RxDoctor Payments Data

Nancy Efferson Bonachea, MD

Ophthalmology · Manchester, NHNPI 1932173234

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 92.4% of the total across 14 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Apellis Pharmaceuticals, Inc. at 37.2% of the total. Reporting peaked in 2022 at $367 and has fallen 76.1% since, to $88 in 2024. That places this record below the midpoint for ophthalmology clinicians in NH, where the typical reported total is $750.

$737in general payments, 2019–2025

Across 14 payments — averaging $52.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Apellis Pharmaceuticals, Inc.$274
  • Regeneron Healthcare Solutions, Inc.$144
  • Genentech USA, Inc.$111
  • Novartis$89
  • Optovue, Inc.$63
  • Carl Zeiss Meditec AG$39
  • plus $16 from 1 others

What the payments were for

  • Food & beverage$68192%
  • Education$172%
  • Gifts$395%

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

19
20
22
23
24

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

$737 in reported general payments places this provider in the 45th percentile of 80 ophthalmology providers in New Hampshire.

See all ophthalmology providers in New Hampshire

Medicare billing

Part B allowed, 2024
$1,193,407
Medicare patients
599
Services billed
11,470

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 Acetate25$1,052
Ketorolac Tromethamine20$575
Latanoprost54$548
Timolol Maleate30$431
Brimonidine Tartrate27$171

Paid to pharmacies, not to this prescriber.

Other ophthalmology in Manchester

See the full list for New Hampshire

Where these figures come from

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