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NPI 1114990736 · Tulsa, OK · Ambulatory Surgical Clinic/Center
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Tulsa Ok Ophthalmology Asc LLC is a ambulatory surgical clinic/center provider located in Tulsa, Oklahoma. This profile covers 14 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Tulsa Ok Ophthalmology Asc LLC |
| Address | 7191 S Yale Ave |
| City | Tulsa |
| State | OK |
| ZIP | 74136 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $559.4K |
Service-line profile: TULSA OK OPHTHALMOLOGY ASC LLC bills predominantly for cataract and anterior-segment ophthalmic surgery, consistent with its Ambulatory Surgical Clinic/Center taxonomy. Its largest Medicare line item is 66984 (cataract extraction with intraocular lens) at $1.1M and 63.0% of Medicare revenue, and other high Medicare contributors include 66991 and 66821, indicating the facility performs primary cataract surgery, intraocular lens procedures and postoperative laser capsulotomy work. The presence of eyelid procedures (15823, 67904) and corneal codes (V2785, 65756) shows a broader set of anterior-segment and oculoplastic services beyond routine cataract cases.
Revenue concentration by payer: Medicare and Medicaid revenues are both highly concentrated in cataract surgery. Precomputed metrics show the top 3 Medicare codes account for 76.3% of total Medicare revenue, driven largely by 66984 ($1.1M, 63.0%), 66991 ($156.1K, 8.9%) and 66821 ($76.1K, 4.4%); for Medicaid the top 3 codes account for 100.0% of Medicaid revenue with a single code, 66984, comprising $559K (100.0%) of the provider’s Medicaid receipts. This indicates the provider’s financial position is closely tied to volume and reimbursement for code 66984 across both payers.
Payer mix and scale: The facility reports $1.7M in total Medicare revenue compared with $559.4K in total Medicaid revenue, so Medicare is the larger revenue source while Medicaid is meaningful but secondary. Medicaid billing appears effectively concentrated in a single service line (66984), whereas Medicare revenue is somewhat more diversified across the top three codes, although still concentrated.
Medicare competitive standing across codes: 66984 posts $1.1M in Medicare revenue and ranks #1510 of 15965 providers nationally (91th percentile) and is labeled in the source as "typical, unremarkable volume"; 66991 ranks #188 of 1445 providers (86th percentile, "typical, unremarkable volume"). Notably, the practice bills above typical national volume for some oculoplastic codes — 15823 ranks in the 95th percentile and 67904 also ranks in the 95th percentile, both described as "notably above typical national volume" — suggesting a stronger-than-average local specialty volume in eyelid surgery.
Medicaid competitive standing in-state: For Medicaid the single dominant code 66984 shows 1.3K claims, $435 avg paid/claim, and $559K revenue, and it ranks #5 of 35 providers in-state (88th percentile) where it is described as "typical, unremarkable volume." Although Medicaid revenue is concentrated, the in-state rank indicates the ASC is among the higher-volume Medicaid providers for cataract surgery within Oklahoma, but not an extreme outlier.
Corneal and transplant-related activity: The facility bills V2785 (processing/preserving corneal tissue) for $65.8K (3.8% of Medicare revenue) and 65756 (full-thickness corneal transplant) for $23.7K (1.4% of Medicare revenue), with V2785 ranked #170 of 231 providers nationally (21th percentile) and 65756 ranked #373 of 567 (28th percentile). Those entries point to participation in corneal transplant workflows (tissue processing and some surgical transplant volume) but at a modest national footprint compared with specialty centers.
Tenure and operational implication: The provider NPI was enumerated on 2006-02-13 (~20 years ago), indicating a long-established ASC presence in the market. Combined with concentrated cataract volume and above-typical eyelid surgery billing, this tenure supports a portrait of an established surgical practice that has developed a focused set of ophthalmic services over time.
Concentration implications for payers and contracting: The heavy reliance on 66984 across both Medicare and Medicaid (66984 alone is $1.1M of Medicare and $559K of Medicaid) and the precomputed fact that the top 3 Medicare codes equal 76.3% of Medicare revenue imply that changes in cataract volume or reimbursement for 66984 would have outsized impact on total revenue. Analysts should treat this provider as clinically specialized with concentrated payer exposure and consider the operational and reimbursement sensitivity that comes with a dominant single-procedure revenue stream.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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… | 1,460 | $750 | $1.1M |
| 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… | 70 | $2,330 | $156.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 440 | $180 | $76.1K |
| 15823 | In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue… | 170 | $460 | $75.7K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 140 | $470 | $66.9K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,870 | $65.8K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 40 | $1,260 | $48.9K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 40 | $1,090 | $46.8K |
| 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… | 50 | $740 | $34.1K |
| 66183 | The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma. | 10 | $2,060 | $26.7K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 4 | 10 | 30 | $3,590 | $118.4K |
| 66984 | 6 | 350 | 40 | $430 | $69.3K |
| 66174 | 4 | 10 | 40 | $890 | $54.2K |
| 66991 | 2 | 20 | 30 | $1,370 | $48.1K |
| 15823 | 4 | 40 | 50 | $510 | $39.7K |
| 65756 | 9 | 10 | 30 | $1,110 | $36.6K |
| 67904 | 2 | 20 | 50 | $540 | $35.2K |
| 66183 | 6 | 10 | 20 | $1,420 | $29.8K |
| 66982 | 15 | 60 | 30 | $590 | $27.1K |
| 65820 | 3 | 20 | 20 | $870 | $25.1K |
Showing 1–10 of 14
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 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… | 1,290 | $440 | $559K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 5 | 40 | 170 | $340 | $211.6K |
Other providers in the same ZIP code as Tulsa Ok Ophthalmology Asc LLC, ranked by combined Medicare and Medicaid revenue.
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