Emilio Arce Lopez, MD
Ophthalmology · San Juan, PRNPI 1023119831
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 24 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Alcon Puerto Rico Inc at 36.9% of the total. Reporting peaked in 2019 at $685 and has fallen 61.6% since, to $263 in 2024.
Across 24 payments — averaging $79.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon Puerto Rico Inc$700
- Bausch & Lomb Americas Inc.$399
- Bausch & Lomb, A Division Of Bausch Health US, LLC$186
- Oculus, Inc.$140
- Apellis Pharmaceuticals, Inc.$125
- Novartis$125
- plus $224 from 3 others
What the payments were for
- Food & beverage$1,897100%
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 Puerto Rico Inc | 9 | $700 |
| Bausch & Lomb Americas Inc. | 4 | $399 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 2 | $186 |
| Oculus, Inc. | 1 | $140 |
| Apellis Pharmaceuticals, Inc. | 1 | $125 |
| Novartis | 2 | $125 |
| Rxsight Inc | 1 | $86 |
| AbbVie(2 entities) | 3 | $86 |
| Alcon | 1 | $52 |
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.
- NGENUITY$360
- MIEBO$250
- XIIDRA$226
- OCULUS Pentacam$140
- LOTEMAX SM$100
How this compares
$1,897 in reported general payments places this provider in the 75th percentile of 214 ophthalmology providers in Puerto Rico.
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 |
|---|---|---|
| RestasisCyclosporine | 124 | $102,242 |
| LumiganBimatoprost | 245 | $73,642 |
| Cyclosporine | 54 | $15,796 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 70 | $15,297 |
| CombiganBrimonidine Tartrate/Timolol | 51 | $12,451 |
| Prednisolone Acetate | 264 | $9,987 |
| Alphagan PBrimonidine Tartrate | 35 | $9,111 |
| Brimonidine Tartrate | 46 | $6,784 |
| Ketorolac Tromethamine | 146 | $4,879 |
| Ofloxacin | 144 | $3,385 |
| Fluorometholone | 49 | $3,297 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 80 | $2,816 |
| Timolol Maleate | 40 | $1,641 |
| Dorzolamide Hcl | 47 | $1,519 |
| ErythromycinErythromycin Base | 90 | $1,385 |
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 |
|---|---|---|
| AbbVieRestasis, Lumigan, Combigan, Alphagan P | $86 | $197,446455 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 75th percentile of 214 ophthalmology providers in Puerto Rico.
Other ophthalmology in San Juan
- Maria Berrocal FernandezSan Juan$547K
- Jose MontesSan Juan$396K
- Juan Nevarez MarreroSan Juan$19K
- Natalio Izquierdo EncarnacionSan Juan$16K
- Ian PiovanettiSan Juan$11K
- Jaime Bravo CastroSan Juan$8K
- Ernesto CollazoSan Juan$7K
- Gustavo HernandezSan Juan$5K
- Victor VillegasSan Juan$5K
- Gabriela Trabal YulfoSan Juan$4K
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.