James H.E. Ireland MD, LLC

James H.E. Ireland MD, LLC was paid $892K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 35% of everything it billed.

33Billing provider infoJAMES H.E. IRELAND MD, LLC
EWA BEACH, HI 96706

33aNPI1659603884assigned 02/15/2010

33bProvider typeNephrology Physician

28Total paid$892K

24GClaims14,585

24DCodes billed17

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in Hawaii

Rank by total paid#2 of 12

Median peer was paid$96K

This provider vs. median9.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	2,898	$148K
2019	3,227	$180K
2020	2,396	$124K
2021	2,058	$144K
2022	1,845	$136K
2023	1,352	$91K
2024incomplete	809	$69K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	35%	3,387	3,159	$316K
90961		31%	3,466	3,267	$280K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	11%	1,872	1,698	$96K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	10%	2,789	2,517	$94K
90962		6.7%	914	853	$60K
99205	Prolong outpt/office vis	2.1%	204	195	$18K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.2%	577	156	$11K
99223	Prolong inpt eval add15 m	1.0%	159	132	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	300	256	$6K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	272	197	$1K
99442		<1%	32	31	$763.62
99447		<1%	15	14	$68.33

5 more codes

J1071	Injection, testosterone cypionate, 1 mg	<1%	33	$14.69
S9999	Sales tax	<1%	157	$0.58
3074F		0%	136	$0.00
3077F		0%	175	$0.00
3078F		0%	97	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialIRELAND, JAMES (PRESIDENT)

Same official

Other billing entities under IRELAND, JAMES

Full network →

Provider	Location	Paid
West Oahu Primary Care LLC	Ewa Beach, HI	$7K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.