Richard Fichman, MD
Ophthalmology · Manchester, CTNPI 1134232424
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,800 of the $3,226 with a category attached, or 86.8%. Alcon accounts for 89.5% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2019 at $2,879 and has fallen 96.4% since, to $104 in 2023.
Across 27 payments — averaging $119.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$3K
- Kala Pharmaceuticals, Inc.$85
- Novartis$52
- Bausch & Lomb, A Division Of Bausch Health US, LLC$50
- AbbVie$43
- Bausch & Lomb Americas Inc.$35
- plus $75 from 4 others
What the payments were for
- Consulting fees$2,80087%
- Food & beverage$40813%
- Education$181%
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 | 9 | $2,886 |
| Kala Pharmaceuticals, Inc. | 4 | $85 |
| Novartis | 2 | $52 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 3 | $50 |
| AbbVie(2 entities) | 3 | $43 |
| Bausch & Lomb Americas Inc. | 2 | $35 |
| Eyevance Pharmaceuticals LLC | 1 | $21 |
| Amgen | 1 | $21 |
| Ocular Therapeutix, Inc. | 1 | $17 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $16 |
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.
- LenSx$2,800
How this compares
$3,226 in reported general payments places this provider in the 80th percentile of 279 ophthalmology providers in Connecticut.
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 |
|---|---|---|
| Lotemax SmLoteprednol Etabonate | 41 | $10,414 |
| BesivanceBesifloxacin Hcl | 39 | $8,767 |
| ProlensaBromfenac Sodium | 19 | $6,700 |
| Prednisolone Acetate | 101 | $6,017 |
| Bromfenac Sodium | 20 | $4,194 |
| Ciprofloxacin Hcl | 101 | $1,108 |
| Diclofenac Sodium | 89 | $1,004 |
| Latanoprost | 33 | $432 |
| Ketorolac Tromethamine | 14 | $332 |
| Acetazolamide ErAcetazolamide | 11 | $34 |
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 |
|---|---|---|
| Bausch & Lomb, A Division Of Bausch Health US, LLCLotemax Sm, Besivance, Prolensa | $50 | $25,88199 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 80th percentile of 279 ophthalmology providers in Connecticut.
Other ophthalmology in Manchester
- John HuangHartford$267K
- Amir CohenNew Haven$266K
- James MurphyHamden$176K
- James TalbotNew Canaan$47K
- Paul KangNew Haven$40K
- Anish ShahNorwich$38K
- Michael KovalFarmington$35K
- Scott SpectorNorwalk$23K
- Madina FalconeFarmington$23K
- Flora LevinBridgeport$19K
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.