Kyle Kram, OD
Optometrist · Saginaw, MINPI 1265089718
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $600 of the $732 with a category attached, or 81.9%. 10 manufacturers reported payments, led by Sun Pharmaceutical Industries Inc. at 24.5% of the total.
Across 28 payments — averaging $26.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sun Pharmaceutical Industries Inc.$179
- Alcon$159
- Notal Vision, Inc.$113
- Bausch & Lomb, A Division Of Bausch Health US, LLC$109
- Tarsus Pharmaceuticals, Inc.$55
- Novartis$36
- plus $81 from 4 others
What the payments were for
- Speaking & faculty fees$11315%
- Food & beverage$60082%
- Gifts$193%
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 |
|---|---|---|
| Sun Pharmaceutical Industries Inc. | 6 | $179 |
| Alcon | 9 | $159 |
| Notal Vision, Inc. | 1 | $113 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 3 | $109 |
| Tarsus Pharmaceuticals, Inc. | 2 | $55 |
| Novartis | 2 | $36 |
| Coopervision Inc. | 2 | $30 |
| Carl Zeiss Meditec AG | 1 | $19 |
| Bausch & Lomb Americas Inc. | 1 | $18 |
| Mallinckrodt Hospital Products Inc. | 1 | $13 |
How this compares
$732 in reported general payments places this provider in the 60th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Latanoprost | 13 | $73 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Saginaw
- Jamie KuzniarBloomfield$473K
- Monica JohnsonbaughGrosse Pointe$393K
- Nicholas BrunsFlint$238K
- 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.