RxDoctor Payments Data

Jay Stewart, MD

Ophthalmology · San Francisco, CANPI 1134183189

Payments from drug & device makers

What this record shows

The money is spread across several categories — royalties or licence payments (43.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Merck at 46.6% of the total. Reporting peaked in 2022 at $95,389 and has fallen 96.6% since, to $3,230 in 2025. Among ophthalmology clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$218,855in general payments, 2019–2025

Across 66 payments — averaging $3315.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Merck$102K
  • Carl Zeiss Meditec, Inc.$84K
  • F. Hoffmann-la Roche AG$15K
  • Genentech, Inc.$13K
  • ANI Pharmaceuticals, Inc.$3K
  • Genentech USA, Inc.$683
  • plus $2K from 9 others
$258,400in research payments, 2019–2025

Across 12 payments — averaging $21,533 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.

  • Merck$202K
  • Genentech, Inc.$32K
  • F. Hoffmann-la Roche AG$24K

What the payments were for

  • Royalty or licence$95,20043%
  • Consulting fees$92,15942%
  • Speaking & faculty fees$12,9626%
  • Travel & lodging$16,5308%
  • Food & beverage$1,9851%
  • Gifts$190%

General payments by program year

19
20
21
22
23
24
25

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.

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

$218,855 in reported general payments places this provider in the 95th percentile of 2,513 ophthalmology providers in California.

See all ophthalmology providers in California →

Medicare billing

Part B allowed, 2024
$223,697
Medicare patients
445
Services billed
2,209

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

DrugClaimsCost to plans & patients
Prednisolone Acetate66$3,207
Brimonidine Tartrate51$2,998
Ketorolac Tromethamine53$1,732
Atropine Sulfate34$1,647
Dorzolamide-TimololDorzolamide/Timolol/Pf12$869
Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat42$722
Latanoprost63$557
Polymyxin B Sul-TrimethoprimPolymyxin B Sulf/Trimethoprim42$259
Dorzolamide Hcl17$241
Timolol Maleate18$101

Paid to pharmacies, not to this prescriber.

Other ophthalmology in San Francisco

See the full list for California →

Where these figures come from

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