Paul Garfinkle, MD
Ophthalmology · Alliance, OHNPI 1144297060
Payments from drug & device makers
Across 135 payments — averaging $26.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$466
- Apellis Pharmaceuticals, Inc.$463
- Alcon$451
- Alimera Sciences, Inc.$287
- Astellas Pharma US Inc$236
- Notal Vision, Inc.$195
- plus $2K from 22 others
What the payments were for
- Consulting fees$1003%
- Speaking & faculty fees$1955%
- Food & beverage$3,13087%
- Education$1364%
- Gifts$451%
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 |
|---|---|---|
| AbbVie(2 entities) | 26 | $466 |
| Apellis Pharmaceuticals, Inc. | 14 | $463 |
| Alcon | 13 | $451 |
| Alimera Sciences, Inc. | 15 | $287 |
| Astellas Pharma US Inc | 7 | $236 |
| Notal Vision, Inc. | 1 | $195 |
| Regeneron Healthcare Solutions, Inc. | 9 | $184 |
| Ocular Therapeutix, Inc. | 5 | $171 |
| Johnson & Johnson Surgical Vision, Inc. | 3 | $165 |
| Bausch & Lomb Americas Inc. | 3 | $148 |
| Harrow Eye, LLC | 5 | $147 |
| Mallinckrodt Hospital Products Inc. | 2 | $117 |
| Genentech USA, Inc. | 4 | $81 |
| Tarsus Pharmaceuticals, Inc. | 3 | $77 |
| Novartis | 4 | $63 |
| Rayner Intraocular Lenses Limited | 3 | $52 |
| Thea Pharma Inc. | 3 | $44 |
| ANI Pharmaceuticals, Inc. | 2 | $40 |
| Sun Pharmaceutical Industries Inc. | 3 | $39 |
| Oyster Point Pharma, Inc. | 2 | $38 |
| Sandoz | 1 | $23 |
| Biotissue Holdings Inc. | 1 | $22 |
| AstraZeneca | 1 | $22 |
| GSK | 1 | $20 |
| Aerie Pharmaceuticals, Inc. | 1 | $17 |
| Kala Pharmaceuticals, Inc. | 1 | $16 |
| LKC Technologies, Inc. | 1 | $16 |
| Beaver-visitec International, Inc. | 1 | $6 |
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.
- DEXTENZA$300
- Syfovre$246
- Tecnis Simplicity$147
- Clareon PanOptix Pro$119
- Clareon$119
- Izervay$100
How this compares
$3,606 in reported general payments places this provider in the 75th percentile of 640 ophthalmology providers in Ohio.
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 |
|---|---|---|
| LumiganBimatoprost | 64 | $35,631 |
| RestasisCyclosporine | 23 | $22,243 |
| VyzultaLatanoprostene Bunod | 46 | $16,676 |
| Cyclosporine | 12 | $12,960 |
| RocklatanNetarsudil Mesylat/Latanoprost | 14 | $8,245 |
| MieboPerfluorohexyloctane/Pf | 11 | $8,214 |
| CombiganBrimonidine Tartrate/Timolol | 17 | $7,849 |
| Ketorolac Tromethamine | 338 | $6,997 |
| RhopressaNetarsudil Mesylate | 16 | $6,962 |
| Alphagan PBrimonidine Tartrate | 18 | $6,174 |
| Prednisolone Acetate | 148 | $5,907 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 28 | $5,190 |
| Fluorometholone | 38 | $4,647 |
| SimbrinzaBrinzolamide/Brimonidine Tart | 14 | $2,859 |
| Travoprost | 19 | $2,491 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieLumigan, Restasis, Combigan, Alphagan P | $466 | $71,896122 claims |
| Bausch & Lomb Americas Inc.Vyzulta, Miebo | $148 | $24,88957 claims |
| Aerie Pharmaceuticals, Inc.Rocklatan, Rhopressa | $17 | $15,20830 claims |
| AlconSimbrinza | $451 | $2,85914 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 640 ophthalmology providers in Ohio.
Other ophthalmology in Alliance
- Richard LehrerAlliance$102K
- John PajkaLima$17.7M
- Justis EhlersCleveland$5M
- Lawrence SingermanBeachwood$3.9M
- Sunil SrivastavaCleveland$2.8M
- Daniel MillerCincinnati$2.3M
- Jonathan LassCleveland$1.9M
- William WileyCleveland$1.9M
- Peter KaiserCleveland$1.5M
- David RogersColumbus$1.5M
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.