Medicare Enrolled

Dr. Jay Wallshein, MD

Ophthalmology · Atlantis, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
5057 SOUTH CONGRESS AVE, Atlantis, FL 33461
5614335200
In practice since 2005 (20 years)
NPI: 1669476693 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. Wallshein 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. Wallshein

Dr. Jay Wallshein is an ophthalmology in Atlantis, FL, with 20 years in practice. Based on federal Medicare data, Dr. Wallshein performed 4,909 Medicare services across 3,351 unique beneficiaries.

Between the years covered by Open Payments, Dr. Wallshein received a total of $3,513 from 28 pharmaceutical and/or device companies across 141 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. Wallshein is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice▲ Top 26% volume in FL$ $3,513 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,909
Medicare services
Top 26% in FL for ophthalmology
3,351
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~245 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)663$97$267
COVID-19 test, self-administered640$12$24
Comprehensive eye exam, established patient594$81$260
Eye exam, established patient, focused536$62$184
Retinal imaging (OCT scan)363$29$84
Retinal photography (fundus photo)318$26$77
Visual field test, extended283$43$129
Closure of tear duct opening using plug275$84$306
Optic nerve imaging (OCT scan)235$27$76
New patient office visit (45-59 min)137$112$354
2d ultrasound scan of eye tissue and structures124$37$99
Exam of the internal drainage system of eye102$19$57
Cataract surgery with lens implant99$423$1,123
Measurement of retinal and optic nerve function70$93$260
Extended exam of the back part of the eye with retinal drawing65$16$51
Corneal topography and eye depth measurement55$32$102
Ct scan of cornea48$25$75
Exam of retinal blood vessels using a special camera after injection of a dye48$104$257
Photography of content of eyes47$17$48
Imaging of front third of eye using a special microscope40$28$81
Ultrasound scan of cornea to determine thickness37$8$25
Removal of recurring cataract in lens capsule using a laser36$260$690
Comprehensive eye exam, new patient33$96$307
Office visit, established patient (10-19 min)26$46$119
Exam to measure eye deviation and range of motion12$46$129
Extended exam involving color vision testing12$43$121
Removal of growth of eyelid11$211$592
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.
2.0% high complexity
18.2% medium
79.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,513
Total received (2018-2024)
Avg $502/year across 7 years
Top 34% in FL for ophthalmology
28
Companies
141
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
$3,513 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$348
2023
$563
2022
$649
2021
$1,033
2020
$346
2019
$261
2018
$313

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Johnson & Johnson Surgical Vision, Inc.
$723
Alcon Vision LLC
$539
Bausch & Lomb Americas Inc.
$296
Allergan, Inc.
$235
Novartis Pharmaceuticals Corporation
$181
Bausch & Lomb, a division of Bausch Health US, LLC
$180
Aerie Pharmaceuticals, Inc.
$178
RxSight Inc
$167
Horizon Therapeutics plc
$153
AbbVie Inc.
$153
ABBVIE INC.
$134
Dompe US, Inc.
$84
Kala Pharmaceuticals, Inc.
$83
SUN PHARMACEUTICAL INDUSTRIES INC.
$56
Quidel Corporation
$49
Oyster Point Pharma, Inc.
$43
Shire North American Group Inc
$42
Ivantis, Inc
$42
Regeneron Healthcare Solutions, Inc.
$23
Genentech USA, Inc.
$21
Sight Sciences, Inc.
$20
Rayner Intraocular Lenses Limited
$20
Amgen Inc.
$19
Harrow Eye, LLC
$17
Tarsus Pharmaceuticals, Inc.
$16
Alcon Laboratories Inc
$14
GLAUKOS CORPORATION
$13
Sun Pharmaceutical Industries Inc.
$13
Top 3 companies account for 44.3% of total payments
Associated products mentioned in payments ›
ACTIVEFOCUS · ARGOS · AcrySof · AcrySof IQ PanOptix · CATALYS SYSTEM · Centurion · Cequa · DURYSTA · EYLEA · Hydrus · IACCESS · INVELTYS · InflammaDry · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LIPIFLOW SYSTEM ACTIVATOR (DISPOSABLE) · LOTEMAX SM · LUMIGAN · LenSx · MIEBO · OXERVATE · Omidria · PROLENSA · RESTASIS · RESTASIS MULTIDOSE · RXSIGHT CONTACT LENS · Rhopressa · Rocklatan · TECNIS IOL · TEPEZZA · TYRVAYA · TearCare · Tecnis 1-piece IOL · Tecnis 3-piece IOL · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Symfony IOL · VABYSMO · VEVYE · VUITY · VYZULTA · XDEMVY · XEN GLAUCOMA TREATMENT SYSTEM · XIIDRA · 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.

Equivalent to $72 per 100 Medicare services performed
Looking for a ophthalmology in Atlantis?
Compare ophthalmologys in the Atlantis area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Ophthalmologys within 10 mi
162
Per 100K population
10.7
County median income
$81,115
Nearest hospital
HCA FLORIDA JFK HOSPITAL
3.2 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Wallshein is a clinical cardiology specialist, with above-average Medicare volume (top 26% in FL), and low-engagement industry engagement, with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Wallshein experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Wallshein performed 663 office visit, established patient (30-39 min) 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. Wallshein receive payments from pharmaceutical companies?
Yes. Dr. Wallshein received a total of $3,513 from 28 companies across 141 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. Wallshein's costs compare to other ophthalmologys in Atlantis?
Dr. Wallshein's average Medicare payment per service is $64. 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. Wallshein) 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. The Transparency Score measures 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 →