Physician

Emily Susan Birkholz, M.D.

According to 2025 Medicare claims, Emily Birkholz, M.D. (NPI: 1336316108) practices ophthalmology in the Mankato, MN market, with the plurality of this provider's patient population coming from Blue Earth, MN. This provider's primary affiliated billing organization is OPHTHALMOLOGY ASSOCIATES OF MANKATO PA (NPI: 1801892237; TIN: 411227653) and primary practice location at 56001-6795. Birkholz is affiliated with the Mayo Clinic Community ACO, LLC (ACO ID: A4617) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Birkholz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,208 traditional Medicare patients, billed 10,790 HCPCS/CPT codes, and received $1,221,622 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,359 prescription claims across 487 beneficiaries totaling $175,799 in drug costs, led by Lumigan (Bimatoprost). DME data shows 35 claims. Open Payments data shows 5 records totaling $109. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $415,371 to $1,221,622. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	590	2,808	$415,371
2016	605	3,084	$478,727
2017	554	2,794	$443,270
2018	624	2,823	$449,877
2019	1,155	6,057	$907,324
2020	981	4,414	$612,810
2021	1,000	4,259	$643,355
2022	1,075	4,603	$721,886
2023	1,224	5,868	$960,388
2024	1,208	10,790	$1,221,622

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	410	2,154	$136,215
2016	415	2,234	$184,921
2017	438	2,384	$199,922
2018	549	2,563	$202,126
2019	665	3,312	$308,743
2020	380	2,024	$253,165
2021	381	1,909	$221,110
2022	419	2,116	$215,580
2023	486	2,345	$232,949
2024	487	2,359	$175,799

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	13	13	$587
2017	28	28	$1,968
2018	12	12	$529
2019	92	92	$6,341
2020	33	33	$2,442
2021	35	35	$2,550
2022	34	34	$2,875
2023	33	33	$2,738
2024	34	35	$2,951

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	328	$82
92014	Established patient complete exam of visual system	496	498	$77
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	340	471	$62
92134	Imaging of retina	420	1,428	$27
92133	Imaging of optic nerve	228	259	$24

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lumigan	Bimatoprost	82	4,762	$38,444
Restasis	Cyclosporine	19	1,350	$27,937
Rhopressa	Netarsudil Mesylate	28	1,015	$13,159
Latanoprost	Latanoprost	649	43,476	$11,193
Prednisolone Acetate	Prednisolone Acetate	180	7,196	$9,069

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
V2020	Frames, purchases	N	22	23	$1,558
V2303	Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens	N	12	12	$1,393

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	5	$109	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Emily Susan Birkholz, M.D.?

Tedicare shows public-source Medicare data for Emily Susan Birkholz, M.D. (NPI 1336316108), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Emily Susan Birkholz, M.D. have ACO affiliation data?

Emily Susan Birkholz, M.D. is shown with ACO affiliation data for Mayo Clinic Community ACO, LLC (MSSP, ACO ID A4617) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Emily Susan Birkholz, M.D.?

Emily Susan Birkholz, M.D. is linked to OPHTHALMOLOGY ASSOCIATES OF MANKATO PA (billing NPI 1801892237) in the available physician profile data.

Does Emily Susan Birkholz, M.D. have Open Payments data?

Emily Susan Birkholz, M.D. has 5 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.