Lee Birchansky, MD
Ophthalmology · Cedar Rapids, IANPI 1518951433
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,604 of the $2,611 with a category attached, or 61.4%. Alcon accounts for 80.2% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2019 at $1,850 and has fallen 94.1% since, to $109 in 2025.
Across 51 payments — averaging $51.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$2K
- Glaukos Corporation$169
- Bausch & Lomb, A Division Of Bausch Health US, LLC$101
- The Cameron-ehlen Group, Inc.$78
- Regeneron Healthcare Solutions, Inc.$63
- Bausch & Lomb Americas Inc.$62
- plus $45 from 2 others
What the payments were for
- Travel & lodging$1,00739%
- Food & beverage$1,60461%
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 | 34 | $2,093 |
| Glaukos Corporation | 4 | $169 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 3 | $101 |
| The Cameron-ehlen Group, Inc. | 2 | $78 |
| Regeneron Healthcare Solutions, Inc. | 3 | $63 |
| Bausch & Lomb Americas Inc. | 2 | $62 |
| Novartis | 2 | $30 |
| Genentech USA, Inc. | 1 | $15 |
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
$2,611 in reported general payments places this provider in the 65th percentile of 172 ophthalmology 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 |
|---|---|---|
| Prednisolone Acetate | 268 | $7,861 |
| MoxifloxacinMoxifloxacin Hcl | 227 | $6,081 |
| Ketorolac Tromethamine | 222 | $3,470 |
Paid to pharmacies, not to this prescriber.
Other ophthalmology in Cedar Rapids
- Edward HuHiawatha$160K
- Michael AbramoffIowa City$158K
- Stephen RussellIowa City$137K
- Jared NielsenWest Des Moines$117K
- Matthew RauenWest Des Moines$108K
- Jason JonesSioux City$83K
- Christy BensonDes Moines$70K
- Alina DumitrescuIowa City$57K
- Keith CarterIowa City$54K
- Erin ShriverIowa City$43K
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.