Alexander Grigalunas, MD
Ophthalmology · Tacoma, WANPI 1013279298
Payments from drug & device makers
Across 24 payments — averaging $20.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sun Pharmaceutical Industries Inc.$302
- Bausch & Lomb, A Division Of Bausch Health US, LLC$77
- AbbVie$27
- Alcon$26
- Novartis$25
- Kala Pharmaceuticals, Inc.$23
- plus $21 from 1 others
What the payments were for
- Food & beverage$501100%
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 |
|---|---|---|
| Sun Pharmaceutical Industries Inc. | 15 | $302 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 4 | $77 |
| AbbVie | 1 | $27 |
| Alcon | 1 | $26 |
| Novartis | 1 | $25 |
| Kala Pharmaceuticals, Inc. | 1 | $23 |
| NEW World Medical,inc. | 1 | $21 |
How this compares
$501 in reported general payments places this provider in the 40th percentile of 428 ophthalmology providers in Washington.
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 |
|---|---|---|
| XiidraLifitegrast | 18 | $23,129 |
| Prednisolone Acetate | 253 | $14,086 |
| Latanoprost | 790 | $13,859 |
| Betoptic SBetaxolol Hcl | 13 | $7,799 |
| Timolol Maleate | 389 | $6,492 |
| Brinzolamide | 30 | $6,117 |
| RhopressaNetarsudil Mesylate | 12 | $5,849 |
| Brimonidine Tartrate | 369 | $5,653 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 229 | $5,431 |
| Cyclosporine | 25 | $4,451 |
| Dorzolamide Hcl | 183 | $4,156 |
| Bimatoprost | 38 | $3,844 |
| Fluorometholone | 15 | $3,090 |
| Travoprost | 29 | $2,310 |
| Betaxolol Hcl | 20 | $2,025 |
Paid to pharmacies, not to this prescriber.
Other ophthalmology in Tacoma
- Niraj PatelTacoma$63K
- Andrew KopsteinTacoma$57K
- Clifton PerryTacoma$50K
- Joseph PhamTacoma$10K
- Victor ChiuTacoma$10K
- Jacob LightTacoma$10K
- Robert WirthlinSpokane$2.4M
- Laura PerimanSeattle$1.9M
- Todd SchneidermanSilverdale$602K
- Sheldon CowenSeattle$560K
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.