Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Ocean Monmouth Care, LLC

Ocean Monmouth Care, LLC was paid $10.80M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is G2067, Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) — 86% of everything it billed.

33Billing provider infoOCEAN MONMOUTH CARE, LLC
BRICK, NJ 08723
33aNPI1275851917assigned 05/05/2010
33bProvider typeMethadone Clinic
28Total paid$10.80M
24GClaims110,832
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Methadone Clinic providers in New Jersey

Rank by total paid#10 of 33
Median peer was paid$4.86M
This provider vs. median2.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official TANIS, ROBYN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
20181,907$173K
20216,210$430K
202246,053$3.73M
202335,075$3.69M
2024incomplete21,587$2.77M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 86% 88,954 24,764 $9.30M
G2068 Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) 6.7% 3,990 1,139 $728K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 3.2% 6,946 4,463 $343K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 1.8% 8,473 1,985 $199K
G2076 Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code <1% 184 183 $64K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,056 912 $52K
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% 249 249 $29K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 376 332 $27K
G2079 Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure <1% 127 92 $23K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 232 232 $20K
H0038 Self-help/peer services, per 15 minutes <1% 219 132 $7K
H0001 Alcohol and/or drug assessment <1% 26 26 $1K

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 officialTANIS, ROBYN (EXECUTIVE DIRECTOR CONTRACT MANAGEM)
Same official

Other billing entities under TANIS, ROBYN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.