Alma Mas-Ramirez, MD
Glaucoma Specialist · San Juan, PRNPI 1861742066
Payments from drug & device makers
Across 158 payments — averaging $59.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$5K
- Alcon$2K
- Kala Pharmaceuticals, Inc.$384
- Sight Sciences, Inc.$343
- Mallinckrodt Hospital Products Inc.$276
- Bausch & Lomb, A Division Of Bausch Health US, LLC$248
- plus $1K from 18 others
What the payments were for
- Consulting fees$7508%
- Speaking & faculty fees$2,40025%
- Travel & lodging$1,24013%
- Food & beverage$5,06153%
- Education$210%
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 |
|---|---|---|
| AbbVie(2 entities) | 67 | $4,801 |
| Alcon | 17 | $1,936 |
| Kala Pharmaceuticals, Inc. | 4 | $384 |
| Sight Sciences, Inc. | 9 | $343 |
| Mallinckrodt Hospital Products Inc. | 7 | $276 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 5 | $248 |
| Novartis | 7 | $204 |
| Rxsight Inc | 3 | $173 |
| Tarsus Pharmaceuticals, Inc. | 2 | $134 |
| Eyevance Pharmaceuticals LLC | 3 | $130 |
| Insmed, Inc. | 1 | $123 |
| Sun Pharmaceutical Industries Inc. | 1 | $104 |
| Harrow Eye, LLC | 3 | $103 |
| Amgen(2 entities) | 5 | $101 |
| Ivantis, Inc | 1 | $99 |
| Aerie Pharmaceuticals, Inc. | 5 | $73 |
| UCB, Inc. | 3 | $51 |
| Ocular Therapeutix, Inc. | 3 | $46 |
| NEW World Medical,inc. | 6 | $45 |
| Glaukos Corporation | 2 | $30 |
| Bausch & Lomb Americas Inc. | 1 | $23 |
| Dompe US, Inc. | 1 | $18 |
| Biotissue Holdings Inc. | 1 | $14 |
| Oyster Point Pharma, Inc. | 1 | $13 |
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.
- LUMIGAN$2,524
- COMBIGAN$2,400
- RESTASIS$750
- AcrySof$382
- INVELTYS$245
- Clareon$149
- RXSIGHT CONTACT LENS$139
- RXSIGHT INJECTOR CARTRIDGE$139
- RXSIGHT INJECTOR HANDPIECE$139
- RXSIGHT LIGHT DELIVERY DEVICE (LDD)$139
- LIGHT ADJUSTABLE LENS (LAL)$139
- ACTHAR$125
- OZURDEX$125
- Arikayce$123
- TearCare$122
- XDEMVY$120
- EYSUVIS$118
- Flarex$107
- ACTIVEFOCUS$106
- LenSx$106
How this compares
Too few glaucoma specialist providers in Puerto Ricoto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| LumiganBimatoprost | 586 | $218,872 |
| RhopressaNetarsudil Mesylate | 311 | $121,734 |
| RestasisCyclosporine | 110 | $104,555 |
| CombiganBrimonidine Tartrate/Timolol | 190 | $80,928 |
| RocklatanNetarsudil Mesylat/Latanoprost | 158 | $79,406 |
| SimbrinzaBrinzolamide/Brimonidine Tart | 245 | $55,845 |
| Alphagan PBrimonidine Tartrate | 158 | $50,750 |
| VyzultaLatanoprostene Bunod | 87 | $27,285 |
| Prednisolone Acetate | 555 | $22,074 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 167 | $21,755 |
| XiidraLifitegrast | 17 | $19,017 |
| Dorzolamide-TimololDorzolamide/Timolol/Pf | 125 | $14,732 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 224 | $11,780 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 732 | $11,686 |
| Brimonidine Tartrate | 578 | $11,300 |
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 |
|---|---|---|
| AbbVieLumigan, Restasis, Combigan, Alphagan P | $4,801 | $455,1061,044 claims |
| Aerie Pharmaceuticals, Inc.Rhopressa, Rocklatan | $73 | $201,139469 claims |
| AlconSimbrinza | $1,936 | $55,845245 claims |
| Bausch & Lomb Americas Inc.Vyzulta, Xiidra | $23 | $46,302104 claims |
| Bausch & Lomb, A Division Of Bausch Health US, LLCProlensa, Loteprednol Etabonate | $248 | $10,20622 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. There are too few glaucoma specialist providers in Puerto Ricoon file to place this against a meaningful peer group, so we don't.
Other glaucoma specialist in San Juan
- Viviana BarquetSan Juan$4K
- Cristina Lopez BeauchampSan Juan$2K
- Maria Velazquez LamelaCaguas$10K
- Francisco GuevaraAguada$849
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.