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Julianne Koch

Optometrist · Nashville, TNNPI 1780007427

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 99.2% of the total across 141 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by Lumenis BE Inc at 31.2% of the total. 2025 is the largest year on record at $3,780, 6.9 times the $545 reported in 2019. Among optometrist clinicians in TN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$8,237in general payments, 2019–2025

Across 141 payments — averaging $58.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Lumenis BE Inc$3K
  • Alcon$1K
  • AbbVie$763
  • Harrow Eye, LLC$542
  • Bausch & Lomb, A Division Of Bausch Health US, LLC$464
  • Dompe US, Inc.$429
  • plus $2K from 16 others

What the payments were for

  • Food & beverage$8,17099%
  • Entertainment$671%

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

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Lumenis BE Inc1$2,568
Alcon28$1,091
AbbVie(2 entities)18$763
Harrow Eye, LLC11$542
Bausch & Lomb, A Division Of Bausch Health US, LLC12$464
Dompe US, Inc.10$429
Biotissue Holdings Inc.7$426
Johnson & Johnson Vision Care, Inc.7$399
Bausch & Lomb Americas Inc.10$296
Coopervision Inc.3$269
Carl Zeiss Meditec, Inc.3$240
Kala Pharmaceuticals, Inc.8$138
LKC Technologies, Inc.1$115
Novartis5$80
Glaukos Corporation1$77
Eyevance Pharmaceuticals LLC5$67
Optos, Inc.2$67
Tarsus Pharmaceuticals, Inc.3$63
Oyster Point Pharma, Inc.2$56
Sun Pharmaceutical Industries Inc.2$38
Mallinckrodt Hospital Products Inc.1$31
Johnson & Johnson Surgical Vision, Inc.1$21

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

$8,237 in reported general payments places this provider in the 95th percentile of 1,122 optometrist providers in Tennessee.

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Medicare billing

Part B allowed, 2024
$8,620
Medicare patients
52
Services billed
88

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 Nashville

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Where these figures come from

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