Joel Westrum
Optometrist · Stratford, IANPI 1801826334
Payments from drug & device makers
What this record shows
Alcon accounts for 81.8% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $1,217 and has fallen 85.8% since, to $173 in 2025. Among optometrist clinicians in IA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 83 payments — averaging $38.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$3K
- Johnson & Johnson Vision Care, Inc.$366
- Bausch & Lomb, A Division Of Bausch Health US, LLC$102
- Dompe US, Inc.$22
- Bausch & Lomb Americas Inc.$22
- Optos, Inc.$20
- plus $50 from 3 others
What the payments were for
- Speaking & faculty fees$1,75055%
- Food & beverage$1,45245%
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 | 55 | $2,620 |
| Johnson & Johnson Vision Care, Inc. | 21 | $366 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 1 | $102 |
| Dompe US, Inc. | 1 | $22 |
| Bausch & Lomb Americas Inc. | 1 | $22 |
| Optos, Inc. | 1 | $20 |
| Tarsus Pharmaceuticals, Inc. | 1 | $19 |
| Biotissue Holdings Inc. | 1 | $17 |
| Johnson & Johnson Surgical Vision, Inc. | 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.
- Precision 1$1,873
- DAILIES TOTAL1$1,750
- AIR OPTIX$1,500
- Air Optix plus HydraGlyde$500
- Dailies Aqua Comfort Plus$500
- Air Optix Color$250
- LOTEMAX SM$102
How this compares
$3,202 in reported general payments places this provider in the 90th percentile of 559 optometrist providers in Iowa.
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 |
|---|---|---|
| Latanoprost | 40 | $376 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 14 | $186 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Stratford
- Sara ButterworthCoralville$191K
- Ethan HuismanWaukee$111K
- Kelsi SawatzkyWest Des Moines$26K
- Heidi BellClive$19K
- Jennifer DenhartogClive$16K
- Wendianne WilsonUrbandale$14K
- Daniel KoenigAmes$11K
- Lexie FranzeenWest Des Moines$7K
- Mallori PhillipsGrimes$7K
- Gabrielle MageeWaukee$6K
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.