Ann Kautz Markley, OD
Optometrist · Flint, MINPI 1235215864
Payments from drug & device makers
What this record shows
10 manufacturers reported payments, led by Bausch & Lomb, A Division Of Bausch Health US, LLC at 57.1% of the total. Reporting peaked in 2019 at $1,700 and has fallen 84.2% since, to $269 in 2025. Among optometrist clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 76 payments — averaging $39.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bausch & Lomb, A Division Of Bausch Health US, LLC$2K
- Johnson & Johnson Vision Care, Inc.$517
- Alcon$288
- Bausch & Lomb Americas Inc.$142
- Novartis$106
- Tarsus Pharmaceuticals, Inc.$81
- plus $163 from 4 others
What the payments were for
- Travel & lodging$1,47849%
- Food & beverage$1,55051%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 20 | $1,730 |
| Johnson & Johnson Vision Care, Inc. | 24 | $517 |
| Alcon | 11 | $288 |
| Bausch & Lomb Americas Inc. | 4 | $142 |
| Novartis | 6 | $106 |
| Tarsus Pharmaceuticals, Inc. | 3 | $81 |
| Coopervision Inc. | 4 | $58 |
| AbbVie | 2 | $49 |
| Glaukos Corporation | 1 | $35 |
| Sun Pharmaceutical Industries Inc. | 1 | $22 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- BIOTRUE$1,276
- ULTRA$1,276
- BIOTRUE ONE DAY$102
- TOTAL30$101
How this compares
$3,028 in reported general payments places this provider in the 90th percentile of 1,523 optometrist providers in Michigan.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other optometrist in Flint
- Nicholas BrunsFlint$238K
- Jamie KuzniarBloomfield$473K
- Monica JohnsonbaughGrosse Pointe$393K
- Jay CrankGrand Rapids$209K
- Jeffrey VaranelliWarren$204K
- Thomas RothAnn Arbor$98K
- Frances Poma NowinskiBloomfield Twp$91K
- Michael LipsonWalled Lake$77K
- Stephanie RamdassBig Rapids$59K
- Robert FarrellMount Clemens$55K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.