Medicare Enrolled

Dr. Roy Braunstein, MD

Ophthalmology · Lake Wales, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
749 STATE ROAD 60 E, Lake Wales, FL 33853
8636767624
In practice since 2007 (18 years)
NPI: 1235328444 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. Braunstein 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. Braunstein

Dr. Roy Braunstein is an ophthalmology in Lake Wales, FL, with 18 years in practice. Based on federal Medicare data, Dr. Braunstein performed 3,896 Medicare services across 3,012 unique beneficiaries.

Between the years covered by Open Payments, Dr. Braunstein received a total of $325 from 9 pharmaceutical and/or device companies across 17 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. Braunstein 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.

✓ 18 years in practice▲ Top 33% volume in FL$ $325 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,896
Medicare services
Top 33% in FL for ophthalmology
3,012
Unique beneficiaries
$67
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~216 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
Comprehensive eye exam, established patient1,040$82$232
Retinal imaging (OCT scan)884$28$94
Eye exam, established patient, focused471$65$160
Exam of the internal drainage system of eye377$19$55
Optic nerve imaging (OCT scan)272$25$86
Visual field test, extended184$44$165
Comprehensive eye exam, new patient150$90$285
Closure of tear duct opening using plug124$87$442
Corneal topography and eye depth measurement72$26$182
Complex removal of cataract with insertion of prosthetic lens56$586$2,214
Office visit, established patient (20-29 min)55$44$138
Removal of recurring cataract in lens capsule using a laser34$253$425
Removal of chronic growth of eyelid26$90$227
Removal of eyelashes using forceps23$14$73
Laser repair to improve eye fluid flow22$189$1,000
2d ultrasound scan of eye tissue and structures22$40$154
Photography of content of eyes21$15$97
Removal of excessive skin and fat of upper eyelid18$646$2,252
Exam of visual field with intermediate testing17$32$219
Removal of foreign body in cornea using slit lamp14$45$85
Removal or relocation of corneal conjunctiva14$418$643
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$325
Total received (2018-2024)
Avg $54/year across 6 years
Bottom 18% in FL for ophthalmology
9
Companies
17
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
$307 (94.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$18 (5.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$20
2023
$18
2021
$82
2020
$64
2019
$68
2018
$73

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Kala Pharmaceuticals, Inc.
$98
Shire North American Group Inc
$44
Alcon Laboratories Inc
$40
Bausch & Lomb Americas Inc.
$38
Sun Pharmaceutical Industries Inc.
$34
Dompe US, Inc.
$24
Alcon Vision LLC
$20
Novartis Pharmaceuticals Corporation
$15
Akorn, Inc.
$13
Top 3 companies account for 55.9% of total payments
Associated products mentioned in payments ›
AcrySof · BromSite (bromfenac ophthalmic solution) 0.075% · CEQUA · INVELTYS · MIEBO · OXERVATE · VYZULTA · XIIDRA
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 (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $8 per 100 Medicare services performed
Looking for a ophthalmology in Lake Wales?
Compare ophthalmologys in the Lake Wales area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Ophthalmologys within 10 mi
37
Per 100K population
4.9
County median income
$63,644
Nearest hospital
ADVENTHEALTH LAKE WALES
0.0 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. Braunstein is a mixed practice specialist, with moderate Medicare volume, and low-engagement industry engagement, with 18 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. Braunstein experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Braunstein performed 1,040 comprehensive eye exam, established patient 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. Braunstein receive payments from pharmaceutical companies?
Yes. Dr. Braunstein received a total of $325 from 9 companies across 17 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. Braunstein's costs compare to other ophthalmologys in Lake Wales?
Dr. Braunstein's average Medicare payment per service is $67. 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. Braunstein) 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 →