Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHERN OCEAN PRIMARY CARE ASSOCIATES LLC

NPI: 1326187444 · MANAHAWKIN, NJ 08050 · Family Medicine Physician · NPI assigned 02/05/2007

$117K
Total Medicaid Paid
7,631
Total Claims
6,790
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBETTINGER, SUSAN (BILLING SUPERVISOR)
NPI Enumeration Date02/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 938 $38K
2019 788 $32K
2020 603 $16K
2021 493 $9K
2022 553 $7K
2023 2,458 $10K
2024 1,798 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,011 1,826 $95K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 424 384 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 108 107 $3K
90682 58 58 $2K
99497 138 137 $2K
G0444 Annual depression screening, 5 to 15 minutes 199 192 $1K
36415 Collection of venous blood by venipuncture 575 554 $908.82
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 53 53 $609.50
G0442 Annual alcohol misuse screening, 5 to 15 minutes 203 195 $516.11
90630 12 12 $252.00
99406 68 63 $244.26
G8482 Influenza immunization administered or previously received 233 182 $0.00
G8484 Influenza immunization was not administered, reason not given 250 226 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 662 565 $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) 14 13 $0.00
94150 16 14 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 687 589 $0.00
94760 642 535 $0.00
2000F 618 520 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 70 60 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 499 429 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 51 39 $0.00
G9964 Patient received at least one well-child visit with a pcp during the performance period 40 37 $0.00