Gary Sneag
Vision Therapy · San Diego, CANPI 1952394777
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.9% of the total across 20 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 Alcon at 33.1% of the total. Reporting peaked in 2019 at $184 and has fallen 84.0% since, to $29 in 2025. That places this record below the midpoint for vision therapy clinicians in CA, where the typical reported total is $614.
Across 20 payments — averaging $23.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$158
- Coopervision Inc.$117
- Bausch & Lomb, A Division Of Bausch Health US, LLC$98
- Tarsus Pharmaceuticals, Inc.$29
- Alcon Research LLC$23
- Bausch & Lomb Americas Inc.$22
- plus $31 from 2 others
What the payments were for
- Food & beverage$46096%
- Gifts$194%
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 | 8 | $158 |
| Coopervision Inc. | 2 | $117 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 5 | $98 |
| Tarsus Pharmaceuticals, Inc. | 1 | $29 |
| Alcon Research LLC | 1 | $23 |
| Bausch & Lomb Americas Inc. | 1 | $22 |
| Carl Zeiss Meditec AG | 1 | $19 |
| AbbVie | 1 | $11 |
How this compares
$479 in reported general payments places this provider in the 45th percentile of 47 vision therapy providers in California.
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 vision therapy in San Diego
- Alan WinkelsteinTemecula$126K
- Beth BallingerNewport Beach$60K
- Gary PolanPacific Palisades$8K
- Leanne LiddicoatRoseville$5K
- Elizabeth YehPacific Palisades$5K
- Brenda CoenCitrus Heights$4K
- Corinna ShelleyTracy$3K
- Dora Szymanowicz NagyRancho Cordova$3K
- Carl HirschWalnut Creek$3K
- Johann SchlagerMerced$2K
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.