Vikram Durairaj, MD
Ophthalmic Plastic and Reconstructive Surgery · Austin, TXNPI 1871683540
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (50.8%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Stryker at 55.2% of the total. Reporting peaked in 2022 at $123,714 and has fallen 67.2% since, to $40,531 in 2025. Among ophthalmic plastic and reconstructive surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 393 payments — averaging $963.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$209K
- Genentech USA, Inc.$127K
- Amgen$26K
- Sun Pharmaceutical Industries Inc.$10K
- Lumenis BE Inc$2K
- Tarsus Pharmaceuticals, Inc.$609
- plus $4K from 20 others
What the payments were for
- Consulting fees$192,46151%
- Speaking & faculty fees$120,72532%
- Travel & lodging$50,10113%
- Food & beverage$15,1064%
- Education$340%
- Entertainment$1440%
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 |
|---|---|---|
| Stryker | 190 | $208,796 |
| Genentech USA, Inc. | 90 | $127,494 |
| Amgen(2 entities) | 56 | $25,677 |
| Sun Pharmaceutical Industries Inc. | 13 | $10,278 |
| Lumenis BE Inc | 1 | $1,553 |
| Tarsus Pharmaceuticals, Inc. | 7 | $609 |
| Biotissue Holdings Inc. | 4 | $587 |
| Johnson & Johnson Surgical Vision, Inc. | 5 | $528 |
| Regeneron | 3 | $435 |
| NEW World Medical,inc. | 2 | $349 |
| Glaukos Corporation | 2 | $331 |
| Sight Sciences, Inc. | 2 | $276 |
| Bausch & Lomb Americas Inc. | 2 | $247 |
| Apellis Pharmaceuticals, Inc. | 2 | $243 |
| Rxsight Inc | 2 | $151 |
| Optos, Inc. | 1 | $144 |
| AbbVie(2 entities) | 2 | $131 |
| Alcon | 1 | $120 |
| Mallinckrodt Enterprises LLC | 1 | $119 |
| Aerie Pharmaceuticals, Inc. | 1 | $118 |
| Oyster Point Pharma, Inc. | 1 | $106 |
| Optovue, Inc. | 1 | $100 |
| Novartis | 1 | $95 |
| ANI Pharmaceuticals, Inc. | 1 | $31 |
| Integra Lifesciences Corporation | 1 | $29 |
| Mimedx Group, Inc. | 1 | $25 |
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.
- Erivedge$118,256
- NA$116,850
- VSP SYSTEM, VSP CRANIAL$98,505
- MEDPOR TITAN$83,127
- UNIVERSAL NEURO 3$52,171
- PATIENT-FITTED TMJ RECONSTRUCTIVE PROSTHESIS SYSTEM$39,461
- TEPEZZA$24,648
- ORBITAL$14,985
- UNIVERSAL MID-FACE$10,798
- ODOMZO$9,746
- OCULOPLASTIC$9,581
- UNIVERSAL MANDIBLE$9,580
- UNIVERSAL UPPER-FACE$9,580
- NEURO$8,131
- ADHERUS AUTOSPRAY DURAL SEALANT$6,475
- SMARTLOCK$3,859
- COLORADO$3,259
- CUSTOMIZED MANDIBLE RECON$2,881
- M22$1,553
- HYBRID MMF$431
How this compares
$378,572 in reported general payments places this provider in the 95th percentile of 36 ophthalmic plastic and reconstructive surgery providers in Texas.
See all ophthalmic plastic and reconstructive surgery providers in Texas →
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 |
|---|---|---|
| ErythromycinErythromycin Base | 349 | $3,801 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 91 | $964 |
| Prednisolone Acetate | 32 | $846 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 179 | $508 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 11 | $412 |
| Methylprednisolone | 58 | $362 |
| ValacyclovirValacyclovir Hcl | 15 | $140 |
Paid to pharmacies, not to this prescriber.
Other ophthalmic plastic and reconstructive surgery in Austin
- Richard AllenAustin$32K
- Tanya KhanAustin$10K
- Irina BelinskyAustin$5K
- Sean BlaydonAustin$4K
- Kendall GoodyearAustin$3K
- Tanuj NakraAustin$2K
- Krista StewartAustin$2K
- John ShoreAustin$981
- David GayDripping Springs$93K
- Timothy McCulleyHouston$12K
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.