Graham Holt
Optometrist · Hot Springs, ARNPI 1033112446
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,713 of the $2,070 with a category attached, or 82.8%. 12 manufacturers reported payments, led by Alcon at 47.2% of the total. Reporting peaked in 2019 at $685 and has fallen 75.1% since, to $170 in 2025.
Across 53 payments — averaging $39.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$976
- Rxsight Inc$343
- Bausch & Lomb Americas Inc.$229
- Bausch & Lomb, A Division Of Bausch Health US, LLC$147
- Carl Zeiss Meditec USA, Inc.$115
- AbbVie$102
- plus $158 from 6 others
What the payments were for
- Travel & lodging$35717%
- Food & beverage$1,71383%
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 |
|---|---|---|
| Alcon | 15 | $976 |
| Rxsight Inc | 8 | $343 |
| Bausch & Lomb Americas Inc. | 11 | $229 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 5 | $147 |
| Carl Zeiss Meditec USA, Inc. | 1 | $115 |
| AbbVie | 5 | $102 |
| Eyevance Pharmaceuticals LLC | 2 | $42 |
| Coopervision Inc. | 2 | $40 |
| ABB Con-cise Optical Group LLC | 1 | $21 |
| Sight Sciences, Inc. | 1 | $20 |
| Novartis | 1 | $20 |
| Aerie Pharmaceuticals, Inc. | 1 | $14 |
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.
How this compares
$2,070 in reported general payments places this provider in the 85th percentile of 442 optometrist providers in Arkansas.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| LumiganBimatoprost | 38 | $12,524 |
| Latanoprost | 272 | $3,510 |
| Brimonidine Tartrate | 82 | $2,368 |
| Timolol Maleate | 163 | $1,582 |
| Travoprost | 18 | $1,537 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 83 | $1,514 |
| Dorzolamide Hcl | 57 | $1,424 |
| Fluorometholone | 15 | $804 |
| Prednisolone Acetate | 23 | $580 |
| ErythromycinErythromycin Base | 13 | $134 |
| Cephalexin | 14 | $83 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieLumigan | $102 | $12,52438 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 442 optometrist providers in Arkansas.
Other optometrist in Hot Springs
- Christen CoatsFayetteville$216K
- Christopher MorrisRogers$6K
- Russell SimmonsBenton$6K
- Andrea HorneTontitown$6K
- Shelby BrogdonLittle Rock$5K
- Ryan BunchRogers$5K
- Alex BellRogers$5K
- Melissa PolkEl Dorado$5K
- Kristin LawSherwood$5K
- Andrew HickmanRussellville$4K
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.