Cara Smith
Optometrist · Charleston, SCNPI 1497285381
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 92 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 16 manufacturers reported payments, led by Alcon at 24.2% of the total. Among optometrist clinicians in SC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 92 payments — averaging $52.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$1K
- Johnson & Johnson Vision Care, Inc.$602
- Biotissue Holdings Inc.$580
- Bausch & Lomb Americas Inc.$372
- Bausch & Lomb, A Division Of Bausch Health US, LLC$318
- Oyster Point Pharma, Inc.$312
- plus $1K from 10 others
What the payments were for
- Food & beverage$4,789100%
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 | 18 | $1,161 |
| Johnson & Johnson Vision Care, Inc. | 7 | $602 |
| Biotissue Holdings Inc. | 6 | $580 |
| Bausch & Lomb Americas Inc. | 9 | $372 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 3 | $318 |
| Oyster Point Pharma, Inc. | 8 | $312 |
| AbbVie | 8 | $262 |
| Coopervision Inc. | 3 | $252 |
| Glaukos Corporation | 5 | $243 |
| Sun Pharmaceutical Industries Inc. | 11 | $195 |
| Shire North American Group Inc | 1 | $124 |
| Harrow Eye, LLC | 6 | $108 |
| Mallinckrodt Hospital Products Inc. | 1 | $86 |
| NEW World Medical,inc. | 1 | $78 |
| Amgen | 4 | $76 |
| Rayner Intraocular Lenses Limited | 1 | $20 |
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.
- Acuvue$332
- Clareon$309
- Precision7$128
- AcrySof IQ VIVITY IOL$127
- SIMBRINZA$126
- Rhopressa$126
- Rocklatan$126
- XIIDRA$124
- ULTRA$124
- Prokera$119
- TRYPTYR$119
- VUITY$115
- BIOTRUE ONE DAY$110
How this compares
$4,789 in reported general payments places this provider in the 90th percentile of 653 optometrist providers in South Carolina.
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 | 48 | $60,311 |
| RocklatanNetarsudil Mesylat/Latanoprost | 38 | $17,160 |
| XiidraLifitegrast | 15 | $17,012 |
| LumiganBimatoprost | 23 | $16,446 |
| Cyclosporine | 21 | $14,195 |
| CombiganBrimonidine Tartrate/Timolol | 38 | $11,879 |
| RhopressaNetarsudil Mesylate | 26 | $10,954 |
| Restasis MultidoseCyclosporine | 17 | $10,711 |
| Loteprednol Etabonate | 50 | $8,531 |
| Latanoprost | 676 | $7,263 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 33 | $5,713 |
| LotemaxLoteprednol Etabonate | 14 | $4,725 |
| Prednisolone Acetate | 110 | $4,314 |
| VyzultaLatanoprostene Bunod | 11 | $4,255 |
| SimbrinzaBrinzolamide/Brimonidine Tart | 19 | $3,680 |
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, Combigan, Restasis Multidose | $262 | $99,347126 claims |
| Bausch & Lomb Americas Inc.Xiidra, Vyzulta | $372 | $21,26726 claims |
| Bausch & Lomb, A Division Of Bausch Health US, LLCLoteprednol Etabonate, Lotemax | $318 | $13,25564 claims |
| AlconSimbrinza | $1,161 | $3,68019 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 90th percentile of 653 optometrist providers in South Carolina.
Other optometrist in Charleston
- Richard BedellCharleston$55K
- Jennifer ZolmanCharleston$21K
- Michael ZolmanCharleston$14K
- Chad CarlssonCharleston$13K
- Michele DonovanCharleston$7K
- William DentonCharleston$7K
- Elyse DewittCharleston$6K
- Jensen RafoolCharleston$6K
- Alexa RoweCharleston$6K
- Thomas WeshefskyMyrtle Beach$77K
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.