Carl Ritch, OD
Optometrist · Saint Cloud, FLNPI 1922622356
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,877 of the $3,961 with a category attached, or 72.6%. Alcon accounts for 66.6% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $2,027, more than ten times the $70 reported in 2020.
Across 65 payments — averaging $60.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$3K
- Coopervision Inc.$420
- Johnson & Johnson Vision Care, Inc.$145
- Lombart Brothers, Inc.$138
- Bausch & Lomb Americas Inc.$133
- Optos, Inc.$122
- plus $364 from 4 others
What the payments were for
- Travel & lodging$97625%
- Food & beverage$2,87773%
- Entertainment$1073%
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 | 42 | $2,638 |
| Coopervision Inc. | 10 | $420 |
| Johnson & Johnson Vision Care, Inc. | 2 | $145 |
| Lombart Brothers, Inc. | 1 | $138 |
| Bausch & Lomb Americas Inc. | 2 | $133 |
| Optos, Inc. | 2 | $122 |
| Amgen | 1 | $122 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 3 | $117 |
| Optovue, Inc. | 1 | $85 |
| Visionix USA, Inc | 1 | $40 |
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.
- Precision7$217
- PANORAMIC OPHTHALMOSCOPE$215
- OCT OPHTHALMOSCOPE$215
- OPD-III$138
- DAILIES TOTAL1$125
- TEPEZZA$122
- Acuvue$119
- INFUSE$108
- MyDay Contact Lens$107
- NFC-700$107
How this compares
$3,961 in reported general payments places this provider in the 85th percentile of 3,166 optometrist providers in Florida.
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.
Other optometrist in Saint Cloud
- James HoffmanOrange Park$795K
- April JasperWest Palm Beach$553K
- Nora CothranLargo$505K
- Michael SluskyNorth Port$384K
- Katie SpearDefuniak Springs$361K
- Karen HoffmanOrange Park$282K
- Ashley RothMiami Beach$261K
- Jessica SteenDavie$256K
- Mark DunbarMiami$236K
- Robert DavisPembroke Pines$217K
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.