Hiralal Tekwani, MD
Ophthalmology · Saint Louis, MONPI 1265416697
Payments from drug & device makers
Across 182 payments — averaging $24.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$1K
- Alcon$541
- Bausch & Lomb Americas Inc.$407
- Bausch & Lomb, A Division Of Bausch Health US, LLC$362
- Novartis$275
- Astellas Pharma US Inc$273
- plus $1K from 16 others
Across 1 payment — averaging $3000.00 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.
- Johnson & Johnson Surgical Vision, Inc.$3K
What the payments were for
- Food & beverage$4,506100%
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 |
|---|---|---|
| AbbVie(2 entities) | 83 | $1,228 |
| Alcon | 16 | $541 |
| Bausch & Lomb Americas Inc. | 6 | $407 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 4 | $362 |
| Novartis | 11 | $275 |
| Astellas Pharma US Inc | 3 | $273 |
| Biotissue Holdings Inc. | 15 | $225 |
| Johnson & Johnson Surgical Vision, Inc. | 4 | $200 |
| Tarsus Pharmaceuticals, Inc. | 3 | $188 |
| Oyster Point Pharma, Inc. | 7 | $163 |
| Aerie Pharmaceuticals, Inc. | 7 | $136 |
| Mallinckrodt Hospital Products Inc. | 1 | $123 |
| Sun Pharmaceutical Industries Inc. | 7 | $116 |
| Thea Pharma Inc. | 3 | $53 |
| Kala Pharmaceuticals, Inc. | 2 | $42 |
| Glaukos Corporation | 2 | $39 |
| Rxsight Inc | 2 | $31 |
| Sight Sciences, Inc. | 2 | $28 |
| Amgen | 1 | $23 |
| Mallinckrodt Enterprises LLC | 1 | $20 |
| Johnson & Johnson Vision Care, Inc. | 1 | $17 |
| Ocular Therapeutix, Inc. | 1 | $16 |
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.
- Izervay$250
- enVista MX60 IOL$228
- LUMIGAN$222
- Rocklatan$129
- Rhopressa$129
- STELLARIS$125
- MIEBO$125
- Tecnis Simplicity$124
- Hydrus Microstent$124
- ACTHAR$123
- XDEMVY$122
- XIIDRA$121
- Prokera$117
- AmnioGraft$117
- AmnioGuard$117
- COMBIGAN$100
How this compares
$4,506 in reported general payments places this provider in the 70th percentile of 286 ophthalmology 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 | 221 | $129,462 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 76 | $15,538 |
| Latanoprost | 944 | $12,583 |
| CombiganBrimonidine Tartrate/Timolol | 24 | $12,483 |
| Cyclosporine | 12 | $10,664 |
| Travoprost | 39 | $7,886 |
| Brimonidine Tartrate | 63 | $7,294 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 343 | $4,570 |
| Dorzolamide Hcl | 63 | $1,321 |
| Timolol Maleate | 73 | $918 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 21 | $873 |
| Prednisolone Acetate | 26 | $821 |
| Levobunolol Hcl | 18 | $501 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 13 | $194 |
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, Combigan | $1,228 | $141,945245 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 70th percentile of 286 ophthalmology providers in Missouri.
Other ophthalmology in Saint Louis
- Steven CouchSaint Louis$1.2M
- Ranjan MalhotraSaint Louis$964K
- Navin TekwaniSaint Louis$957K
- Gregg BerdySaint Louis$740K
- Sonya BambaSaint Louis$242K
- Harris SultanSaint Louis$156K
- Rajendra ApteSaint Louis$143K
- Ian PithaSaint Louis$113K
- Anjali BhoradeSaint Louis$73K
- Praneetha ThulasiSaint Louis$65K
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.