Southern Ocean Primary Care Associates LLC

Southern Ocean Primary Care Associates LLC was paid $117K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoSOUTHERN OCEAN PRIMARY CARE ASSOCIATES LLC
MANAHAWKIN, NJ 08050

33aNPI1326187444assigned 02/05/2007

33bProvider typeFamily Medicine Physician

28Total paid$117K

24GClaims7,631

24DCodes billed23

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in New Jersey

Rank by total paid#134 of 414

Median peer was paid$28K

This provider vs. median4.1×

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	938	$38K
2019	788	$32K
2020	603	$16K
2021	493	$9K
2022	553	$7K
2023	2,458	$10K
2024incomplete	1,798	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	81%	2,011	1,826	$95K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.6%	424	384	$11K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	2.6%	108	107	$3K
90682		2.0%	58	58	$2K
99497		1.6%	138	137	$2K
G0444	Annual depression screening, 5 to 15 minutes	<1%	199	192	$1K
36415	Collection of venous blood by venipuncture	<1%	575	554	$908.82
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	53	53	$609.50
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	203	195	$516.11
90630		<1%	12	12	$252.00
99406		<1%	68	63	$244.26
G8482	Influenza immunization administered or previously received	0%	233	182	$0.00

11 more codes

G8484	Influenza immunization was not administered, reason not given	0%	250	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	662	$0.00
G9781	Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons)	0%	14	$0.00
94150		0%	16	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	687	$0.00
94760		0%	642	$0.00
2000F		0%	618	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	70	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	499	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	51	$0.00
G9964	Patient received at least one well-child visit with a pcp during the performance period	0%	40	$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 officialBETTINGER, SUSAN (BILLING SUPERVISOR)