Physician
Ocean Health Initiatives INC
Ocean Health Initiatives INC was paid $12.74M by Medicaid between Jan 2018 and Dec 2024, across 134 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 46% of everything it billed.
33Billing provider infoOCEAN HEALTH INITIATIVES INC
LAKEWOOD, NJ 08701
LAKEWOOD, NJ 08701
33aNPI1043306574assigned 10/04/2006
33bProvider typeFamily Medicine Physician
28Total paid$12.74M
24GClaims434,288
24DCodes billed134
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#5 of 414
Median peer was paid$28K
This provider vs. median452×
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 | 69,072 | $2.03M | |
| 2019 | 67,091 | $1.80M | |
| 2020 | 66,046 | $2.23M | |
| 2021 | 61,547 | $2.43M | |
| 2022 | 70,187 | $1.56M | |
| 2023 | 61,606 | $1.67M | |
| 2024incomplete | 38,739 | $1.03M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 46% | 32,365 | 20,882 | $5.85M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 154,335 | 142,108 | $2.75M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.1% | 23,437 | 23,148 | $528K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 9,159 | 9,112 | $460K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 7,923 | 7,841 | $351K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 5,851 | 5,777 | $311K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 7,818 | 7,644 | $280K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 8,554 | 6,982 | $172K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 15,099 | 14,783 | $163K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 3,168 | 3,131 | $136K |
| 90461 | 1.0% | 8,461 | 8,401 | $134K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.0% | 292 | 292 | $128K |
122 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,904 | $122K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,954 | $107K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 5,495 | $103K |
| 97803 | <1% | 3,010 | $87K | |
| D0120 | Dental checkup, returning patient | <1% | 3,913 | $79K |
| 97802 | <1% | 1,725 | $70K | |
| 90619 | <1% | 631 | $66K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,009 | $59K |
| 90677 | <1% | 456 | $57K | |
| 90686 | <1% | 9,115 | $52K | |
| 98940 | <1% | 5,946 | $44K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,894 | $39K |
| 99429 | <1% | 3,749 | $37K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,810 | $32K |
| 90649 | <1% | 533 | $32K | |
| D1110 | Prophylaxis - adult | <1% | 2,464 | $31K |
| 0011A | <1% | 966 | $29K | |
| 90651 | <1% | 699 | $28K | |
| 3008F | <1% | 3,307 | $27K | |
| D1120 | Dental cleaning, child | <1% | 2,188 | $23K |
| D1206 | Topical application of fluoride varnish | <1% | 2,096 | $23K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,993 | $21K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 557 | $21K |
| 0012A | <1% | 526 | $20K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 336 | $18K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,952 | $18K |
| 0002A | <1% | 393 | $15K | |
| 0001A | <1% | 390 | $15K | |
| 90670 | <1% | 2,157 | $12K | |
| 90734 | <1% | 511 | $10K | |
| 0071A | <1% | 226 | $9K | |
| 90715 | <1% | 708 | $9K | |
| 96127 | <1% | 6,307 | $9K | |
| 59514 | <1% | 18 | $9K | |
| 99188 | <1% | 516 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,288 | $8K |
| 90688 | <1% | 590 | $8K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 234 | $7K |
| 0072A | <1% | 166 | $7K | |
| 90671 | <1% | 42 | $6K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 166 | $6K |
| 90620 | <1% | 214 | $6K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 442 | $6K |
| 90710 | <1% | 521 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 200 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,810 | $4K |
| 86580 | <1% | 1,075 | $4K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,078 | $4K |
| 99386 | <1% | 130 | $4K | |
| 99385 | <1% | 89 | $4K | |
| 96160 | <1% | 3,123 | $4K | |
| 90656 | <1% | 839 | $4K | |
| 99442 | <1% | 212 | $3K | |
| 99381 | <1% | 773 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 469 | $3K |
| 90723 | <1% | 577 | $3K | |
| 90698 | <1% | 1,375 | $3K | |
| 90633 | <1% | 1,306 | $2K | |
| 0064A | <1% | 61 | $2K | |
| 11721 | <1% | 124 | $2K | |
| 90658 | <1% | 334 | $2K | |
| 0134A | <1% | 48 | $2K | |
| 90681 | <1% | 804 | $2K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 324 | $1K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 465 | $1K |
| 99383 | <1% | 25 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 124 | $1K |
| D0601 | <1% | 177 | $950.00 | |
| 90716 | <1% | 73 | $934.90 | |
| 82962 | <1% | 2,735 | $878.15 | |
| 90744 | <1% | 852 | $868.78 | |
| 57454 | <1% | 14 | $861.79 | |
| D0603 | <1% | 99 | $740.00 | |
| 0031A | <1% | 18 | $720.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 125 | $615.00 |
| 0013A | <1% | 15 | $600.00 | |
| 99441 | <1% | 81 | $521.11 | |
| G0467 | Community health center visit, returning patient | <1% | 4,158 | $484.34 |
| D0602 | <1% | 66 | $480.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $377.80 |
| 59025 | Fetal non-stress test | <1% | 14 | $332.76 |
| D0270 | <1% | 119 | $324.00 | |
| 90648 | <1% | 928 | $313.02 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 16 | $294.00 |
| 81025 | <1% | 481 | $225.00 | |
| 99173 | <1% | 109 | $212.13 | |
| 69210 | <1% | 12 | $197.00 | |
| D0330 | Panoramic radiographic image | <1% | 15 | $173.25 |
| 90707 | <1% | 13 | $169.81 | |
| 90696 | <1% | 54 | $163.20 | |
| 90700 | <1% | 89 | $133.89 | |
| 81002 | <1% | 309 | $133.47 | |
| 96150 | <1% | 47 | $97.80 | |
| 3077F | <1% | 4,761 | $63.00 | |
| 90713 | <1% | 30 | $41.87 | |
| 3074F | <1% | 4,140 | $39.02 | |
| 3078F | <1% | 5,793 | $36.03 | |
| 3079F | <1% | 3,373 | $29.01 | |
| 3075F | <1% | 1,960 | $14.00 | |
| 3080F | <1% | 2,089 | $10.00 | |
| 99000 | <1% | 80 | $4.50 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,102 | $2.05 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,349 | $1.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,557 | $0.00 |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 708 | $0.00 |
| 1159F | 0% | 44 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 185 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 17 | $0.00 |
| 1160F | 0% | 44 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 12 | $0.00 |
| 90655 | 0% | 15 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 30 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 378 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 17,202 | $0.00 |
| 1111F | 0% | 377 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 197 | $0.00 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 39 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 54 | $0.00 |
| 88142 | 0% | 40 | $0.00 | |
| 1126F | 0% | 78 | $0.00 | |
| D9997 | 0% | 44 | $0.00 | |
| 99384 | 0% | 13 | $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 officialBERGER, THERESA (C.E.O.)
| Provider | Location | Paid |
|---|---|---|
| Ocean Health Initiatives, INC | Toms River, NJ | $3.42M |
| Ocean Health Initiatives,inc | Little Egg Harbor, NJ | $1.53M |
| Ocean Health Initiatives, INC. | Brick, NJ | $827K |
| Ocean Health Initiatives | Lakewood, NJ | $84K |
| Ocean Health Initiatives,inc | Lakewood, NJ | $41K |
| Ocean Health Initiatives,inc | Lakehurst, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.