Elise Agostinelli, OD
Optometrist · Birmingham, ALNPI 1013528579
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 11 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 8 manufacturers reported payments, led by Sun Pharmaceutical Industries Inc. at 25.1% of the total. Reporting peaked in 2022 at $707 and has fallen 69.2% since, to $218 in 2023. That places this record below the midpoint for optometrist clinicians in AL, where the typical reported total is $902.
Across 11 payments — averaging $98.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sun Pharmaceutical Industries Inc.$272
- AbbVie$227
- Alcon$124
- Biotissue Holdings Inc.$123
- Oyster Point Pharma, Inc.$115
- Johnson & Johnson Vision Care, Inc.$109
- plus $117 from 2 others
What the payments were for
- Food & beverage$1,087100%
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 |
|---|---|---|
| Sun Pharmaceutical Industries Inc. | 3 | $272 |
| AbbVie(2 entities) | 2 | $227 |
| Alcon | 1 | $124 |
| Biotissue Holdings Inc. | 1 | $123 |
| Oyster Point Pharma, Inc. | 1 | $115 |
| Johnson & Johnson Vision Care, Inc. | 1 | $109 |
| Glaukos Corporation | 1 | $103 |
| Eyevance Pharmaceuticals LLC | 1 | $14 |
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
$1,087 in reported general payments places this provider in the 50th percentile of 749 optometrist providers in Alabama.
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 Birmingham
- Kelly NicholsBirmingham$231K
- Leo SemesBirmingham$60K
- Andrew PuckerBirmingham$27K
- Ashley SavageBirmingham$9K
- Ami EpsteinBirmingham$8K
- Caroline PateBirmingham$6K
- Casey BrownBirmingham$5K
- Valencia WellsBirmingham$5K
- Nicholas OnkenBirmingham$5K
- Mark SchaefferHoover$470K
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.