Paul Kremer, MD
Ophthalmology · Silverdale, WANPI 1639170152
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.2% of the total across 65 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by Alcon at 29.4% of the total. 2025 is the largest year on record at $556, 2.0 times the $275 reported in 2019.
Across 65 payments — averaging $32.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$624
- AbbVie$382
- Tarsus Pharmaceuticals, Inc.$176
- Rxsight Inc$129
- Apellis Pharmaceuticals, Inc.$118
- Sight Sciences, Inc.$92
- plus $605 from 15 others
Across 7 payments — averaging $5714.29 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Rxsight Inc$40K
What the payments were for
- Speaking & faculty fees$392%
- Food & beverage$2,08898%
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 | 11 | $624 |
| AbbVie | 15 | $382 |
| Tarsus Pharmaceuticals, Inc. | 6 | $176 |
| Rxsight Inc | 3 | $129 |
| Apellis Pharmaceuticals, Inc. | 1 | $118 |
| Sight Sciences, Inc. | 1 | $92 |
| Bausch & Lomb Americas Inc. | 5 | $83 |
| Oyster Point Pharma, Inc. | 3 | $71 |
| Dompe US, Inc. | 3 | $66 |
| Biotissue Holdings Inc. | 2 | $48 |
| Sun Pharmaceutical Industries Inc. | 2 | $43 |
| Harrow Eye, LLC | 2 | $42 |
| Thea Pharma Inc. | 2 | $42 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 2 | $41 |
| Eyepoint US, Inc. | 1 | $38 |
| Carl Zeiss Meditec USA, Inc. | 1 | $29 |
| Kala Pharmaceuticals, Inc. | 1 | $25 |
| NEW World Medical,inc. | 1 | $23 |
| Akorn, Inc. | 1 | $21 |
| Mallinckrodt Enterprises LLC | 1 | $18 |
| Johnson & Johnson Vision Care, 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
$2,126 in reported general payments places this provider in the 70th percentile of 428 ophthalmology providers in Washington.
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 |
|---|---|---|
| RestasisCyclosporine | 23 | $28,937 |
| Cyclosporine | 25 | $13,911 |
| Prednisolone Acetate | 224 | $9,017 |
| LumiganBimatoprost | 17 | $8,456 |
| Latanoprost | 186 | $2,928 |
| Brinzolamide | 11 | $1,582 |
| Travoprost | 13 | $1,333 |
| Ketorolac Tromethamine | 57 | $1,245 |
| Timolol Maleate | 53 | $1,189 |
| Brimonidine Tartrate | 51 | $1,060 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 12 | $988 |
| ValacyclovirValacyclovir Hcl | 25 | $953 |
| Polymyxin B Sul-TrimethoprimPolymyxin B Sulf/Trimethoprim | 75 | $668 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 40 | $607 |
| MoxifloxacinMoxifloxacin Hcl | 21 | $318 |
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 |
|---|---|---|
| AbbVieRestasis, Lumigan | $382 | $37,39340 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 70th percentile of 428 ophthalmology providers in Washington.
Other ophthalmology in Silverdale
- Todd SchneidermanSilverdale$200K
- Elizabeth MartinSilverdale$7K
- Laura PerimanSeattle$1.7M
- Sheldon CowenSeattle$560K
- Jennifer ChaoSeattle$188K
- Mark KontosSpokane Valley$175K
- Audrey RostovBellevue$155K
- John SamplesOlympia$115K
- Barbara SmitSpokane$110K
- Debarshi MustafiSeattle$85K
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.