Tyler Risma, MD
Ophthalmology · Iowa City, IANPI 1679987689
Payments from drug & device makers
Across 2 payments — averaging $37.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- NEW World Medical,inc.$57
- Alcon$18
What the payments were for
- Food & beverage$75100%
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 |
|---|---|---|
| NEW World Medical,inc. | 1 | $57 |
| Alcon | 1 | $18 |
How this compares
$75 in reported general payments places this provider in the 15th percentile of 172 ophthalmology providers in Iowa.
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 | 11 | $10,855 |
| RhopressaNetarsudil Mesylate | 24 | $10,000 |
| Latanoprost | 555 | $7,169 |
| Prednisolone Acetate | 166 | $5,337 |
| LumiganBimatoprost | 14 | $5,301 |
| Timolol Maleate | 173 | $4,893 |
| Travoprost | 17 | $3,852 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 156 | $3,554 |
| Brinzolamide | 14 | $2,753 |
| Brimonidine Tartrate | 105 | $1,886 |
| ValacyclovirValacyclovir Hcl | 21 | $1,828 |
| Dorzolamide Hcl | 64 | $1,517 |
| Ketorolac Tromethamine | 69 | $1,117 |
| Azelastine Hcl | 16 | $317 |
| MoxifloxacinMoxifloxacin Hcl | 23 | $305 |
Paid to pharmacies, not to this prescriber.
Other ophthalmology in Iowa City
- James FolkIowa City$5.1M
- Michael AbramoffIowa City$1.9M
- Stephen RussellIowa City$1.8M
- Alina DumitrescuIowa City$264K
- Keith CarterIowa City$54K
- Erin ShriverIowa City$43K
- Marc Toeteberg-HarmsIowa City$21K
- Randy KardonIowa City$15K
- Elliott SohnIowa City$12K
- Matthew WardIowa City$8K
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.