Medicare Enrolled

Dr. Francisco Pabalan, M.D.

Ophthalmology · Riverside, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4351 LATHAM ST STE 101, Riverside, CA 92501
9517772210
In practice since 2006 (20 years)
NPI: 1992768345 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Pabalan from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Pabalan

Dr. Francisco Pabalan is an ophthalmology specialist in Riverside, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Pabalan performed 2,791 Medicare services across 2,412 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pabalan received a total of $5,259 from 26 pharmaceutical and/or device companies across 223 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Pabalan is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 36% volume in CA $5,259 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,791
Medicare services
Top 36% in CA for ophthalmology
2,412
Unique beneficiaries
$78
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~140 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
594 $29 $115
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
522 $70 $135
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
502 $89 $198
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
189 $46 $152
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
139 $117 $271
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
134 $27 $79
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
129 $90 $194
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
106 $129 $256
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
82 $32 $148
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
78 $32 $80
New patient office visit, complex (60-74 min) 55 $159 $272
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
53 $445 $2,860
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
51 $264 $999
CT scan of cornea
A computed tomography scan used to create detailed images of the cornea, the clear front part of the eye.
50 $29 $70
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
26 $27 $76
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
21 $62 $139
Ultrasound scan of cornea to determine thickness
An ultrasound procedure used to measure the thickness of the cornea.
18 $8 $55
Complex cataract removal with lens implant
A surgical procedure to remove a cataract from the eye and insert an artificial lens to restore vision.
16 $619 $2,935
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
14 $30 $228
Eye photography
Photographic imaging of the interior structures of the eye.
12 $20 $80
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
1.9% high complexity
10.0% medium
88.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,259
Total received (2018-2024)
Avg $751/year across 7 years
Top 24% in CA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
223
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,259 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$712
2023
$762
2022
$881
2021
$853
2020
$1,068
2019
$532
2018
$452

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alcon Vision LLC
$320
RxSight Inc
$164
Astellas Pharma Global Development
$95
Tarsus Pharmaceuticals, Inc.
$64
Bausch & Lomb Americas Inc.
$45
Thea Pharma Inc.
$23
Top 3 companies account for 81.4% of 2024 payments
All-time payments by company (2018-2024) ›
Alcon Vision LLC
$837
Allergan, Inc.
$765
Johnson & Johnson Surgical Vision, Inc.
$575
Aerie Pharmaceuticals, Inc.
$540
Optos, Inc.
$482
RxSight Inc
$372
ABBVIE INC.
$216
Shire North American Group Inc
$197
Dompe US, Inc.
$196
Ivantis, Inc
$153
CooperVision Inc.
$115
Glaukos Corporation
$95
Astellas Pharma Global Development
$95
Sun Pharmaceutical Industries Inc.
$89
Alcon Research Ltd
$65
Tarsus Pharmaceuticals, Inc.
$64
Allergan Inc.
$64
TissueTech, Inc.
$60
Bausch & Lomb, a division of Bausch Health US, LLC
$60
Bausch & Lomb Americas Inc.
$45
Alcon Laboratories Inc
$45
Oyster Point Pharma, Inc.
$36
Sight Sciences, Inc.
$28
Thea Pharma Inc.
$23
Kala Pharmaceuticals, Inc.
$20
Carl Zeiss Meditec AG
$19
Top 3 companies account for 41.4% of all-time payments
Associated products mentioned in payments ›
ARGOS · AcrySof · AcrySof IQ PanOptix · AcrySof IQ VIVITY · CATALYS SYSTEM · COMBIGAN · Cequa · Clareon · Clariti Contact Lens · DURYSTA · HYDRUS Microstent · Hydrus · Hydrus Microstent · INVELTYS · IYUZEH · Izervay · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LUMIGAN · MIEBO · MyDay Contact Lens · None Specified · OCT OPHTHALMOSCOPE · OMNI(R) SURGICAL SYSTEM (US) · OXERVATE · P200DTx · PROLENSA · Prokera · RESTASIS · RESTASIS MULTIDOSE · RXSIGHT CONTACT LENS · RXSIGHT INJECTOR HANDPIECE · ReSTOR · Rhopressa · Rocklatan · Systane Complete · TYRVAYA · Tecnis 1-piece IOL · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Simplicity · Tecnis Symfony IOL · Tecnis Toric 1-piece IOL · VUITY · VYZULTA · Whitestar Phacoemulsficiation System · XDEMVY · XEN GLAUCOMA TREATMENT SYSTEM · XIIDRA · enVista MX60 IOL · iStent inject Trabecular Micro-Bypass Stent System · rhopressa · rocklatan
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an ophthalmology specialist in Riverside?
Compare ophthalmologists in the Riverside area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Ophthalmologists within 10 mi
129
Per 100K population
5.3
County median income
$89,672
Nearest hospital
RIVERSIDE COMMUNITY HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Pabalan is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Pabalan experienced with retinal photography (fundus photo)?
Based on Medicare claims data, Dr. Pabalan performed 594 retinal photography (fundus photo) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Pabalan receive payments from pharmaceutical companies?
Yes. Dr. Pabalan received a total of $5,259 from 26 companies across 223 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Pabalan's costs compare to other ophthalmologists in Riverside?
Dr. Pabalan's average Medicare payment per service is $78. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Pabalan) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →