Clinic
Ocean Health Initiatives,inc
Ocean Health Initiatives,inc was paid $1.53M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 74% of everything it billed.
33Billing provider infoOCEAN HEALTH INITIATIVES,INC
LITTLE EGG HARBOR, NJ 08087
LITTLE EGG HARBOR, NJ 08087
33aNPI1235598616assigned 02/15/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.53M
24GClaims36,747
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Jersey
Rank by total paid#39 of 98
Median peer was paid$758K
This provider vs. median2.0×
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 | 4,987 | $171K | |
| 2019 | 6,580 | $244K | |
| 2020 | 2,813 | $89K | |
| 2021 | 4,179 | $164K | |
| 2022 | 5,510 | $165K | |
| 2023 | 6,571 | $368K | |
| 2024incomplete | 6,107 | $333K |
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 | 74% | 5,954 | 4,033 | $1.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 11,079 | 10,413 | $207K |
| 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 | 3.9% | 4,053 | 3,756 | $59K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 580 | 565 | $22K |
| 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 | 1.0% | 276 | 91 | $16K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 397 | 394 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 604 | 594 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 522 | 522 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 926 | 908 | $10K |
| 0012A | <1% | 180 | 180 | $7K | |
| 90686 | <1% | 658 | 638 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 224 | 222 | $6K |
35 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 115 | $6K |
| 0011A | <1% | 169 | $5K | |
| 97803 | <1% | 69 | $2K | |
| 96127 | <1% | 1,073 | $2K | |
| 96156 | <1% | 65 | $2K | |
| 99385 | <1% | 28 | $1K | |
| 90461 | <1% | 71 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $993.78 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $881.57 |
| 96160 | <1% | 450 | $803.31 | |
| 97802 | <1% | 15 | $634.50 | |
| 0013A | <1% | 14 | $520.00 | |
| 90715 | <1% | 26 | $515.23 | |
| 0064A | <1% | 12 | $440.00 | |
| 99441 | <1% | 88 | $423.40 | |
| 99442 | <1% | 33 | $409.48 | |
| 99386 | <1% | 14 | $356.98 | |
| 90688 | <1% | 18 | $243.33 | |
| 90656 | <1% | 28 | $158.09 | |
| 99429 | <1% | 13 | $130.00 | |
| 3008F | <1% | 26 | $120.00 | |
| 82962 | <1% | 486 | $101.03 | |
| G0467 | Community health center visit, returning patient | <1% | 98 | $35.65 |
| 81002 | <1% | 26 | $9.08 | |
| 3077F | <1% | 675 | $9.00 | |
| 3078F | <1% | 819 | $9.00 | |
| 3079F | <1% | 567 | $7.00 | |
| 3074F | <1% | 781 | $3.00 | |
| 3075F | <1% | 353 | $3.00 | |
| 3080F | <1% | 382 | $1.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 4,539 | $0.00 |
| 99000 | 0% | 30 | $0.00 | |
| 1111F | 0% | 30 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 111 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 42 | $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 (CEO)
| Provider | Location | Paid |
|---|---|---|
| Ocean Health Initiatives INC | Lakewood, NJ | $12.74M |
| Ocean Health Initiatives, INC | Toms River, NJ | $3.42M |
| 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.