Clinic
Ocean Health Initiatives, INC
Ocean Health Initiatives, INC was paid $3.42M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 80% of everything it billed.
33Billing provider infoOCEAN HEALTH INITIATIVES, INC
TOMS RIVER, NJ 08755
TOMS RIVER, NJ 08755
33aNPI1417938044assigned 11/10/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.42M
24GClaims69,290
24DCodes billed69
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#18 of 98
Median peer was paid$758K
This provider vs. median4.5×
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 | 7,357 | $551K | |
| 2019 | 6,508 | $509K | |
| 2020 | 4,303 | $327K | |
| 2021 | 2,874 | $290K | |
| 2022 | 3,659 | $294K | |
| 2023 | 9,695 | $489K | |
| 2024incomplete | 34,894 | $964K |
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 | 80% | 15,270 | 11,509 | $2.75M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 14,078 | 12,611 | $143K |
| 90677 | 2.5% | 549 | 532 | $86K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 1,009 | 989 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.2% | 294 | 237 | $43K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 1,647 | 1,588 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 836 | 816 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 697 | 679 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,489 | 1,269 | $28K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,652 | 3,568 | $26K |
| 99429 | <1% | 2,607 | 2,516 | $26K | |
| 90619 | <1% | 212 | 209 | $25K |
57 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,923 | $18K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 747 | $14K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 826 | $13K |
| 99188 | <1% | 734 | $12K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 336 | $11K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 120 | $8K |
| 96127 | <1% | 6,632 | $8K | |
| 90651 | <1% | 153 | $7K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 556 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 183 | $6K |
| 90710 | <1% | 240 | $5K | |
| 98940 | <1% | 646 | $5K | |
| 3008F | <1% | 895 | $5K | |
| 90461 | <1% | 258 | $4K | |
| 90656 | <1% | 464 | $3K | |
| 90671 | <1% | 19 | $3K | |
| 90686 | <1% | 947 | $3K | |
| 97802 | <1% | 45 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 502 | $1K |
| 90633 | <1% | 468 | $1K | |
| 90649 | <1% | 31 | $1K | |
| 96160 | <1% | 1,109 | $1K | |
| 90681 | <1% | 253 | $795.24 | |
| 90474 | <1% | 88 | $774.16 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 135 | $766.27 |
| 90715 | <1% | 134 | $720.12 | |
| 97803 | <1% | 17 | $679.49 | |
| 90698 | <1% | 462 | $452.93 | |
| 96156 | <1% | 15 | $423.40 | |
| 90744 | <1% | 379 | $196.39 | |
| 90716 | <1% | 26 | $174.32 | |
| 90648 | <1% | 225 | $91.96 | |
| 82962 | <1% | 316 | $89.65 | |
| 90696 | <1% | 14 | $62.21 | |
| 90700 | <1% | 46 | $27.84 | |
| 3078F | <1% | 433 | $4.02 | |
| 3074F | <1% | 305 | $4.00 | |
| 3077F | <1% | 270 | $2.01 | |
| 3079F | <1% | 255 | $2.00 | |
| 3080F | <1% | 98 | $2.00 | |
| 3075F | <1% | 147 | $1.00 | |
| 1126F | <1% | 14 | $1.00 | |
| 96381 | <1% | 23 | $0.07 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 4,800 | $0.00 |
| 86580 | 0% | 12 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 32 | $0.00 |
| 99381 | 0% | 145 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 27 | $0.00 |
| 90723 | 0% | 52 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 12 | $0.00 |
| 90381 | 0% | 15 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 73 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 14 | $0.00 |
| 90380 | 0% | 15 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 203 | $0.00 |
| 81025 | 0% | 47 | $0.00 | |
| 90734 | 0% | 14 | $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 | Little Egg Harbor, NJ | $1.53M |
| 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.