Kyle Niemann, OD
Optometrist · Omaha, NENPI 1083334106
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,590 of the $2,502 with a category attached, or 63.6%. Alcon accounts for 62.5% of it on its own, with 8 other manufacturers making up the rest. 2025 is the largest year on record at $1,838, more than ten times the $39 reported in 2023.
Across 38 payments — averaging $65.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$2K
- Bausch & Lomb Americas Inc.$288
- Tarsus Pharmaceuticals, Inc.$248
- Biotissue Holdings Inc.$148
- Astellas Pharma US Inc$133
- LKC Technologies, Inc.$38
- plus $82 from 3 others
What the payments were for
- Travel & lodging$91136%
- Food & beverage$1,59064%
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 | 10 | $1,564 |
| Bausch & Lomb Americas Inc. | 7 | $288 |
| Tarsus Pharmaceuticals, Inc. | 12 | $248 |
| Biotissue Holdings Inc. | 3 | $148 |
| Astellas Pharma US Inc | 1 | $133 |
| LKC Technologies, Inc. | 2 | $38 |
| Topcon Healthcare, Inc. | 1 | $37 |
| Coopervision Inc. | 1 | $24 |
| Harrow Eye, LLC | 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.
- DAILIES TOTAL1$237
- Izervay$133
- INFUSE$124
- XDEMVY$122
- Precision 1$121
- TOTAL30$121
How this compares
$2,502 in reported general payments places this provider in the 85th percentile of 383 optometrist providers in Nebraska.
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 | 11 | $132 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Omaha
- Christopher WolfeOmaha$154K
- Mark ToelleOmaha$10K
- John GoertzOmaha$8K
- Jordan ArensOmaha$7K
- Holly TernusOmaha$6K
- Marsha KubicaOmaha$6K
- Delaney KentOmaha$5K
- Adam WalterOmaha$5K
- Kelly RobertsonOmaha$5K
- Kristen WaltonOmaha$5K
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.