Medicare Enrolled
Dr. Alan Swearingen, M.D.
Physical Medicine & Rehabilitation · Boerne, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Swearingen from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Swearingen
Dr. Alan Swearingen is a physical medicine & rehabilitation specialist in Boerne, TX, with 13 years of NPI registration. Based on federal Medicare data, Dr. Swearingen performed 3,723 Medicare services across 1,382 unique beneficiaries.
Between the years covered by Open Payments, Dr. Swearingen received a total of $12,379 from 53 pharmaceutical and/or device companies across 442 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physical medicine & rehabilitation. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Swearingen is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 13 years in practice
▲ Top 17% volume in TX
$12,379 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,723
Medicare services
Top 17% in TX for physical medicine & rehabilitation
1,382
Unique beneficiaries
$69
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~286 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
862 | $97 | $700 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
847 | $0 | $153 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
505 | $1 | $199 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
186 | $56 | $200 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
136 | $77 | $745 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
131 | $126 | $800 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
103 | $44 | $700 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
95 | $106 | $500 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
90 | $236 | $1,075 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
83 | $38 | $154 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
83 | $50 | $211 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
63 | $137 | $831 |
| Injection, methylprednisolone acetate, 40 mg | 55 | $6 | $200 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
49 | $162 | $1,025 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
46 | $41 | $750 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
46 | $70 | $600 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
40 | $33 | $700 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
35 | $53 | $725 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
34 | $48 | $800 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
33 | $95 | $860 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
32 | $94 | $745 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
29 | $1,412 | $4,100 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
24 | $174 | $1,025 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
23 | $41 | $750 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
20 | $73 | $666 |
| New patient office visit, complex (60-74 min) | 18 | $162 | $900 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
17 | $162 | $900 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
14 | $213 | $1,000 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
12 | $95 | $750 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
12 | $46 | $750 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$12,379
Total received (2018-2024)
Avg $1,768/year across 7 years
Top 6% in TX for physical medicine & rehabilitation
53
Companies
442
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,379 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,532
2023
$1,226
2022
$1,764
2021
$1,673
2020
$2,332
2019
$1,864
2018
$1,988
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Nevro Corp.
$3,654
Relievant Medsystems, Inc.
$1,306
Medtronic USA, Inc.
$1,213
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$714
Boston Scientific Corporation
$656
Vertos Medical, Inc.
$497
Abbott Laboratories
$442
Collegium Pharmaceutical, Inc.
$415
SCILEX PHARMACEUTICALS INC.
$394
Flowonix Medical Incorporated
$354
Scilex Pharmaceuticals Inc.
$274
Horizon Therapeutics plc
$236
Pernix Therapeutics Holdings, Inc.
$168
PFIZER INC.
$157
SI-BONE, Inc.
$142
Azurity Pharmaceuticals, Inc.
$124
Averitas Pharma Inc.
$124
TITAN SPINE, LLC
$121
PAINTEQ LLC
$119
Allergan, Inc.
$112
ARBOR PHARMACEUTICALS, INC.
$86
Vanda Pharmaceuticals Inc.
$84
GRT US Holding, Inc.
$78
ABBVIE INC.
$73
Medtronic, Inc.
$72
BioDelivery Sciences International, Inc.
$59
Pacira Pharmaceuticals Incorporated
$55
Sentynl Therapeutics, Inc.
$55
Spinal Simplicity, LLC
$51
Vertical Pharmaceuticals, LLC
$41
Kaleo, Inc.
$36
DePuy Synthes Sales Inc.
$35
FORTE BIO-PHARMA LLC
$35
Arbor Pharmaceuticals, Inc.
$34
Almatica Pharma LLC
$32
SPR Therapeutics, Inc
$30
Novartis Pharmaceuticals Corporation
$28
BOSTON SCIENTIFIC CORPORATION
$25
Bioventus LLC
$22
Hikma Pharmaceuticals USA
$21
IBSA Pharma Inc.
$20
Flexion Therapeutics, Inc.
$19
Ossur Americas, Inc.
$18
Allergan Inc.
$17
AbbVie Inc.
$16
Daiichi Sankyo Inc.
$16
Zyla Life Sciences, Inc.
$15
Currax Pharmaceuticals LLC
$15
Medinc of Texas
$14
Epimed International, Inc
$14
Nuvectra Corporation
$14
West Therapeutics Development, LLC
$14
RedHill Biopharma Inc.
$12
Top 3 companies account for 49.9% of total payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AIMOVIG · Algovita · Axium INS DRG IPG · BOTOX · BOTOX THERAPEUTIC · BUNAVAIL 2.1 mg 30-count box · Belbuca · CONTRAVE · Catheters and Needles · DRG IPGs · DUEXIS · Durolane · Edarbi · Evzio · Exparel · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · HA MINUTEMAN G3-R · HETLIOZ · HORIZANT · Horizant · INTELLIS · Intracept · Iovera · KYPHON Balloon Kyphoplasty · Kloxxado · LICART · LORZONE · LYRICA · Lazanda · Levorphanol Tartrate · MONOVISC · Miami J · Morphabond ER · Movantik · NAPRELAN · Neuromodulation Dspsbls and Accs · Nucynta · Nucynta ER · Omnia · PAINTEQ · PENNSAID · PROCLAIM · PROLATE · Proclaim Family of SCS IPGs · Proclaim IPG · Prometra II · QULIPTA · QUTENZA · Qutenza · RELISTOR · RELISTOR ORAL · RESTORE · SCS IPGs · SILENOR · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SYNCHROMED · Senza · Senza Spinal Cord Stimulation System · UBRELVY · V-Loc · VENASEAL · WaveWriter Alpha Prime 16 · XTAMPZA · ZOHYDRO ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · iFuse Implant · mild Device Kit · nanoLOCK
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for physical medicine & rehabilitation in TX.
Equivalent to $332 per 100 Medicare services performed
Geographic Context
Physical medicine & rehabilitations within 10 mi
28
Per 100K population
59.6
County median income
$110,498
Nearest hospital
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL
20.1 mi
20.1 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Swearingen is a clinical cardiology specialist, with above-average Medicare volume (top 17% in TX), with low-engagement industry engagement in the top 6% of TX peers.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Swearingen experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Swearingen performed 862 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Swearingen receive payments from pharmaceutical companies?
Yes. Dr. Swearingen received a total of $12,379 from 53 companies across 442 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Swearingen's costs compare to other physical medicine & rehabilitations in Boerne?
Dr. Swearingen's average Medicare payment per service is $69. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Swearingen) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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