Lance Higbee
Optometrist · Nellis Afb, NVNPI 1609281880
Payments from drug & device makers
Across 24 payments — averaging $58.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$1K
- Bausch & Lomb, A Division Of Bausch Health US, LLC$109
- Johnson & Johnson Vision Care, Inc.$69
- LKC Technologies, Inc.$39
- Carl Zeiss Meditec AG$39
- Optos, Inc.$23
- plus $56 from 3 others
What the payments were for
- Travel & lodging$75854%
- Food & beverage$60143%
- Gifts$393%
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 | $1,064 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 5 | $109 |
| Johnson & Johnson Vision Care, Inc. | 4 | $69 |
| LKC Technologies, Inc. | 1 | $39 |
| Carl Zeiss Meditec AG | 2 | $39 |
| Optos, Inc. | 1 | $23 |
| Lombart Brothers, Inc. | 1 | $22 |
| Tarsus Pharmaceuticals, Inc. | 1 | $19 |
| Bausch & Lomb Americas 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.
How this compares
$1,398 in reported general payments places this provider in the 65th percentile of 494 optometrist providers in Nevada.
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 |
|---|---|---|
| Restasis MultidoseCyclosporine | 12 | $7,389 |
| Latanoprost | 22 | $194 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Nellis Afb
- Douglas DevriesSparks$1.3M
- Adam SchwartzLas Vegas$339K
- Amel YoussefLas Vegas$245K
- Stella LauNorth Las Vegas$100K
- Eric BrookerLas Vegas$53K
- Troy HumphreysSparks$52K
- My VuongLas Vegas$47K
- Chen YoungLas Vegas$46K
- Harlan KopolowLas Vegas$36K
- Jenny WongLas Vegas$34K
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.