Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Nicolas Biro

Ophthalmic Plastic and Reconstructive Surgery West Covina, CA Medical Doctor

NPI 1497959332 CMS profile 113793

1135 S Sunset Ave Ste 210, West Covina, CA 91790

Open in the dashboard

General payments

$76,163

210 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Nicolas Biro of West Covina, CA is reported in the CMS Open Payments database as having received $76,163 across 210 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 92nd percentile of Ophthalmic Plastic and Reconstructive Surgery profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $26,147 60
2024 General $7,635 39
2023 General $39,435 65
2022 General $2,131 24
2021 General $165 7
2020 General $303 9
2019 General $346 6

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Nicolas Biro
  • Ophthalmic Plastic and Reconstructive Surgery median
  • Middle half of Ophthalmic Plastic and Reconstructive Surgery
  • National median

In program year 2025, general payments to Nicolas Biro were reported at $26,147. Among 325 Ophthalmic Plastic and Reconstructive Surgery profiles paid that year, the median was $298 and the middle half received between $132 and $820.

Show as a table
Year Nicolas Biro Ophthalmic Plastic and Reconstructive Surgery median Middle half National median
2019 $346 $182 $73–$467 $163
2020 $303 $125 $41–$412 $114
2021 $165 $173 $52–$538 $132
2022 $2,131 $237 $78–$809 $149
2023 $39,435 $291 $103–$776 $160
2024 $7,635 $304 $108–$822 $164
2025 $26,147 $298 $132–$820 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Horizon Therapeutics plc $41,099 87 payments
  2. Amgen Inc. $33,583 94 payments
  3. Mallinckrodt Hospital Products Inc. $294 5 payments
  4. Sun Pharmaceutical Industries Inc. $231 3 payments
  5. Sight Sciences, Inc. $161 2 payments
  6. Oyster Point Pharma, Inc. $124 2 payments
  7. Glaukos Corporation $93 1 payment
  8. Bausch & Lomb, a division of Bausch Health US, LLC $76 1 payment
  9. Allergan Inc. $75 1 payment
  10. Tarsus Pharmaceuticals, Inc. $72 3 payments
  11. Other $355 11 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Honoraria $37,788 17 payments
  2. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $25,500 13 payments
  3. Food and Beverage $5,102 161 payments
  4. Consulting Fee $5,100 1 payment
  5. Travel and Lodging $2,510 14 payments
  6. Education $144 3 payments
  7. Gift $19 1 payment
Products named General payments · program years 2019–2025
  1. TEPEZZA Tepezza $41,065 86 payments
  2. TEPEZZA Inflammation/Rare Disease $32,945 93 payments
  3. ACTHAR $294 5 payments
  4. Cequa $231 3 payments
  5. OMNI(R) SURGICAL SYSTEM (US) $161 2 payments
  6. TYRVAYA $124 2 payments
  7. iDoseTR $93 1 payment
  8. ULTRA $76 1 payment
  9. BIOTRUE ONE DAY $76 1 payment
  10. LUMIGAN $75 1 payment
  11. Other $490 15 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 13 drugs

Part D claims

1,324

Median for Ophthalmology: 891

Drug cost

$34,067

Median for Ophthalmology: $68,233

Branded share of claims

70.8%

Median for Ophthalmology: 29.7%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Erythromycin Erythromycin Base Brand 758 $12,988
Restasis Cyclosporine Brand 14 $9,790
Fluorometholone Generic 49 $3,978
Tobradex Tobramycin/Dexamethasone Brand 11 $2,811
Prednisolone Acetate Generic 52 $1,904
Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha Brand 118 $1,381
Diazepam Generic 234 $362
Azelastine Hcl Generic 25 $253
Ofloxacin Generic 13 $230
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav Brand 12 $162

The 10 drugs with the highest cost, of 13 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 18,260 Part D prescribers listed as Ophthalmology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 51 billing codes

Paid by Medicare

$148,854

Of which drugs: $5,722

Medicare patients

357

Average age 74

Services billed

2,384

240 women, 117 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 74%
Arthritis 57%
Diabetes 40%
Ischemic heart disease 27%
Chronic kidney disease 26%
Depression 20%
Osteoporosis 20%
Heart failure 18%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, onabotulinumtoxina, 1 unit J0585 Office 11 1,203 $5,670
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301 Office 15 72 $50

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

2 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
TEPEZZA
  • Amgen Inc. $6,963
$6,963 — —
Rocklatan
  • Alcon Vision LLC $34
$34 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

Records

210 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Ophthalmic Plastic and Reconstructive Surgery in California

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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