Payment overview · 2025
General Payments
$3,410.13
99 reported records · 12 companies
Healthcare provider profile · identity verified
Keshav Narain, M.D.
Allopathic & Osteopathic Physicians|Ophthalmology|Retina Specialist · SAN JOSE, CA · NPI 1487680328
Verified facts
What the public records show
CMS Open Payments records show Keshav Narain, M.D. received $3,410.13 in general payments during 2025 across 99 reported records.
BIOTISSUE HOLDINGS INC. accounted for 46.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 15 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Cequa, Rhopressa, Xdemvy, Xiidra.
Alcon Vision LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Rhopressa as an associated drug or biological on 1524 records involving 961 distinct recipient NPIs. Public Medicare Part D data also shows 27 claims for Rhopressa by this doctor in 2024.
Alcon Vision LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Simbrinza as an associated drug or biological on 1563 records involving 637 distinct recipient NPIs. Public Medicare Part D data also shows 41 claims for Simbrinza by this doctor in 2024.
Bausch & Lomb Americas Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported PROLENSA as an associated drug or biological on 18 records involving 13 distinct recipient NPIs. Public Medicare Part D data also shows 33 claims for Prolensa by this doctor in 2024.
Bausch & Lomb Americas Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported VYZULTA as an associated drug or biological on 10850 records involving 5317 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Vyzulta by this doctor in 2024.
Bausch & Lomb Americas Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported XIIDRA as an associated drug or biological on 28163 records involving 11019 distinct recipient NPIs. Public Medicare Part D data also shows 143 claims for Xiidra by this doctor in 2024.
SUN PHARMACEUTICAL INDUSTRIES INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Cequa as an associated drug or biological on 25765 records involving 9461 distinct recipient NPIs. Public Medicare Part D data also shows 90 claims for Cequa by this doctor in 2024.
Tarsus Pharmaceuticals, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported XDEMVY as an associated drug or biological on 46638 records involving 15254 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Xdemvy by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| BIOTISSUE HOLDINGS INC. | Unresolved — no canonical attribution shown | $1,596.35 | 46.8% | 13 | 2025 |
| Alcon Vision LLC | Unresolved — no canonical attribution shown | $519.75 | 15.2% | 15 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $404.08 | 11.8% | 19 | 2025 |
| Tarsus Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $329.33 | 9.7% | 37 | 2025 |
| Carl Zeiss Meditec USA, Inc. | Unresolved — no canonical attribution shown | $134.64 | 4.0% | 2 | 2025 |
| Dompe US, Inc. | Unresolved — no canonical attribution shown | $124.99 | 3.7% | 1 | 2025 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | Unresolved — no canonical attribution shown | $118.06 | 3.5% | 4 | 2025 |
| Apellis Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $59.60 | 1.8% | 2 | 2025 |
| Bausch & Lomb Americas Inc. | Unresolved — no canonical attribution shown | $41.76 | 1.2% | 2 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $36.50 | 1.1% | 1 | 2025 |
| Oyster Point Pharma, Inc. | Unresolved — no canonical attribution shown | $31.25 | 0.9% | 2 | 2025 |
| ViiV Healthcare Company | Unresolved — no canonical attribution shown | $13.82 | 0.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $3,016.82 | 98 |
| Travel and Lodging | $393.31 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| PROKERA Normalized: prokera |
Device | BIOTISSUE HOLDINGS INC. | $471.04 | 2 | 2025 |
Source payment records
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| TEPEZZA Normalized: tepezza |
Biological | Amgen Inc. | $385.92 | 18 | 2025 |
Source payment records
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| XDEMVY Normalized: xdemvy |
Drug | Tarsus Pharmaceuticals, Inc. | $329.33 | 37 | 2025 |
Source payment records
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| TRYPTYR Normalized: tryptyr |
Drug | Alcon Vision LLC | $224.35 | 6 | 2025 |
Source payment records
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| Rocklatan Normalized: rocklatan |
Drug | Alcon Vision LLC | $208.29 | 4 | 2025 |
Source payment records
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| Rhopressa Normalized: rhopressa |
Drug | Alcon Vision LLC | $125.36 | 1 | 2025 |
Source payment records
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| OXERVATE Normalized: oxervate |
Drug | Dompe US, Inc. | $124.99 | 1 | 2025 |
Source payment records
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| Cequa Normalized: cequa |
Drug | SUN PHARMACEUTICAL INDUSTRIES INC. | $118.06 | 4 | 2025 |
Source payment records
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| EYSUVIS Normalized: eysuvis |
Drug | Alcon Vision LLC | $87.11 | 5 | 2025 |
Source payment records
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| Syfovre Normalized: syfovre |
Drug | Apellis Pharmaceuticals, Inc. | $59.60 | 2 | 2025 |
Source payment records
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| XIIDRA Normalized: xiidra |
Drug | Bausch & Lomb Americas Inc. | $41.76 | 2 | 2025 |
Source payment records
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| EYLEA HD Normalized: eylea hd |
Biological | Regeneron Healthcare Solutions, Inc. | $36.50 | 1 | 2025 |
Source payment records
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| TYRVAYA Normalized: tyrvaya |
Drug | Oyster Point Pharma, Inc. | $31.25 | 2 | 2025 |
Source payment records
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| PAVBLU Normalized: pavblu |
Biological | Amgen Inc. | $18.16 | 1 | 2025 |
Source payment records
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| APRETUDE Normalized: apretude |
Drug | ViiV Healthcare Company | $13.82 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Cequa cequa |
2025 | Cequa | 2024 | 90 | exact normalized | Medicare Part D |
| Rhopressa rhopressa |
2025 | Rhopressa | 2024 | 27 Beneficiary count suppressed |
exact normalized | Medicare Part D |
| XDEMVY xdemvy |
2025 | Xdemvy | 2024 | 31 | exact normalized | Medicare Part D |
| XIIDRA xiidra |
2025 | Xiidra | 2024 | 143 | exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| Alcon Vision LLC Exact reporting entity; no affiliate inference |
2025 | Rhopressa open payments reported associated product |
CMS Open Payments — General Payments 1524 supporting records · 961 recipient NPIs · example record 1207357314 |
Rhopressa · 2024 Exact normalized brand match · 1 Part D row |
27 | suppressed by CMS |
| Alcon Vision LLC Exact reporting entity; no affiliate inference |
2025 | Simbrinza open payments reported associated product |
CMS Open Payments — General Payments 1563 supporting records · 637 recipient NPIs · example record 1207357100 |
Simbrinza · 2024 Exact normalized brand match · 1 Part D row |
41 | 12 |
| Bausch & Lomb Americas Inc. Exact reporting entity; no affiliate inference |
2025 | PROLENSA open payments reported associated product |
CMS Open Payments — General Payments 18 supporting records · 13 recipient NPIs · example record 1254766966 |
Prolensa · 2024 Exact normalized brand match · 1 Part D row |
33 | suppressed by CMS |
| Bausch & Lomb Americas Inc. Exact reporting entity; no affiliate inference |
2025 | VYZULTA open payments reported associated product |
CMS Open Payments — General Payments 10850 supporting records · 5317 recipient NPIs · example record 1254730226 |
Vyzulta · 2024 Exact normalized brand match · 1 Part D row |
11 | suppressed by CMS |
| Bausch & Lomb Americas Inc. Exact reporting entity; no affiliate inference |
2025 | XIIDRA open payments reported associated product |
CMS Open Payments — General Payments 28163 supporting records · 11019 recipient NPIs · example record 1254730224 |
Xiidra · 2024 Exact normalized brand match · 1 Part D row |
143 | 40 |
| SUN PHARMACEUTICAL INDUSTRIES INC. Exact reporting entity; no affiliate inference |
2025 | Cequa open payments reported associated product |
CMS Open Payments — General Payments 25765 supporting records · 9461 recipient NPIs · example record 1250962431 |
Cequa · 2024 Exact normalized brand match · 1 Part D row |
90 | 21 |
| Tarsus Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | XDEMVY open payments reported associated product |
CMS Open Payments — General Payments 46638 supporting records · 15254 recipient NPIs · example record 1233825434 |
Xdemvy · 2024 Exact normalized brand match · 1 Part D row |
31 | 29 |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Dorzolamide Hcl | Dorzolamide Hcl | 454 | 146 |
| Prednisolone Acetate | Prednisolone Acetate | 334 | 232 |
| Restasis | Cyclosporine | 226 | 59 |
| Brimonidine Tartrate | Brimonidine Tartrate | 169 | 51 |
| Xiidra | Lifitegrast | 143 | 40 |
| Cyclosporine | Cyclosporine | 124 | 47 |
| Cequa | Cyclosporine | 90 | 21 |
| Brinzolamide | Brinzolamide | 66 | 30 |
| Bromfenac Sodium | Bromfenac Sodium | 46 | 17 |
| Timolol Maleate | Timolol Maleate | 43 | 11 |
| Simbrinza | Brinzolamide/Brimonidine Tart | 41 | 12 |
| Prolensa | Bromfenac Sodium | 33 | suppressed |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 32 | suppressed |
| Xdemvy | Lotilaner | 31 | 29 |
| Rhopressa | Netarsudil Mesylate | 27 | suppressed |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 23 | 23 |
| Atropine Sulfate | Atropine Sulfate | 18 | suppressed |
| Azopt | Brinzolamide | 14 | suppressed |
| Latanoprost | Latanoprost | 13 | suppressed |
| Moxifloxacin | Moxifloxacin Hcl | 13 | suppressed |
| Prednisone | Prednisone | 12 | suppressed |
| Vyzulta | Latanoprostene Bunod | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $3,410.13 · 99 records | BIOTISSUE HOLDINGS INC. | APRETUDE, Cequa, EYLEA HD, EYSUVIS, OXERVATE, PAVBLU, PROKERA, Rhopressa, Rocklatan, Syfovre, TEPEZZA, TRYPTYR, TYRVAYA, XDEMVY, XIIDRA | 7 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Cequa play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Alcon Vision LLC?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error