Ralph Sando, MD
Ophthalmology · Ardmore, PANPI 1326015421
Payments from drug & device makers
Across 239 payments — averaging $41.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson Surgical Vision, Inc.$2K
- Alcon$2K
- AbbVie$1K
- Oyster Point Pharma, Inc.$759
- Sun Pharmaceutical Industries Inc.$709
- Novartis$562
- plus $2K from 22 others
What the payments were for
- Consulting fees$1,48515%
- Travel & lodging$120%
- Food & beverage$8,31685%
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 |
|---|---|---|
| Johnson & Johnson Surgical Vision, Inc. | 14 | $2,394 |
| Alcon | 47 | $1,955 |
| AbbVie(2 entities) | 41 | $1,110 |
| Oyster Point Pharma, Inc. | 38 | $759 |
| Sun Pharmaceutical Industries Inc. | 25 | $709 |
| Novartis | 18 | $562 |
| Tarsus Pharmaceuticals, Inc. | 9 | $484 |
| Lensar, Inc. | 1 | $321 |
| Sight Sciences, Inc. | 3 | $166 |
| Bausch & Lomb Americas Inc. | 7 | $159 |
| Quidel Corporation | 4 | $156 |
| Ivantis, Inc | 1 | $150 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 7 | $131 |
| Aerie Pharmaceuticals, Inc. | 1 | $125 |
| Rxsight Inc | 2 | $86 |
| Dompe US, Inc. | 3 | $80 |
| NEW World Medical,inc. | 1 | $78 |
| Harrow Eye, LLC | 2 | $65 |
| Glaukos Corporation | 1 | $63 |
| Shire North American Group Inc | 3 | $62 |
| Eyevance Pharmaceuticals LLC | 4 | $62 |
| Mallinckrodt Enterprises LLC | 1 | $28 |
| Coopervision Inc. | 1 | $28 |
| ANI Pharmaceuticals, Inc. | 1 | $21 |
| Akorn, Inc. | 1 | $18 |
| Biotissue Holdings Inc. | 1 | $16 |
| Thea Pharma Inc. | 1 | $15 |
| Amgen | 1 | $11 |
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.
- Tecnis IOL$698
- LENSAR LASER SYSTEM$321
- Clareon$263
- XDEMVY$257
- Hydrus$150
- Hydrus Microstent$150
- TYRVAYA$146
- AcrySof IQ VIVITY IOL$141
- LUMIGAN$126
- DURYSTA$126
- XEN GLAUCOMA TREATMENT SYSTEM$126
- RESTASIS$125
- Rhopressa$125
- Rocklatan$125
- CATALYS SYSTEM$124
- TRAVATAN Z$123
- OMNI$123
- XIIDRA$116
- PanOptix$111
- Tecnis Multifocal Family of 1-piece IOLS$105
How this compares
$9,813 in reported general payments places this provider in the 85th percentile of 920 ophthalmology providers in Pennsylvania.
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 | 73 | $109,988 |
| LumiganBimatoprost | 96 | $51,231 |
| Cyclosporine | 54 | $38,060 |
| Difluprednate | 179 | $17,849 |
| MieboPerfluorohexyloctane/Pf | 16 | $11,840 |
| Alphagan PBrimonidine Tartrate | 16 | $6,565 |
| CombiganBrimonidine Tartrate/Timolol | 12 | $5,860 |
| Travoprost | 14 | $4,624 |
| MoxifloxacinMoxifloxacin Hcl | 218 | $3,823 |
| Latanoprost | 230 | $3,611 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 150 | $3,241 |
| Ketorolac Tromethamine | 232 | $2,577 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 63 | $2,410 |
| Timolol Maleate | 114 | $1,307 |
| Dorzolamide Hcl | 45 | $1,262 |
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, Alphagan P, Combigan | $1,110 | $173,644197 claims |
| Bausch & Lomb Americas Inc.Miebo | $159 | $11,84016 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 85th percentile of 920 ophthalmology providers in Pennsylvania.
Other ophthalmology in Ardmore
- David AlmeidaErie$6.3M
- William ChristieCranberry Township$5.2M
- Carl RegilloPlymouth Meeting$3.2M
- Erik KrugerKingston$3M
- Sunir GargPlymouth Meeting$2M
- Allen ChiangPlymouth Meeting$1.6M
- Julia HallerPhiladelphia$1.5M
- Mitchell FinemanPlymouth Meeting$1.3M
- Allen HoPlymouth Meeting$1.3M
- Brandon AyresBala Cynwyd$1.3M
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.