Physician

James Michael Kohler, MD

According to 2025 Medicare claims, James Kohler, MD (NPI: 1720585854) practices ophthalmology in the Salt Lake City-Murray, UT market, with the plurality of this provider's patient population coming from Salt Lake, UT. This provider's primary affiliated billing organization is RETINA ASSOCIATES OF UTAH, PLLC (NPI: 1396867214; TIN: 870525682) and primary practice location at 84107-6771.

Kohler's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 197 traditional Medicare patients, billed 3,429 HCPCS/CPT codes, and received $203,529 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 315 prescription claims across 121 beneficiaries totaling $22,472 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 9 records totaling $384. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $17,176 and ending at $22,472. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$102K$204K2022 Medicare payment: $10,664 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $12,832 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $203,529 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202285147$10,664
202396157$12,832
20241973,429$203,529

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$17K$34K2019 Drug cost: $17,176 (USD; Tot_Drug_Cst)2020 Drug cost: $33,837 (USD; Tot_Drug_Cst)2021 Drug cost: $10,308 (USD; Tot_Drug_Cst)2022 Drug cost: $13,927 (USD; Tot_Drug_Cst)2023 Drug cost: $21,669 (USD; Tot_Drug_Cst)2024 Drug cost: $22,472 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
201971137$17,176
2020152366$33,837
202166134$10,308
202293206$13,927
2023122312$21,669
2024121315$22,472

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
92004New patient complete exam of visual system7171$111
92014Established patient complete exam of visual system4357$97
67028Injection of drug into eye85110$94
92134Imaging of retina147201$30
J2777Injection, faricimab-svoa, 0.1 mg242,460$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate872,225$2,839
OfloxacinOfloxacin521,051$660
MoxifloxacinMoxifloxacin Hcl26447$619
Ketorolac TromethamineKetorolac Tromethamine16804$593
Atropine SulfateAtropine Sulfate11275$248

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.9$384Genentech USA, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for James Michael Kohler, MD?

Tedicare shows public-source Medicare data for James Michael Kohler, MD (NPI 1720585854), 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 James Michael Kohler, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James Michael Kohler, MD?

James Michael Kohler, MD is linked to RETINA ASSOCIATES OF UTAH, PLLC (billing NPI 1396867214) in the available physician profile data.

Does James Michael Kohler, MD have Open Payments data?

James Michael Kohler, MD has 9 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.