Victor Marwin, MD
Orthopaedic Surgery · Lexington, KYNPI 1528325735
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $60,725 of the $86,094 with a category attached, or 70.5%. Sonex Health, Inc. accounts for 96.7% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2024 at $68,746 and has fallen 78.9% since, to $14,521 in 2025. Among orthopaedic 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 137 payments — averaging $628.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sonex Health, Inc.$83K
- Arthrex$1K
- Stryker$476
- Legacy Ortho LLC$473
- Skeletal Dynamics Inc$370
- Johnson & Johnson$182
- plus $143 from 5 others
Across 4 payments — averaging $89,525 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.
- Sonex Health, Inc.$358K
What the payments were for
- Consulting fees$60,72571%
- Travel & lodging$16,70119%
- Food & beverage$8,38110%
- Education$2880%
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 |
|---|---|---|
| Sonex Health, Inc. | 87 | $83,243 |
| Arthrex | 24 | $1,207 |
| Stryker | 9 | $476 |
| Legacy Ortho LLC | 4 | $473 |
| Skeletal Dynamics Inc | 4 | $370 |
| Johnson & Johnson | 4 | $182 |
| Trice Medical, Inc. | 1 | $73 |
| Endo USA, Inc. | 1 | $21 |
| Dynasplint Systems Inc. | 1 | $17 |
| Chiesi USA, Inc. | 1 | $16 |
| Zimmer Biomet | 1 | $16 |
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.
- Sx-One Microknife$82,175
- NA$269
- Geminus$227
- Align$227
- IJS$227
- Implate$227
- VA-LCP$134
- GAMMA$118
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$102
How this compares
$86,094 in reported general payments places this provider in the 90th percentile of 322 orthopaedic 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 |
|---|---|---|
| Methylprednisolone | 109 | $625 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 79 | $366 |
| Meloxicam | 166 | $353 |
| Cephalexin | 32 | $137 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Lexington
- Brent MorrisLexington$815K
- Paul MatuszewskiLexington$370K
- Christian ChristensenLexington$207K
- Kaveh SajadiLexington$195K
- Daniel HackettLexington$104K
- Kevin DenehyLexington$85K
- Camden BurnsLexington$62K
- Srinath KamineniLexington$44K
- Syed MehdiLexington$39K
- Graysen Petersen-FittsLexington$38K
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.