David Westrich, MD
Retina Specialist · Cape Girardeau, MONPI 1114051661
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 59 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Genentech USA, Inc. at 29.5% of the total. That places this record below the midpoint for retina specialist clinicians in MO, where the typical reported total is $2,015.
Across 59 payments — averaging $19.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Genentech USA, Inc.$336
- Astellas Pharma US Inc$198
- AbbVie$191
- Novartis$97
- Aerie Pharmaceuticals, Inc.$67
- Regeneron Healthcare Solutions, Inc.$65
- plus $185 from 7 others
What the payments were for
- Food & beverage$1,139100%
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 |
|---|---|---|
| Genentech USA, Inc. | 18 | $336 |
| Astellas Pharma US Inc | 8 | $198 |
| AbbVie(2 entities) | 8 | $191 |
| Novartis | 7 | $97 |
| Aerie Pharmaceuticals, Inc. | 4 | $67 |
| Regeneron Healthcare Solutions, Inc. | 4 | $65 |
| Alcon | 3 | $49 |
| Mallinckrodt Hospital Products Inc. | 2 | $34 |
| Eyepoint US, Inc. | 1 | $24 |
| Apellis Pharmaceuticals, Inc. | 1 | $22 |
| Dompe US, Inc. | 1 | $22 |
| Omeros Corporation | 1 | $19 |
| Alimera Sciences, Inc. | 1 | $15 |
How this compares
$1,139 in reported general payments places this provider in the 30th percentile of 45 retina specialist providers in Missouri.
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 |
|---|---|---|
| LumiganBimatoprost | 65 | $22,852 |
| Prednisolone Acetate | 354 | $10,159 |
| RestasisCyclosporine | 11 | $6,219 |
| CombiganBrimonidine Tartrate/Timolol | 21 | $6,018 |
| Latanoprost | 816 | $5,535 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 400 | $5,315 |
| Ketorolac Tromethamine | 255 | $4,946 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 40 | $3,230 |
| Eplerenone | 35 | $2,943 |
| Brimonidine Tartrate | 351 | $2,921 |
| Timolol Maleate | 136 | $2,437 |
| MoxifloxacinMoxifloxacin Hcl | 80 | $2,247 |
| Dorzolamide Hcl | 66 | $864 |
| Atropine Sulfate | 11 | $399 |
| Cyclopentolate Hcl | 11 | $169 |
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 |
|---|---|---|
| AbbVieLumigan, Restasis, Combigan | $191 | $35,08997 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 30th percentile of 45 retina specialist providers in Missouri.
Other retina specialist in Cape Girardeau
- Tatyana MetelitsinaCape Girardeau$1K
- Kevin BlinderBrentwood$333K
- Aaron LeeSaint Louis$214K
- Sabin DangBrentwood$174K
- Athanasios PapakostasBrentwood$85K
- Alia DurraniBrentwood$53K
- Barton BlackorbyBrentwood$31K
- Carla TerritoFlorissant$21K
- David GlaserFlorissant$20K
- Ollya FromalBrentwood$14K
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.