Payment overview · 2025
General Payments
$10,563.19
12 reported records · 6 companies
Healthcare provider profile · identity verified
Douglas D. Koch, M.D.
Allopathic & Osteopathic Physicians|Ophthalmology · HOUSTON, TX · NPI 1881683233
Verified facts
What the public records show
CMS Open Payments records show Douglas D. Koch, M.D. received $10,563.19 in general payments during 2025 across 12 reported records.
Carl Zeiss Meditec, Inc. accounted for 36.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 20 associated products.
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 17 claims for Prolensa 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 |
|---|---|---|---|---|---|
| Carl Zeiss Meditec, Inc. | Unresolved — no canonical attribution shown | $3,825.00 | 36.2% | 3 | 2025 |
| Carl Zeiss Meditec USA, Inc. | Unresolved — no canonical attribution shown | $3,546.83 | 33.6% | 3 | 2025 |
| Johnson & Johnson Surgical Vision, Inc. | Unresolved — no canonical attribution shown | $2,158.92 | 20.4% | 3 | 2025 |
| Haag-Streit USA, Inc. | Unresolved — no canonical attribution shown | $850.00 | 8.1% | 1 | 2025 |
| Bausch & Lomb Americas Inc. | Unresolved — no canonical attribution shown | $150.00 | 1.4% | 1 | 2025 |
| RxSight Inc | Unresolved — no canonical attribution shown | $32.44 | 0.3% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Consulting Fee | $5,956.25 | 5 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $4,250.00 | 2 |
| Food and Beverage | $324.50 | 4 |
| Honoraria | $32.44 | 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 |
|---|---|---|---|---|---|
| VERACITY SURGICAL Normalized: veracity surgical |
Device | Carl Zeiss Meditec USA, Inc. | $3,526.43 | 2 | 2025 |
Source payment records
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| Cataract Suite Normalized: cataract suite |
Device | Carl Zeiss Meditec USA, Inc. | $3,400.00 | 1 | 2025 |
Source payment records
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| MEL 90 Normalized: mel 90 |
Device | Carl Zeiss Meditec, Inc. | $3,400.00 | 2 | 2025 |
Source payment records
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| QUATERA 700 Normalized: quatera 700 |
Device | Carl Zeiss Meditec USA, Inc. | $3,400.00 | 1 | 2025 |
Source payment records
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| VisuMax Normalized: visumax |
Device | Carl Zeiss Meditec, Inc. | $3,400.00 | 2 | 2025 |
Source payment records
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| CIRRUS HD-OCT Normalized: cirrus hd oct |
Device | Carl Zeiss Meditec USA, Inc., Carl Zeiss Meditec, Inc. | $2,995.40 | 3 | 2025 |
Source payment records
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| CALLISTO eye Normalized: callisto eye |
Device | Carl Zeiss Meditec, Inc. | $2,550.00 | 1 | 2025 |
Source payment records
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| IOLMaster 700 Normalized: iolmaster 700 |
Device | Carl Zeiss Meditec, Inc. | $2,550.00 | 1 | 2025 |
Source payment records
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| Compact Intuitiv Normalized: compact intuitiv |
Device | Johnson & Johnson Surgical Vision, Inc. | $2,131.25 | 2 | 2025 |
Source payment records
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| Healon Duet Pro Normalized: healon duet pro |
Device | Johnson & Johnson Surgical Vision, Inc. | $2,131.25 | 2 | 2025 |
Source payment records
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| TECNIS IOL Normalized: tecnis iol |
Device | Johnson & Johnson Surgical Vision, Inc. | $2,131.25 | 2 | 2025 |
Source payment records
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| ATLAS 500 Normalized: atlas 500 |
Device | Carl Zeiss Meditec, Inc. | $425.00 | 1 | 2025 |
Source payment records
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| CIRRUS 6000 with AngioPlex Normalized: cirrus 6000 with angioplex |
Device | Carl Zeiss Meditec, Inc. | $425.00 | 1 | 2025 |
Source payment records
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| CLARUS Normalized: clarus |
Device | Carl Zeiss Meditec, Inc. | $425.00 | 1 | 2025 |
Source payment records
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| LIGHT ADJUSTABLE LENS (LAL) Normalized: light adjustable lens lal |
Device | RxSight Inc | $32.44 | 1 | 2025 |
Source payment records
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| RXSIGHT CONTACT LENS Normalized: rxsight contact lens |
Device | RxSight Inc | $32.44 | 1 | 2025 |
Source payment records
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| RXSIGHT INJECTOR CARTRIDGE Normalized: rxsight injector cartridge |
Device | RxSight Inc | $32.44 | 1 | 2025 |
Source payment records
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| RXSIGHT INJECTOR HANDPIECE Normalized: rxsight injector handpiece |
Device | RxSight Inc | $32.44 | 1 | 2025 |
Source payment records
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| RXSIGHT LIGHT DELIVERY DEVICE (LDD) Normalized: rxsight light delivery device ldd |
Device | RxSight Inc | $32.44 | 1 | 2025 |
Source payment records
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| Tecnis Simplicity Normalized: tecnis simplicity |
Device | Johnson & Johnson Surgical Vision, Inc. | $27.67 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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 |
|---|---|---|---|---|---|---|
| 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 |
17 | 16 |
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 |
|---|---|---|---|
| Prednisolone Acetate | Prednisolone Acetate | 117 | 98 |
| Moxifloxacin | Moxifloxacin Hcl | 109 | 92 |
| Bromfenac Sodium | Bromfenac Sodium | 37 | 31 |
| Fluorometholone | Fluorometholone | 25 | 16 |
| Doxycycline Hyclate | Doxycycline Hyclate | 18 | suppressed |
| Prolensa | Bromfenac Sodium | 17 | 16 |
| Polymyxin B Sul-Trimethoprim | Polymyxin B Sulf/Trimethoprim | 16 | 16 |
| Tyrvaya | Varenicline Tartrate | 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 | $10,563.19 · 12 records | Carl Zeiss Meditec, Inc. | ATLAS 500, CALLISTO eye, CIRRUS 6000 with AngioPlex, CIRRUS HD-OCT, CLARUS, Cataract Suite, Compact Intuitiv, Healon Duet Pro, IOLMaster 700, LIGHT ADJUSTABLE LENS (LAL), MEL 90, QUATERA 700, RXSIGHT CONTACT LENS, RXSIGHT INJECTOR CARTRIDGE, RXSIGHT INJECTOR HANDPIECE, RXSIGHT LIGHT DELIVERY DEVICE (LDD), TECNIS IOL, Tecnis Simplicity, VERACITY SURGICAL, VisuMax | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with Bausch & Lomb Americas Inc.?
- 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