Dawn Rakich
Optometrist · San Antonio, TXNPI 1528029543
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Alcon accounts for 81.8% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $3,825, 2.4 times the $1,568 reported in 2019. Among optometrist clinicians in TX 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 30 payments — averaging $203.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$5K
- Glaukos Corporation$444
- Optos, Inc.$177
- Bausch & Lomb, A Division Of Bausch Health US, LLC$138
- Carl Zeiss Meditec, Inc.$126
- Rxsight Inc$97
- plus $128 from 4 others
Across 273 payments — averaging $694.95 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Alcon Research LLC$190K
What the payments were for
- Consulting fees$2,82046%
- Travel & lodging$1,30321%
- Food & beverage$1,81030%
- Entertainment$1773%
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 | 17 | $4,999 |
| Glaukos Corporation | 3 | $444 |
| Optos, Inc. | 1 | $177 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 2 | $138 |
| Carl Zeiss Meditec, Inc. | 1 | $126 |
| Rxsight Inc | 2 | $97 |
| Biotissue Holdings Inc. | 1 | $74 |
| Carl Zeiss Meditec USA, Inc. | 1 | $27 |
| Shire North American Group Inc | 1 | $24 |
| Visioneering Technologies, Inc. | 1 | $3 |
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.
- TOTAL30$3,179
- P200DTx$177
- P200T$177
- P200TE$177
- P200TxE$177
- iStent inject Trabecular Micro-Bypass Stent System$128
- CIRRUS HD-OCT$126
- DAILIES TOTAL1$125
- Precision 1$125
- Precision7$125
- BIOTRUE$125
- ULTRA$125
- BIOTRUE ONE DAY$125
How this compares
$6,109 in reported general payments places this provider in the 90th percentile of 4,315 optometrist providers in Texas.
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 |
|---|---|---|
| Prednisolone Acetate | 15 | $510 |
| Latanoprost | 18 | $158 |
Paid to pharmacies, not to this prescriber.
Other optometrist in San Antonio
- Carolyn MajcherSan Antonio$86K
- Chandler MannSan Antonio$49K
- Jeff FosterSan Antonio$31K
- Melanie FrogozoSan Antonio$21K
- Edward BustamanteSan Antonio$21K
- Arthur MedinaSan Antonio$20K
- Derek CunninghamAustin$940K
- Claudio LagunasHouston$644K
- Ashley Wallace-TuckerHouston$547K
- Luis RojasMcKinney$309K
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.