Claire Fraser
Retina Specialist · Lexington, KYNPI 1063658003
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.4% of the total across 32 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by Alcon at 30.9% of the total. Reporting peaked in 2019 at $375 and has fallen 90.2% since, to $37 in 2025. That places this record below the midpoint for retina specialist clinicians in KY, where the typical reported total is $4,563.
Across 32 payments — averaging $37.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$369
- Regeneron Healthcare Solutions, Inc.$157
- Dutch Ophthalmic, USA$128
- Genentech USA, Inc.$105
- AbbVie$90
- Novartis$89
- plus $258 from 8 others
What the payments were for
- Food & beverage$1,17698%
- Gifts$192%
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 | 4 | $369 |
| Regeneron Healthcare Solutions, Inc. | 9 | $157 |
| Dutch Ophthalmic, USA | 1 | $128 |
| Genentech USA, Inc. | 5 | $105 |
| AbbVie | 1 | $90 |
| Novartis | 1 | $89 |
| Alimera Sciences, Inc. | 3 | $63 |
| Carl Zeiss Meditec USA, Inc. | 1 | $39 |
| Amgen | 2 | $37 |
| Carl Zeiss Meditec, Inc. | 1 | $29 |
| Biotissue Holdings Inc. | 1 | $24 |
| Mallinckrodt Hospital Products Inc. | 1 | $24 |
| Regeneron | 1 | $23 |
| Carl Zeiss Meditec AG | 1 | $19 |
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.
How this compares
$1,195 in reported general payments places this provider in the 25th percentile of 22 retina specialist 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 |
|---|---|---|
| Brimonidine Tartrate | 43 | $3,010 |
| Prednisolone Acetate | 37 | $1,636 |
| Difluprednate | 18 | $1,350 |
| Latanoprost | 103 | $928 |
| ValacyclovirValacyclovir Hcl | 15 | $737 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 77 | $646 |
| Eplerenone | 17 | $360 |
| Timolol Maleate | 23 | $208 |
| ErythromycinErythromycin Base | 11 | $135 |
Paid to pharmacies, not to this prescriber.
Other retina specialist in Lexington
- John KitchensLexington$1.1M
- Blake IsernhagenLexington$183K
- Miguel BusquetsLexington$92K
- Romulo AlbuquerqueLexington$20K
- Leanne ClevengerLexington$17K
- Todd PurkissLexington$11K
- Belinda ShirkeyLexington$11K
- Ricky IsernhagenLexington$5K
- Aaron RiccaLexington$5K
- William WoodLexington$5K
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.