Coby Ramsey
Optometrist · Rock Springs, WYNPI 1336197045
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.4% of the total across 15 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Lombart Brothers, Inc. at 30.3% of the total.
Across 15 payments — averaging $36.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Lombart Brothers, Inc.$166
- LKC Technologies, Inc.$120
- Coopervision Inc.$112
- Alcon$72
- Carl Zeiss Meditec, Inc.$49
- Bausch & Lomb Americas Inc.$16
- plus $14 from 1 others
What the payments were for
- Consulting fees$204%
- Food & beverage$52896%
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 |
|---|---|---|
| Lombart Brothers, Inc. | 3 | $166 |
| LKC Technologies, Inc. | 2 | $120 |
| Coopervision Inc. | 4 | $112 |
| Alcon | 3 | $72 |
| Carl Zeiss Meditec, Inc. | 1 | $49 |
| Bausch & Lomb Americas Inc. | 1 | $16 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 1 | $14 |
How this compares
$548 in reported general payments places this provider in the 75th percentile of 102 optometrist providers in Wyoming.
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 |
|---|---|---|
| CombiganBrimonidine Tartrate/Timolol | 14 | $2,452 |
| Brimonidine Tartrate | 19 | $693 |
| Latanoprost | 58 | $404 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 12 | $149 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Rock Springs
- Ivan WhettenRock Springs$3K
- Mark WellsCheyenne$251K
- David EldredCheyenne$177K
- Joseph MunsellCheyenne$5K
- Jason WhitmanCasper$4K
- Michelle ChaneyLaramie$4K
- Shelby ZemskiCheyenne$3K
- David BisbeeCheyenne$3K
- Jacee CottonCheyenne$2K
- Jenning VossAfton$1K
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.