Kristie Koczenasz
Nurse Practitioner · Clarkston, MINPI 1639242597
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.6% of the total across 235 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 38 manufacturers, the largest accounting for just 12.5% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,270, 3.7 times the $347 reported in 2021. Among nurse practitioner clinicians in MI 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.
Across 235 payments — averaging $18.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$534
- Amgen$465
- Novo Nordisk$430
- Lilly USA, LLC$336
- GSK$266
- Boehringer Ingelheim$265
- plus $2K from 32 others
What the payments were for
- Food & beverage$4,22099%
- Education$611%
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 |
|---|---|---|
| AstraZeneca(2 entities) | 27 | $534 |
| Amgen | 30 | $465 |
| Novo Nordisk | 28 | $430 |
| Lilly USA, LLC | 21 | $336 |
| GSK | 13 | $266 |
| Boehringer Ingelheim | 14 | $265 |
| Astellas Pharma US Inc | 9 | $211 |
| E.r. Squibb & Sons, L.L.C. | 11 | $204 |
| Bayer | 8 | $177 |
| Amarin Pharma, Inc. | 9 | $145 |
| Pfizer | 8 | $142 |
| Antares Pharma, Inc. | 6 | $124 |
| Novartis | 5 | $119 |
| Exact Sciences | 6 | $109 |
| AbbVie | 6 | $103 |
| Sanofi-aventis U.S. LLC | 5 | $99 |
| RGH Enterprises LLC | 2 | $66 |
| Johnson & Johnson | 2 | $58 |
| Otsuka America Pharmaceutical, Inc. | 3 | $44 |
| Halozyme Inc | 2 | $39 |
| Kowa Pharmaceuticals America, Inc. | 3 | $37 |
| Tris Pharma Inc | 1 | $29 |
| Corcept Therapeutics | 1 | $27 |
| Biohaven Pharmaceuticals, Inc. | 1 | $24 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $22 |
| Sumitomo Pharma America, Inc. | 1 | $20 |
| Pulmonx Corporation | 1 | $20 |
| Mylan Specialty L.p. | 1 | $18 |
| Lundbeck LLC | 1 | $18 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $17 |
| Esperion Therapeutics, Inc. | 1 | $16 |
| Shield Therapeutics Inc | 1 | $16 |
| Merck | 1 | $16 |
| IBSA Pharma Inc. | 1 | $15 |
| Kaleo, Inc. | 1 | $14 |
| Seqirus USA Inc | 1 | $13 |
| Idorsia Pharmaceuticals US Inc | 1 | $13 |
| Paratek Pharmaceuticals, Inc. | 1 | $13 |
How this compares
$4,281 in reported general payments places this provider in the 95th percentile of 3,351 nurse practitioner providers in Michigan.
Other nurse practitioner in Clarkston
- Davida KrugerDetroit$739K
- Kari HillSpring Lake$426K
- Kyle FarrPlymouth$243K
- Linda SpencerTroy$217K
- Ellen DillardDetroit$168K
- Golbon AghamohammadiDetroit$157K
- Abubakir BabanDearborn$143K
- Lisa Astalos ChismWoodhaven$103K
- Martha GoetzPetoskey$101K
- Debra DegraffGrand Rapids$80K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.