Patrick Risch
Ophthalmology · Fayetteville, ARNPI 1003104498
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.6% of the total across 36 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Glaukos Corporation at 25.6% of the total. Reporting peaked in 2019 at $507 and has fallen 66.1% since, to $172 in 2025.
Across 36 payments — averaging $52.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Glaukos Corporation$486
- Rxsight Inc$379
- Bausch & Lomb Americas Inc.$246
- Bausch & Lomb, A Division Of Bausch Health US, LLC$150
- Biotissue Holdings Inc.$149
- The Cameron-ehlen Group, Inc.$117
- plus $367 from 9 others
What the payments were for
- Speaking & faculty fees$261%
- Food & beverage$1,84898%
- Entertainment$201%
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 |
|---|---|---|
| Glaukos Corporation | 9 | $486 |
| Rxsight Inc | 4 | $379 |
| Bausch & Lomb Americas Inc. | 2 | $246 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 2 | $150 |
| Biotissue Holdings Inc. | 2 | $149 |
| The Cameron-ehlen Group, Inc. | 1 | $117 |
| Aerie Pharmaceuticals, Inc. | 1 | $105 |
| AbbVie(2 entities) | 4 | $83 |
| Johnson & Johnson Surgical Vision, Inc. | 4 | $60 |
| Alcon | 2 | $36 |
| Optos, Inc. | 1 | $20 |
| Harrow Eye, LLC | 1 | $19 |
| Novartis | 1 | $17 |
| Johnson & Johnson Vision Care, Inc. | 1 | $15 |
| Coopervision Inc. | 1 | $12 |
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.
- RXSIGHT CONTACT LENS$315
- RXSIGHT INJECTOR HANDPIECE$315
- RXSIGHT INJECTOR CARTRIDGE$315
- LIGHT ADJUSTABLE LENS (LAL)$315
- RXSIGHT LIGHT DELIVERY DEVICE (LDD)$315
- enVista MX60 IOL$133
- Hydrus$117
- ENVISTA ENVY$113
- iStent Trabecular Micro-Bypass Stent System$111
- iStent inject Trabecular Micro-Bypass Stent System$111
- Rhopressa$105
- Rocklatan$105
How this compares
$1,894 in reported general payments places this provider in the 70th percentile of 125 ophthalmology providers in Arkansas.
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 | 170 | $7,005 |
| Ketorolac Tromethamine | 146 | $4,198 |
| MoxifloxacinMoxifloxacin Hcl | 147 | $3,685 |
| Doxycycline Hyclate | 55 | $1,720 |
| Latanoprost | 38 | $418 |
| Ofloxacin | 12 | $115 |
| Prednisone | 12 | $6 |
Paid to pharmacies, not to this prescriber.
Other ophthalmology in Fayetteville
- Peter DautFayetteville$4K
- Sarah CoveyFayetteville$2K
- Eddie MengarelliFayetteville$2K
- Paul HenryFayetteville$2K
- Chad BettsFayetteville$1K
- Alan GroverFayetteville$1K
- Craig BrownFayetteville$797
- Daniel SinesRogers$81K
- Mike McFarlandPine Bluff$63K
- Jennifer DoyleLittle Rock$38K
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.