Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Lakewood › NPI 1649643420
Clinic

Ocean Health Initiatives,inc

Ocean Health Initiatives,inc was paid $41K by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is 0012A, — 54% of everything it billed.

33Billing provider infoOCEAN HEALTH INITIATIVES,INC
LAKEWOOD, NJ 08701
33aNPI1649643420assigned 11/03/2015
28Total paid$41K
24GClaims1,346
24DCodes billed10
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in New Jersey

Rank by total paid#81 of 98
Median peer was paid$758K
This provider vs. median0.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
201860$1K
202065$1K
2021959$31K
2022123$5K
202354$2K
2024incomplete85$451.53
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0012A 54% 585 585 $22K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 455 447 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.4% 37 37 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.9% 35 35 $2K
0011A 3.6% 38 38 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.7% 69 69 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.0% 13 13 $825.40
90460 Immunization administration through 18 years of age via any route, first or only component 1.0% 37 37 $418.62
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 13 $184.21
96127 <1% 64 52 $78.91

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)
Same official

Other billing entities under BERGER, THERESA

Full network →
ProviderLocationPaid
Ocean Health Initiatives INCLakewood, NJ$12.74M
Ocean Health Initiatives, INCToms River, NJ$3.42M
Ocean Health Initiatives,incLittle Egg Harbor, NJ$1.53M
Ocean Health Initiatives, INC.Brick, NJ$827K
Ocean Health InitiativesLakewood, NJ$84K
Ocean Health Initiatives,incLakehurst, NJ$0.00

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