Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Kimberly Ireland (NPI 1366435851)

Field	Value
Entity Type	Individual
Organization	Kimberly Ireland
Address	36500 Aurora Dr
City	Summit
State	WI
ZIP	53066
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 30, 2005

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Key Findings

This provider’s Medicare activity is overwhelmingly cataract-surgery centric: 66984 (phacoemulsification with intraocular lens insertion) accounts for $712.8K and 71.1% of total Medicare revenue, and the precomputed top-3 codes generate 84.5% of Medicare revenue. Combined with significant activity in 66991 (combined cataract extraction with aqueous drainage device) and corneal/laser follow-up code 66821, the code mix indicates a surgical ophthalmology practice focused on high-volume cataract procedures with some glaucoma-related surgical work and postoperative laser management.

Revenue concentration is very high: the single code 66984 alone represents 71.1% of Medicare revenue, and the three highest-revenue Medicare codes together make up 84.5% of total Medicare revenue. This level of concentration implies the practice’s financial performance is tightly coupled to the volume and reimbursement for a small set of surgical services rather than a broad portfolio of office-based ophthalmic care.

Payer mix is effectively single-payer for public programs: lifetime Medicare revenue is $1M while there is no Medicaid billing on file. The absence of Medicaid activity means analysts should treat this entity as Medicare-dependent in the public claims datasets and not expect Medicaid encounter data to inform utilization or access patterns.

Competitive standing on Medicare is mixed by code: for the primary procedural code 66984 the provider ranks #1145 of 15965 (93th percentile), indicating strong national procedure volume and a typical but not exceptional position among cataract surgeons. By contrast, for evaluation-and-management code 99204 the provider ranks #44 of 227068 (100th percentile) and is labeled an extreme outlier, suggesting unusually high new-patient office visit volume for a single provider relative to national peers.

Several codes are statistical outliers or notably above typical volume, which highlights specialty-focused throughput: 92136 (IOL biometry) ranks #4 of 8731 (100th percentile) and is described as an extreme outlier, and 66991 ranks #48 of 1445 (97th percentile) as notably above typical national volume. These rankings, together with the dominant 66984 share, point to a high-volume cataract surgery workflow where preoperative biometry and certain combined surgeries occur at rates far above most peers.

Practice tenure is long-standing: the provider’s NPI was enumerated on 2005-08-30 (~21 years ago). This longevity supports interpretation that current utilization patterns reflect an established ophthalmology practice rather than a short-term billing anomaly.

Office-based E/M and imaging volumes are present but comparatively modest: codes such as 99214 ($49.2K, 4.9% of Medicare revenue), 92134 ($9.9K, 1.0%), and 92133 ($2.8K, 0.3%) show routine diagnostic and follow-up activity that complements the surgical caseload but does not drive revenue. The relative weight of these non-procedural codes suggests the practice emphasizes surgical throughput over high-volume long-term medical management.

From a competitive analysis perspective, the provider appears regionally notable for cataract services — nationally high percentile ranks on core surgical and preoperative measurement codes indicate the provider is a significant procedural participant among ophthalmologists. However, aside from a few extreme outlier codes for new-patient visits and biometry, many other codes sit at typical national percentiles, implying a focused, efficient surgical practice rather than broad multispecialty dominance.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	1,840	$390	$712.8K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	710	$110	$76.5K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	2,070	$30	$58K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	110	$490	$55.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	570	$90	$49.2K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	40	$250	$10.4K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	370	$30	$9.9K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	20	$540	$9.2K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	70	$80	$5.9K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	50	$100	$5K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Kimberly Ireland — 4 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	90	310	350	$50	$66.4K
66991	2	30	30	$1,270	$53.3K
66982	61	80	20	$490	$21.7K
66821	92	180	40	$100	$13K
92014	474	720	120	$70	$12.9K
99214	159	9,800	80	$70	$9.2K
92134	73	600	60	$30	$4.7K
99213	4,769	9,380	60	$50	$4.7K
92136	1	170	130	$20	$4.6K
92004	156	520	30	$80	$3.9K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kimberly Ireland, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aurora Medical Group, Inc.	WI	Certified Registered Nurse Anesthetist	$2.2K	$139.2M
Remington Horesh	FL	Ophthalmology Physician	$2M	$11.6K
St. Lukes Surgical At The Villages, Inc	FL	Ambulatory Surgical Clinic/Center	$1.9M	$0
John Gooch	FL	Ophthalmology Physician	$727.5K	$0
Kimberly Cockerham	CA	Neuro-ophthalmology Physician	$97.8K	$0
Melissa Terhark	IL	Certified Registered Nurse Anesthetist	$10.2K	$69.1K
Stephen Schneider	MN	Certified Registered Nurse Anesthetist	$76.2K	$0
Barbara Schneider	MN	Certified Registered Nurse Anesthetist	$67.9K	$0
Brett Howard	NC	Certified Registered Nurse Anesthetist	$63.4K	$0
Gregory Short	FL	Certified Registered Nurse Anesthetist	$62.3K	$0

Nearby Providers

Other providers in the same ZIP code as Kimberly Ireland, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rogers Memorial Hospital Incorporated	WI	Psychiatric Hospital	$0	$54.1M
Prader Willi Homes Of Oconomowoc LLC	WI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.2M
Genesee Community Services, LLC	WI	Community/Behavioral Health Agency	$0	$5.4M
Aurora Health Care Southern Lakes, Inc.	WI	General Acute Care Hospital	$0	$4.5M
John Bitner	WI	Dentist	$0	$3.6M
Bethany Christian Services	WI	Substance Abuse Rehabilitation Facility	$0	$3.3M
Prohealth Oconomowoc Memorial Hospital, Inc.	WI	General Acute Care Hospital	$0	$2.3M
Oconomowoc Area School District	WI	Local Education Agency (LEA)	$0	$1.9M
Kpi,inc	WI	Home Health Agency	$0	$1.3M
Western Lakes Fire District	WI	Land Ambulance	$426.3K	$395.5K

Kimberly Ireland — Billing Profile & Reimbursement Data

Sign up for Kimberly Ireland — Billing Profile & Reimbursement Data policy alerts

Kimberly Ireland — Billing Profile & Reimbursement Data

Sign up for Kimberly Ireland — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References