Ocean Health Initiatives, INC.

Ocean Health Initiatives, INC. was paid $360K by Medicaid between Jun 2018 and Dec 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 47% of everything it billed.

33Billing provider infoOCEAN HEALTH INITIATIVES, INC.
FREEHOLD, NJ 07728

33aNPI1194226373assigned 02/23/2018

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$360K

24GClaims13,378

24DCodes billed29

24AFirst – last monthJun 2018 – Dec 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in New Jersey

Rank by total paid#56 of 98

Median peer was paid$758K

This provider vs. median0.5×

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	624	$17K
2019	1,398	$40K
2020	983	$18K
2021	2,339	$65K
2022	2,432	$49K
2023	2,542	$115K
2024incomplete	3,060	$56K

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	47%	866	679	$169K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	7,071	6,653	$133K
90460	Immunization administration through 18 years of age via any route, first or only component	2.8%	460	445	$10K
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	2.7%	518	497	$10K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.7%	853	819	$10K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.5%	343	329	$5K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	78	70	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	61	60	$3K
90686		<1%	516	489	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	58	57	$3K
90472	Immunization administration, each additional vaccine (list separately)	<1%	116	114	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	40	38	$2K

17 more codes

0011A		<1%	44	$1K
96127		<1%	813	$1K
90651		<1%	12	$1K
99385		<1%	12	$771.72
99203	Doctor's office visit, new patient (routine)	<1%	27	$721.35
90658		<1%	37	$530.33
90656		<1%	67	$346.84
96160		<1%	126	$227.43
3008F		<1%	13	$120.00
82962		<1%	193	$25.53
3074F		<1%	142	$3.00
81002		<1%	12	$2.38
3078F		<1%	191	$2.00
3079F		<1%	69	$1.00
3077F		<1%	198	$1.00
90834	Psychotherapy session, about 45 minutes	0%	399	$0.00
3080F		0%	43	$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 officialVARIO, NICOLE (CREDENTIALING COORDINATOR)