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 Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii 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. Hawaii (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.

James H.e. Ireland Md, LLC (NPI 1659603884)

James H.e. Ireland Md, LLC is a nephrology physician provider located in Ewa Beach, Hawaii. This profile covers 0 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	James H.e. Ireland Md, LLC
Address	91-2139 Fort Weaver Rd
City	Ewa Beach
State	HI
ZIP	96706
Taxonomy	Nephrology Physician
NPI Enumerated	February 15, 2010

Payer Source	Total Paid
Medicaid	$892.7K
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	3,390	$90	$315K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	3,470	$80	$280.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,870	$50	$95.5K
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…	2,790	$30	$94.8K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	910	$70	$59.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	200	$90	$18.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	580	$20	$11K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	160	$60	$9.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	300	$20	$6.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	270	$10	$1.4K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

Claims Volume vs. Hawaii Distribution

James H.e. Ireland Md, LLC — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	439	710	650	$90	$274.1K
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…	134	690	650	$90	$235.4K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	3	10	1,120	$100	$190.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	36	80	290	$30	$75.5K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	2	10	190	$90	$75.2K
99442	N/A	42	60	80	$130	$67.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	28	70	130	$90	$45.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	8	140	140	$90	$42.9K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	3	20	420	$70	$32.8K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	5	30	50	$120	$9.6K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Ireland	HI	Nephrology Physician	$96.6K	$0
Aki De Leon	HI	Family Nurse Practitioner	$95.4K	$0
Andrea Fukuhara	HI	Nurse Practitioner	$50.4K	$0
Kimi Prentice	HI	Nurse Practitioner	$42.5K	$0
Jasmin Wachendorf	HI	Registered Dietitian	$2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinical Laboratories Of Hawaii LLP	HI	Clinical Medical Laboratory	$5M	$45.8M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$42.7M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14.7M
Case Management Professionals, Inc	HI	Case Management Agency	$0	$4.2M
Pan Pacific Pathologists, LLC	HI	Anatomic Pathology & Clinical Pathology Physician	$0	$4M
3g's Direct Care Services Provider LLC	HI	In Home Supportive Care Agency	$0	$3.2M
Yongsok Do, D.m.d., L.L.C	HI	Pediatric Dentistry	$0	$2.1M
Usrc Ewa Beach, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$928.8K
Rainbow Shower Inpatient Services LLC	HI	Internal Medicine Physician	$0	$788.6K
Venture Medical 21 Inc	HI	Clinic/Center	$0	$787.8K

James H.e. Ireland Md, LLC — Billing Profile & Reimbursement Data

Sign up for James H.e. Ireland Md, LLC — Billing Profile & Reimbursement Data policy alerts

James H.e. Ireland Md, LLC — Billing Profile & Reimbursement Data

Sign up for James H.e. Ireland Md, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References