Clinic
Ocean Health Initiatives, INC.
Ocean Health Initiatives, INC. was paid $827K by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 58% of everything it billed.
33Billing provider infoOCEAN HEALTH INITIATIVES, INC.
BRICK, NJ 08724
BRICK, NJ 08724
33aNPI1679096796assigned 07/20/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$827K
24GClaims41,756
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Jersey
Rank by total paid#48 of 98
Median peer was paid$758K
This provider vs. median1.1×
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 | 4,452 | $95K | |
| 2019 | 6,742 | $130K | |
| 2020 | 5,173 | $79K | |
| 2021 | 5,446 | $108K | |
| 2022 | 6,991 | $152K | |
| 2023 | 5,679 | $180K | |
| 2024incomplete | 7,273 | $83K |
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 | 58% | 2,462 | 1,791 | $477K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 15,413 | 14,341 | $209K |
| 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 | 8.2% | 5,247 | 4,894 | $68K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 684 | 682 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 1,186 | 1,176 | $13K |
| 90686 | 1.2% | 715 | 710 | $10K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 142 | 139 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 273 | 269 | $5K |
| 90715 | <1% | 104 | 104 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 94 | 93 | $4K |
| 97802 | <1% | 73 | 72 | $3K | |
| 96127 | <1% | 1,922 | 1,712 | $2K |
30 more codes
| 97803 | <1% | 50 | $2K | |
| 90688 | <1% | 116 | $2K | |
| 99386 | <1% | 51 | $2K | |
| 0011A | <1% | 39 | $1K | |
| 0064A | <1% | 26 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | $606.50 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $370.76 |
| 96160 | <1% | 1,039 | $317.84 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $293.81 |
| 90461 | <1% | 15 | $226.25 | |
| 96156 | <1% | 12 | $181.92 | |
| G0467 | Community health center visit, returning patient | <1% | 1,696 | $171.78 |
| 3008F | <1% | 14 | $130.00 | |
| 82962 | <1% | 738 | $118.86 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $88.94 |
| 81002 | <1% | 100 | $11.38 | |
| 3074F | <1% | 2,855 | $10.03 | |
| 3079F | <1% | 1,223 | $8.00 | |
| 3078F | <1% | 2,222 | $4.02 | |
| 3077F | <1% | 371 | $3.00 | |
| 3080F | <1% | 312 | $3.00 | |
| 3075F | <1% | 355 | $2.00 | |
| 1159F | <1% | 59 | $1.00 | |
| 1160F | <1% | 59 | $1.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 26 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 64 | $0.00 |
| 81025 | 0% | 13 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 1,788 | $0.00 |
| 1111F | 0% | 81 | $0.00 | |
| 1126F | 0% | 52 | $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 | Toms River, NJ | $3.42M |
| Ocean Health Initiatives,inc | Little Egg Harbor, NJ | $1.53M |
| 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.