Dr. Patrick Higgins, MD

NPI: 1285642470
Total Payments
$85,882
2024 Payments
$63,152
Companies
38
Transactions
190
Medicare Patients
15,709
Medicare Billing
$7.9M

Payment Breakdown by Category

Research$69,994 (81.5%)
Food & Beverage$5,239 (6.1%)
Consulting$4,920 (5.7%)
Travel$3,554 (4.1%)
Gifts$1,805 (2.1%)
Other$218.76 (0.3%)
Education$151.44 (0.2%)

Payments by Nature

Nature of Payment Amount Transactions Share
Unspecified $69,994 20 81.5%
Food and Beverage $5,239 152 6.1%
Consulting Fee $4,920 2 5.7%
Travel and Lodging $3,554 3 4.1%
Gift $1,805 2 2.1%
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $207.52 8 0.2%
Education $151.44 2 0.2%
Honoraria $11.24 1 0.0%

Payments by Type

Research
$69,994
20 transactions
General
$15,888
170 transactions

Top Paying Companies

Company Total Records Latest Year
Alimera Sciences, Inc. $62,604 27 $0 (2024)
Regeneron Pharmaceuticals, Inc. $7,752 12 $0 (2021)
Regeneron Healthcare Solutions, Inc. $6,890 14 $0 (2024)
Roche TCRC, Inc. $2,437 2 $0 (2019)
Carl Zeiss Meditec, Inc. $1,786 1 $0 (2017)
Genentech USA, Inc. $663.58 18 $0 (2024)
SUN PHARMACEUTICAL INDUSTRIES INC. $458.56 17 $0 (2024)
Allergan, Inc. $454.00 18 $0 (2021)
Apellis Pharmaceuticals, Inc. $356.68 7 $0 (2024)
Mallinckrodt Enterprises LLC $304.90 17 $0 (2019)

Payment History by Year

Year Amount Transactions Top Company
2024 $63,152 28 Alimera Sciences, Inc. ($62,374)
2023 $647.26 12 Coherus Biosciences Inc. ($195.05)
2022 $897.63 14 Genentech USA, Inc. ($303.01)
2021 $1,477 9 Regeneron Pharmaceuticals, Inc. ($1,339)
2020 $567.22 14 Allergan, Inc. ($180.59)
2019 $5,654 33 Regeneron Pharmaceuticals, Inc. ($2,721)
2018 $10,804 44 Regeneron Healthcare Solutions, Inc. ($6,376)
2017 $2,684 36 Carl Zeiss Meditec, Inc. ($1,786)

All Payment Transactions

190 individual payment records from CMS Open Payments — Page 1 of 8

Date Company Product Nature Form Amount Type
12/05/2024 Apellis Pharmaceuticals, Inc. Syfovre (Drug) Food and Beverage In-kind items and services $21.99 General
Category: Ophthalmology
12/05/2024 ABBVIE INC. OZURDEX (Drug) Food and Beverage In-kind items and services $19.00 General
Category: EYE CARE
10/30/2024 Tarsus Pharmaceuticals, Inc. XDEMVY (Drug) Food and Beverage In-kind items and services $108.05 General
Category: DEMODEX BLEPHARITIS
10/24/2024 Apellis Pharmaceuticals, Inc. Syfovre (Drug) Food and Beverage In-kind items and services $18.13 General
Category: Ophthalmology
10/20/2024 Genentech USA, Inc. Vabysmo (Drug) Food and Beverage In-kind items and services $32.14 General
Category: Immunology and Ophthalmology
10/18/2024 Ocular Therapeutix, Inc. DEXTENZA (Drug) Food and Beverage In-kind items and services $36.15 General
Category: Corticosteroid intracanalicular insert
10/16/2024 Apellis Pharmaceuticals, Inc. Syfovre (Drug) Food and Beverage In-kind items and services $20.48 General
Category: Ophthalmology
09/28/2024 Regeneron Healthcare Solutions, Inc. EYLEA HD (Biological) Food and Beverage In-kind items and services $134.21 General
Category: OPHTHALMOLOGY
09/26/2024 ABBVIE INC. OZURDEX (Drug) Food and Beverage In-kind items and services $18.97 General
Category: EYE CARE
09/17/2024 Alimera Sciences, Inc. YUTIQ (Drug), ILUVIEN Food and Beverage In-kind items and services $14.64 General
Category: Treatment of chronic non-infectious uveitis affecting the posterior segment of the eye
09/15/2024 Alimera Sciences, Inc. ILUVIEN (Drug) Cash or cash equivalent $2,826.00 Research
Study: Iluvien Study • Category: treatment of diabetic macular edema in patients who have been previously treated with corticosteroid
09/09/2024 Heron Therapeutics, Inc. ZYNRELEF (Drug) Food and Beverage In-kind items and services $20.08 General
Category: POST SURGICAL PAIN RELIEF
08/01/2024 ABBVIE INC. OZURDEX (Drug) Food and Beverage In-kind items and services $19.46 General
Category: EYE CARE
07/25/2024 Alimera Sciences, Inc. ILUVIEN (Drug) Cash or cash equivalent $8,986.50 Research
Study: Iluvien Study • Category: treatment of diabetic macular edema in patients who have been previously treated with corticosteroid
07/17/2024 SUN PHARMACEUTICAL INDUSTRIES INC. Cequa (Drug) Food and Beverage In-kind items and services $106.63 General
Category: Ophthalmology
06/04/2024 Alimera Sciences, Inc. ILUVIEN (Drug) Cash or cash equivalent $2,094.35 Research
Study: Iluvien Study • Category: treatment of diabetic macular edema in patients who have been previously treated with corticosteroid
05/29/2024 Alimera Sciences, Inc. ILUVIEN (Drug) Cash or cash equivalent $12,589.20 Research
Study: Iluvien Study • Category: treatment of diabetic macular edema in patients who have been previously treated with corticosteroid
05/03/2024 Harrow Eye, LLC Food and Beverage In-kind items and services $58.90 General
04/04/2024 Astellas Pharma US Inc Izervay (Drug) Food and Beverage In-kind items and services $33.69 General
Category: Ophthalmology
03/27/2024 Alimera Sciences, Inc. ILUVIEN (Drug) Cash or cash equivalent $10,003.50 Research
Study: Iluvien Study • Category: treatment of diabetic macular edema in patients who have been previously treated with corticosteroid
03/12/2024 Alimera Sciences, Inc. YUTIQ (Drug), ILUVIEN Food and Beverage In-kind items and services $23.23 General
Category: Treatment of chronic non-infectious uveitis affecting the posterior segment of the eye
03/01/2024 Alimera Sciences, Inc. ILUVIEN (Drug) Cash or cash equivalent $4,285.83 Research
Study: Iluvien Study • Category: treatment of diabetic macular edema in patients who have been previously treated with corticosteroid
02/22/2024 ABBVIE INC. OZURDEX (Drug) Food and Beverage In-kind items and services $16.94 General
Category: EYE CARE
02/20/2024 Alimera Sciences, Inc. YUTIQ (Drug), ILUVIEN Food and Beverage In-kind items and services $23.15 General
Category: Treatment of chronic non-infectious uveitis affecting the posterior segment of the eye
02/19/2024 Alimera Sciences, Inc. ILUVIEN (Drug) Cash or cash equivalent $6,446.79 Research
Study: Iluvien Study • Category: treatment of diabetic macular edema in patients who have been previously treated with corticosteroid

Research Studies & Clinical Trials

Study Name Company Amount Records
Iluvien Study Alimera Sciences, Inc. $62,313 9
A Phase 3, Double-Masked, Randomized Study of the Efficacy and Safety of Intravitreal Aflibercept Injection in Patients With Moderately Severe to Severe Nonproliferative Diabetic Retinopathy Regeneron Pharmaceuticals, Inc. $3,168 2
A PHASE 3, DOUBLE-MASKED, RANDOMIZED STUDY OF THE EFFICACY AND SAFETY OF INTRAVITREAL AFLIBERCEPT INJECTION IN PATIENTS WITH MODERATELY SEVERE TO SEVERE NONPROLIFERATIVE DIABETIC RETINOPATHY Regeneron Pharmaceuticals, Inc. $3,054 2
A Randomized, Single-Masked, Active-Controlled Phase 2 Study of the Safety, Tolerability, and Efficacy of Repeated Doses of High-Dose Aflibercept in Patients With Neovascular Age-Related Macular Degeneration Regeneron Pharmaceuticals, Inc. $1,006 6
EYLEA CLINICAL DEVELOPMENT PROGRAM Regeneron Pharmaceuticals, Inc. $453.60 1

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 26 3,129 28,202 $4.6M $1.8M
2022 26 3,514 10,145 $4.7M $1.9M
2021 24 3,798 11,478 $5.9M $2.5M
2020 28 5,268 13,142 $4.8M $1.7M
Total Patients
15,709
Total Services
62,967
Medicare Billing
$7.9M
Procedure Codes
104

All Medicare Procedures & Services

104 procedure records from CMS Medicare Utilization — Page 3 of 5

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
83036 Hemoglobin a1c level Office 2022 66 94 $1,880 $903.34 48.1%
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg Office 2022 15 116 $348.00 $94.67 27.2%
J0178 Injection, aflibercept, 1 mg Office 2021 211 2,108 $2.9M $1.5M 52.2%
J2778 Injection, ranibizumab, 0.1 mg Office 2021 59 1,290 $645,000 $323,861 50.2%
92014 Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits Office 2021 749 1,973 $702,388 $214,427 30.5%
67028 Injection of drug into eye Office 2021 261 1,315 $631,200 $143,062 22.7%
92134 Diagnostic imaging of retina Office 2021 818 2,176 $284,903 $79,043 27.7%
67041 Removal of membrane from the retina Facility 2021 48 50 $163,600 $50,245 30.7%
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg Office 2021 14 210 $63,000 $32,548 51.7%
92235 Imaging of blood vessels in back of eye using fluorescein dye Office 2021 245 290 $94,540 $31,423 33.2%
92201 Extended examination of eye with drawing of retina Office 2021 663 1,117 $94,945 $24,271 25.6%
92287 Imaging and evaluation of deep cells of the eye Office 2021 132 153 $55,629 $20,776 37.3%
92004 Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits Office 2021 98 98 $41,748 $12,295 29.5%
67210 Laser destruction of retinal growth, 1 or more sessions Office 2021 18 26 $35,100 $12,048 34.3%
92012 Eye and medical examination for diagnosis and treatment, established patient Office 2021 102 138 $34,224 $11,105 32.4%
66984 Removal of cataract with insertion of lens, simple Facility 2021 12 14 $22,696 $4,983 22.0%
99214 Established patient outpatient visit, total time 30-39 minutes Office 2021 36 37 $11,026 $4,265 38.7%
92250 Photography of the retina Office 2021 104 119 $24,752 $4,017 16.2%
J7999 Compounded drug, not otherwise classified Office 2021 23 49 $21,450 $3,400 15.9%
99204 New patient outpatient visit, total time 45-59 minutes Office 2021 23 23 $9,972 $2,918 29.3%
76512 Ultrasound of eye disease, growth, or structure Office 2021 24 34 $6,944 $1,454 20.9%
92083 Measurement of field of vision during daylight conditions, extended examination Office 2021 23 25 $4,548 $1,401 30.8%
83036 Hemoglobin a1c level Office 2021 93 133 $2,660 $1,291 48.6%
67515 Injection of medication or substance into membrane covering eyeball Office 2021 11 16 $3,510 $682.83 19.5%
99211 Established patient outpatient visit, minimal presenting problem Office 2021 20 20 $915.00 $533.81 58.3%

About Dr. Patrick Higgins, MD

Dr. Patrick Higgins, MD is a Ophthalmology healthcare provider based in Bloomfield, New Jersey. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/03/2006. The National Provider Identifier (NPI) number assigned to this provider is 1285642470.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Patrick Higgins, MD has received a total of $85,882 in payments from pharmaceutical and medical device companies, with $63,152 received in 2024. These payments were reported across 190 transactions from 38 companies. The most common payment nature is "" ($69,994).

As a Medicare-enrolled provider, Higgins has provided services to 15,709 Medicare beneficiaries, totaling 62,967 services with total Medicare billing of $7.9M. Data is available for 4 years (2020–2023), covering 104 distinct procedure/service records.

Practice Information

  • Specialty Ophthalmology
  • Location Bloomfield, NJ
  • Active Since 08/03/2006
  • Last Updated 06/09/2023
  • Taxonomy Code 207W00000X
  • Entity Type Individual
  • Practice Solo Practitioner
  • NPI Number 1285642470

Products in Payments

  • ILUVIEN (Drug) $62,380
  • EYLEA AFLIBERCEPT INJECTION (Biological) $10,144
  • EYLEA (Biological) $4,294
  • Non-Covered Product (Drug) $2,437
  • CIRRUS HD-OCT (Device) $1,786
  • OZURDEX (Drug) $395.45
  • ACTHAR (Biological) $317.53
  • VABYSMO (Drug) $303.01
  • Lucentis (Biological) $297.22
  • ForeseeHome (Device) $218.76
  • Cimerli (Biological) $195.05
  • DURYSTA (Drug) $177.55
  • LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) (Device) $157.51
  • EYLEA HD (Biological) $134.21
  • DEXTENZA (Drug) $126.95
  • YUTIQ (Drug) $125.46
  • BromSite (bromfenac ophthalmic solution) 0.075% (Drug) $122.14
  • CEQUA (Drug) $121.36
  • Iluvien (Drug) $115.04
  • enVista MX60 IOL (Device) $113.51

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

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