Kim Kahler, APRN
Acute Care · Goshen, INNPI 1346338589
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 189 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 24 manufacturers, the largest accounting for just 21.3% — the pattern of someone who eats at a lot of different presentations.
Across 189 payments — averaging $17.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novartis$689
- Pfizer$469
- ZOLL Services LLC (a/k/a ZOLL Lifecor Corp)$460
- Boston Scientific$238
- E.r. Squibb & Sons, L.L.C.$217
- Merck$173
- plus $990 from 18 others
What the payments were for
- Food & beverage$3,237100%
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 |
|---|---|---|
| Novartis | 39 | $689 |
| Pfizer | 36 | $469 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 27 | $460 |
| Boston Scientific | 9 | $238 |
| E.r. Squibb & Sons, L.L.C. | 14 | $217 |
| Merck | 11 | $173 |
| Boehringer Ingelheim | 10 | $160 |
| Edwards Lifesciences | 4 | $129 |
| Scpharmaceuticals Inc. | 5 | $107 |
| Amgen | 6 | $101 |
| Kiniksa Pharmaceuticals International, PLC | 5 | $85 |
| Lexicon Pharmaceuticals, Inc. | 5 | $73 |
| Abbott | 2 | $52 |
| Johnson & Johnson | 2 | $45 |
| Impulse Dynamics (USA) Inc. | 3 | $37 |
| Abiomed | 1 | $35 |
| Actelion Pharmaceuticals US, Inc. | 2 | $31 |
| Bayer | 2 | $28 |
| Tactile Systems Technology Inc | 1 | $25 |
| Irhythm Technologies, Inc. | 1 | $23 |
| Kiniksa Pharmaceuticals, Ltd. | 1 | $18 |
| GSK | 1 | $16 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| AstraZeneca | 1 | $13 |
How this compares
$3,237 in reported general payments places this provider in the 85th percentile of 240 acute care providers in Indiana.
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 |
|---|---|---|
| EliquisApixaban | 236 | $321,133 |
| XareltoRivaroxaban | 42 | $59,191 |
| EntrestoSacubitril/Valsartan | 37 | $50,488 |
| Repatha SureclickEvolocumab | 30 | $17,053 |
| Ranolazine ErRanolazine | 105 | $15,881 |
| ZubsolvBuprenorphine Hcl/Naloxone Hcl | 22 | $5,830 |
| Propafenone Hcl | 63 | $3,669 |
| Metoprolol Succinate | 332 | $3,141 |
| ClopidogrelClopidogrel Bisulfate | 283 | $2,187 |
| Diltiazem 24hr Er (Cd)Diltiazem Hcl | 100 | $2,103 |
| Atorvastatin Calcium | 276 | $1,876 |
| Isosorbide Mononitrate ErIsosorbide Mononitrate | 192 | $1,530 |
| Amiodarone Hcl | 65 | $1,388 |
| Warfarin Sodium | 150 | $1,195 |
| Potassium Chloride | 68 | $1,158 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis | $469 | $321,133236 claims |
| Johnson & JohnsonXarelto | $45 | $59,19142 claims |
| NovartisEntresto | $689 | $50,48837 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 240 acute care providers in Indiana.
Other acute care in Goshen
- Melissa LorenzJeffersonville$19K
- Amara Wright-TerryMunster$17K
- Wen CaiNewburgh$12K
- Erin BarthSouth Bend$10K
- Sarah LongNewburgh$8K
- Aaron HoldermanNewburgh$8K
- Lauren ArmingtonIndianapolis$7K
- Ashley HillIndianapolis$7K
- Sara RichesonNewburgh$6K
- Sarah KachmanTerre Haute$6K
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.