Vision Therapy: industry payments
Drug and device makers reported $570,227 in payments to providers registered in this specialty across Open Payments program years 2019–2025.
- Providers
- 253
- Received a payment
- 253 (100.0%)
- Total reported
- $570K
- Average, those paid
- $2,254
The average is computed only over providers who received something, because including the 0 who received nothing would produce a number that describes neither group. Totals are dominated by a small number of large royalty and consulting arrangements; the typical payment in this specialty is far smaller than the average implies.
What Medicare pays vision therapy clinicians
Across 134 vision therapy clinicians who billed Original Medicare Part B in 2024, Medicare allowed $4,551,388 in total — an average of $33,966 each, of which $33,966 was for services and the rest for drugs administered in the office.
This is not a salary. The rest is what Medicare allowed for services these clinicians billed — Original Medicare fee-for-service only. It excludes Medicare Advantage, which now covers more than half of Medicare enrollees, along with Medicaid and every commercial insurer, so for most clinicians it is a fraction of their practice. It is also gross revenue: staff, rent, supplies and malpractice premiums all come out of it before anyone is paid. Anyone quoting a figure like this as physician pay is misreading it.
By state
| State | Providers | Total reported | Per provider |
|---|---|---|---|
| California | 47 | $240,055 | $5,108 |
| Illinois | 9 | $93,861 | $10,429 |
| Georgia | 11 | $56,048 | $5,095 |
| New York | 22 | $19,779 | $899 |
| Florida | 10 | $16,199 | $1,620 |
| Texas | 12 | $15,725 | $1,310 |
| Oregon | 9 | $14,114 | $1,568 |
| South Carolina | 6 | $11,141 | $1,857 |
| Arizona | 6 | $10,738 | $1,790 |
| Tennessee | 7 | $8,571 | $1,224 |
| Ohio | 10 | $8,040 | $804 |
| Louisiana | 2 | $7,167 | $3,583 |
| Massachusetts | 3 | $6,818 | $2,273 |
| New Jersey | 16 | $6,300 | $394 |
| Indiana | 6 | $5,845 | $974 |
| Pennsylvania | 8 | $5,835 | $729 |
| Michigan | 6 | $5,306 | $884 |
| Missouri | 5 | $5,051 | $1,010 |
| Virginia | 3 | $4,981 | $1,660 |
| Arkansas | 4 | $4,453 | $1,113 |
| Colorado | 10 | $4,208 | $421 |
| North Carolina | 6 | $3,808 | $635 |
| Washington | 6 | $3,662 | $610 |
| Connecticut | 2 | $3,123 | $1,562 |
| Alabama | 1 | $1,448 | $1,448 |
| Delaware | 2 | $1,396 | $698 |
| Wisconsin | 2 | $1,287 | $643 |
| Kentucky | 2 | $1,074 | $537 |
| Nebraska | 1 | $702 | $702 |
| New Hampshire | 1 | $687 | $687 |
| Kansas | 2 | $608 | $304 |
| Minnesota | 2 | $550 | $275 |
| Idaho | 2 | $474 | $237 |
| Maryland | 6 | $461 | $77 |
| Rhode Island | 1 | $273 | $273 |
| Oklahoma | 1 | $248 | $248 |
| Puerto Rico | 1 | $94 | $94 |
| Iowa | 1 | $38 | $38 |
| New Mexico | 1 | $33 | $33 |
| AE | 1 | $25 | $25 |