Asim Piracha, MD
Ophthalmology · Lexington, KYNPI 1497756852
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.6%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. Johnson & Johnson Surgical Vision, Inc. accounts for 79.0% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2021 at $5,391 and has fallen 80.3% since, to $1,061 in 2025. Among ophthalmology clinicians in KY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 130 payments — averaging $131.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson Surgical Vision, Inc.$13K
- Alcon$1K
- Glaukos Corporation$416
- Carl Zeiss Meditec, Inc.$241
- Lensar, Inc.$227
- Bausch & Lomb Americas Inc.$206
- plus $1K from 20 others
Across 21 payments — averaging $3601.52 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Carl Zeiss Meditec, Inc.$73K
- Ophtec USA, Inc.$3K
What the payments were for
- Consulting fees$10,15060%
- Speaking & faculty fees$2,48015%
- Food & beverage$4,35726%
- Gifts$560%
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.
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.
- Tecnis Simplicity$6,250
- VERITAS Vision System$3,900
- Tecnis IOL$3,000
- Catalys Laser System$2,583
- Clareon$300
- LENSAR LASER SYSTEM$225
- Tecnis Multifocal Family of 1-piece IOLS$219
- Unity$195
- iDoseTR$189
- PanOptix$128
- CATALYS SYSTEM$114
- LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD)$113
- MEL 80$111
- iStent inject W$107
- IACCESS$107
- enVista MX60 IOL$105
How this compares
$17,043 in reported general payments places this provider in the 95th percentile of 216 ophthalmology providers in Kentucky.
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 | 27 | $27,557 |
| XiidraLifitegrast | 14 | $16,486 |
| Loteprednol Etabonate | 11 | $2,603 |
| Bromfenac Sodium | 13 | $2,343 |
| Prednisolone Acetate | 53 | $1,882 |
| Ofloxacin | 47 | $498 |
| Latanoprost | 44 | $363 |
| Diclofenac Sodium | 33 | $268 |
| Timolol Maleate | 12 | $62 |
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 | $14 | $27,55727 claims |
| Bausch & Lomb Americas Inc.Xiidra | $206 | $16,48614 claims |
| Bausch & Lomb, A Division Of Bausch Health US, LLCLoteprednol Etabonate | $42 | $2,60311 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 95th percentile of 216 ophthalmology providers in Kentucky.
Other ophthalmology in Lexington
- Gary WortzLexington$159K
- Bruce KofflerLexington$49K
- Ryan SmithLexington$12K
- Angelia ThompsonLexington$11K
- James HuffmanLexington$10K
- Shivani ReddyLexington$8K
- Paras VoraLexington$4K
- Michael TannerLexington$4K
- Edward HollandEdgewood$678K
- Jeremy ClarkLouisville$131K
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.