Alexander Barsam, MD
Ophthalmology · Saint Louis, MONPI 1578914974
Payments from drug & device makers
Across 68 payments — averaging $51.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$2K
- Johnson & Johnson Surgical Vision, Inc.$545
- Sight Sciences, Inc.$222
- Bausch & Lomb Americas Inc.$148
- Biotissue Holdings Inc.$122
- AbbVie$93
- plus $184 from 5 others
What the payments were for
- Food & beverage$3,473100%
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 |
|---|---|---|
| Alcon | 34 | $2,161 |
| Johnson & Johnson Surgical Vision, Inc. | 14 | $545 |
| Sight Sciences, Inc. | 5 | $222 |
| Bausch & Lomb Americas Inc. | 2 | $148 |
| Biotissue Holdings Inc. | 2 | $122 |
| AbbVie(2 entities) | 5 | $93 |
| Carl Zeiss Meditec, Inc. | 1 | $60 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 2 | $37 |
| Rxsight Inc | 1 | $35 |
| Regeneron Healthcare Solutions, Inc. | 1 | $28 |
| Aerie Pharmaceuticals, Inc. | 1 | $24 |
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.
- AcrySof$743
- enVista MX60 IOL$247
- ARGOS$142
- Hydrus Microstent$132
- Tecnis Simplicity$125
- enVista Aspire IOL$123
- PanOptix$121
- Prokera$114
- AmnioGraft$114
- AmnioGuard$114
- OMNI(R) SURGICAL SYSTEM (US)$112
- Centurion$106
How this compares
$3,473 in reported general payments places this provider in the 60th percentile of 286 ophthalmology 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 |
|---|---|---|
| RestasisCyclosporine | 36 | $31,212 |
| Fluorometholone | 77 | $4,774 |
| Prednisolone Acetate | 112 | $3,988 |
| Latanoprost | 312 | $3,268 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 18 | $3,079 |
| LumiganBimatoprost | 11 | $3,072 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 23 | $1,162 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 81 | $1,129 |
| Timolol Maleate | 72 | $735 |
| ErythromycinErythromycin Base | 48 | $452 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 38 | $441 |
| Ofloxacin | 39 | $416 |
| Dorzolamide Hcl | 23 | $363 |
| Ketorolac Tromethamine | 22 | $353 |
| Brimonidine Tartrate | 47 | $321 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieRestasis, Lumigan | $93 | $34,28447 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 60th percentile of 286 ophthalmology providers in Missouri.
Other ophthalmology in Saint Louis
- Steven CouchSaint Louis$1.2M
- Ranjan MalhotraSaint Louis$964K
- Navin TekwaniSaint Louis$957K
- Gregg BerdySaint Louis$740K
- Sonya BambaSaint Louis$242K
- Harris SultanSaint Louis$156K
- Rajendra ApteSaint Louis$143K
- Ian PithaSaint Louis$113K
- Anjali BhoradeSaint Louis$73K
- Praneetha ThulasiSaint Louis$65K
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.