Loading...
NPI 1326379967 · Oklahoma City, OK · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Weir Asc, LLC is a ambulatory surgical clinic/center provider located in Oklahoma City, Oklahoma. This profile covers 8 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 | Weir Asc, LLC |
| Address | 9913 S May Avenue |
| City | Oklahoma City |
| State | OK |
| ZIP | 73159 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 21, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $461.3K |
WEIR ASC, LLC bills as an Ambulatory Surgical Clinic/Center and its claim mix is heavily ophthalmology-focused: the Medicare top codes are cataract- and lens-related procedures (66984, 66982, 66821) while supplemental activity includes vitreoretinal (67042, 67036), glaucoma procedures (65820), and oculoplastic work (15823). The provider reports total Medicare revenue of $1.9M and total Medicaid revenue of $461.3K, indicating the operation is centered on outpatient eye surgery rather than a broad multi-specialty surgical center.
Revenue concentration on Medicare is tightly focused: the precomputed top-3 Medicare codes account for 89.8% of the provider's total Medicare revenue, with 66984 alone generating $1.5M (78.0% of this provider's total Medicare revenue). This concentration implies that cataract extraction with lens insertion is the primary revenue driver for the practice on the Medicare side.
Medicaid billing is effectively mono-coded: the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, and in practice all reported Medicaid revenue comes from 66984 (999 claims, $462 avg paid/claim, $461.5K revenue). That single-code dependence means Medicaid exposure is concentrated in routine cataract surgery rather than a diversified set of procedures.
Comparing payer scale, Medicare ($1.9M) is the dominant payer versus Medicaid ($461.3K) for this provider, so payer strategies or network negotiations will have greater impact on Medicare volumes and revenue. The presence of both payers shows it is not strictly single-payer, but the business is materially Medicare-weighted.
National competitive standing for the core cataract work is strong: 66984 ranks #1096 of 15965 providers nationally (93th percentile; typical, unremarkable volume), 66982 ranks #88 of 4580 (98th percentile; typical, unremarkable volume), and 66821 ranks #419 of 10087 (96th percentile; typical, unremarkable volume). These rank/percentile positions indicate above-average national volume for cataract and complex cataract procedures, positioning the ASC as a solid regional player for those services.
State-level Medicaid competitiveness for the core cataract code is notable: 66984 is ranked #6 of 35 providers in-state (85th percentile; typical, unremarkable volume) for Medicaid, signaling a meaningful presence in Oklahoma for Medicaid-covered cataract surgery. Given Medicaid revenue of $461.5K is entirely from 66984, the center is a significant in-state provider for that specific service line.
The service-line detail shows higher-acuity or ancillary procedures generate far smaller shares of revenue: examples include 67042 ($36.1K revenue), 67036 ($30.3K), 15823 ($36.2K), and 65820 ($28.8K), each representing modest pieces of the Medicare revenue pie. This mix suggests the facility focuses on high-volume cataract cases while maintaining capacity for retina, glaucoma, and oculoplastic cases at low-to-moderate volumes.
WEIR ASC has an established tenure with its NPI enumerated 2010-01-21 (~16 years ago), supporting the interpretation that its concentrated cataract business and payer mix are persistent patterns rather than short-term fluctuations. The distribution of percentile rankings (from 98th down to the 20th/36th range for less-common codes) shows consistent high-volume cataract specialization alongside limited activity in several ancillary ophthalmic procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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… | 1,890 | $780 | $1.5M |
| 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… | 200 | $790 | $157.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 320 | $200 | $63.8K |
| 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… | 30 | $2,400 | $60K |
| 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… | 80 | $470 | $36.2K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 30 | $1,440 | $36K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 20 | $1,440 | $30.3K |
| 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. | 20 | $1,440 | $28.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
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… | 1,000 | $460 | $461.5K |
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… | 6 | 40 | 170 | $340 | $211.6K |
Other providers in the same ZIP code as Weir Asc, LLC, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.