Medicare Enrolled

Dr. Alan Swearingen, M.D.

Physical Medicine & Rehabilitation · Boerne, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
112 HERFF RD STE 320, Boerne, TX 78006
2104957246
In practice since 2012 (13 years)
NPI: 1245588672 verify on NPPES ↗
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 in Boerne, TX, with 13 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)862$97$700
Dexamethasone injection (steroid)847$0$153
Steroid injection (triamcinolone)505$1$199
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month186$56$200
Aspiration and/or injection of fluid large joint using ultrasound guidance136$77$745
New patient office visit (45-59 min)131$126$800
Ultrasonic guidance for needle placement103$44$700
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month95$106$500
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level90$236$1,075
Chronic care management, additional 20 min/month83$38$154
Chronic care management, first 20 min/month83$50$211
Office visit, established patient, complex (40-54 min)63$137$831
Injection, methylprednisolone acetate, 40 mg55$6$200
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance49$162$1,025
Injection of trigger points, 3 or more muscles46$41$750
Office visit, established patient (20-29 min)46$70$600
Injection of trigger points, 1-2 muscles40$33$700
Joint injection, major joint35$53$725
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint34$48$800
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level33$95$860
Telephone medical discussion with physician, 21-30 minutes32$94$745
Insertion of spinal neurostimulator electrode array through skin29$1,412$4,100
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint24$174$1,025
Injection into tendon or ligament23$41$750
Telephone medical discussion with physician, 11-20 minutes20$73$666
New patient office visit, complex (60-74 min)18$162$900
Injection of lower or sacral spine facet joint using imaging guidance, single level17$162$900
Injection of substance into middle or upper spine canal using imaging guidance14$213$1,000
Injection of lower or sacral spine facet joint using imaging guidance, second level12$95$750
Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming12$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
Looking for a physical medicine & rehabilitation in Boerne?
Compare physical medicine & rehabilitations in the Boerne area by procedure volume, costs, and industry payment transparency.
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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

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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), and high industry engagement (low-engagement, top 6%).

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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →