 1 | $20 |
| Watermark Medical, Inc. | 1 | $20 |
| Galderma Laboratories, L.p. | 1 | $20 |
| Vertex | 1 | $19 |
| Hikma Pharmaceuticals USA | 1 | $18 |
| Optinose US, Inc. | 1 | $17 |
| Smith+Nephew | 1 | $17 |
| Olympus America 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.
- VIVAER STYLUS$1,304
- Inspire$210
How this compares
$4,329 in reported general payments places this provider in the 80th percentile of 241 otolaryngology providers in Virginia.
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 |
|---|---|---|
| Mometasone Furoate | 14 | $1,873 |
| Ipratropium Bromide | 60 | $1,616 |
| Omeprazole | 40 | $522 |
| Azelastine Hcl | 21 | $411 |
| Methylprednisolone | 36 | $269 |
| Fluocinolone Acetonide Oil | 12 | $241 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 27 | $212 |
| Montelukast Sodium | 19 | $164 |
| Mupirocin | 17 | $147 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $127 |
| Nortriptyline Hcl | 15 | $88 |
| Promethazine Hcl | 16 | $49 |
| Prednisone | 14 | $29 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Alexandria
- Stanley VoigtAlexandria$6K
- Richard ComstockAlexandria$5K
- Jennifer LiangAlexandria$4K
- Laurence OhalloranAnnandale$2.9M
- Joseph HanNorfolk$1.8M
- Ryan NordRichmond$454K
- Paul LenkowskiRoanoke$282K
- Nipun ChhabraLeesburg$178K
- Kent LamNorfolk$127K
- Spencer PayneCharlottesville$45K
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.