Robert Swarm, MD
Pain Medicine · Saint Louis, MONPI 1831116367
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (51.2%), food and beverage and education — rather than concentrated in one kind of arrangement. Boston Scientific accounts for 64.3% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2021 at $1,578 and has fallen 72.1% since, to $440 in 2025. That places this record below the midpoint for pain medicine clinicians in MO, where the typical reported total is $2,454.
Across 24 payments — averaging $102.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$2K
- Abbott$342
- Biotronik NRO, Inc.$176
- Foundation Fusion Solutions, LLC$156
- Medtronic$62
- SPR Therapeutics, Inc$52
- plus $88 from 2 others
What the payments were for
- Travel & lodging$1,25751%
- Food & beverage$1,17148%
- Education$261%
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 |
|---|---|---|
| Boston Scientific | 10 | $1,578 |
| Abbott | 8 | $342 |
| Biotronik NRO, Inc. | 1 | $176 |
| Foundation Fusion Solutions, LLC | 1 | $156 |
| Medtronic | 1 | $62 |
| SPR Therapeutics, Inc | 1 | $52 |
| Novartis | 1 | $49 |
| Pacira Pharmaceuticals Incorporated | 1 | $39 |
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.
- SUPERION$1,382
- Prospera$176
- Proclaim Family of SCS IPGs$136
How this compares
$2,454 in reported general payments places this provider in the 50th percentile of 124 pain medicine providers in Missouri.
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 |
|---|---|---|
| PercocetOxycodone Hcl/Acetaminophen | 13 | $84,466 |
| OxycontinOxycodone Hcl | 27 | $36,184 |
| Oxycodone Hcl | 449 | $12,378 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 318 | $11,250 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 186 | $10,593 |
| Ajovy AutoinjectorFremanezumab-Vfrm | 11 | $7,975 |
| Xtampza ErOxycodone Myristate | 11 | $7,958 |
| Morphine Sulfate ErMorphine Sulfate | 158 | $6,888 |
| Morphine Sulfate | 132 | $5,486 |
| Pregabalin | 200 | $5,357 |
| Fentanyl | 37 | $2,866 |
| Methadone Hcl | 166 | $2,823 |
| Gabapentin | 82 | $2,648 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 28 | $840 |
| Naloxone Hcl | 11 | $701 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Saint Louis
- Vinicius Tieppo FrancioSaint Louis$35K
- Jooyoung MaengSaint Louis$25K
- Nabil AhmadSaint Louis$21K
- Katharine GurbaSaint Louis$18K
- Jeremy ThompsonSaint Louis$11K
- Alexander BeyzerSaint Louis$11K
- Hamed SadeghipourSaint Louis$10K
- Hess PanjetonSaint Louis$6K
- Xiaobin YiSaint Louis$6K
- Nicole ShinSaint Louis$6K
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.