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    OpenPayerNPI Medicare & MedicaidOcean Health Initiatives Inc
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    Ocean Health Initiatives Inc — Billing Profile & Reimbursement Data

    NPI 1043306574 · Lakewood, NJ · Federally Qualified Health Center (FQHC)

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    Ocean Health Initiatives Inc is a federally qualified health center (fqhc) provider located in Lakewood, New Jersey. This profile covers 0 Medicare and 134 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOcean Health Initiatives Inc
    Address101 2nd St
    CityLakewood
    StateNJ
    ZIP08701
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedOctober 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$12.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    134 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive32,370$180$5.9M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…154,340$20$2.8M
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.23,440$20$539.1K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.9,160$50$457.9K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…7,920$40$348.6K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.5,850$50$310.1K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…7,820$40$281.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…8,550$20$171.1K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.15,100$10$166.1K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.3,170$40$136.2K

    Showing 1–10 of 134

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Jersey median

    134 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive51104,060$170$1.5M
    88175The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…1220750$10$1.3M
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.92120900$20$971.9K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.89120940$20$957.4K
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.3350300$20$629.9K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…867201,690$80$629.2K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.92100320$190$394K
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…1840210$760$307.1K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…347480220$260$260.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…124,450740$40$229.8K

    Showing 1–10 of 134

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ocean Health Initiatives Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Temilola SopejuNJPediatrics Physician$61.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Ocean Health Initiatives Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Arc Ocean County Chapter, IncNJIn Home Supportive Care Agency$0$147.4M
    Monmouth Medical Center IncNJGeneral Acute Care Hospital$0$60.1M
    Lakewood Resource And Referral Center IncNJFederally Qualified Health Center (FQHC)$0$46.8M
    Lakewood Board Of EducationNJLocal Education Agency (LEA)$0$43.9M
    Teamcare LLCNJIn Home Supportive Care Agency$0$38.8M
    I.m.e.m. Clinical Associates LLCNJSpecialist$0$27.8M
    Eviancare LLCNJIn Home Supportive Care Agency$0$23.4M
    Nj Dentistry For Children, P.A.NJPediatric Dentistry$0$21.9M
    The Special Children CenterNJDevelopmentally Disabled Services Day Training Agency$0$17.4M
    Precious Health Of Lakewood, PCNJPediatrics Physician$0$15.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Jersey Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Ocean Health Initiatives Inc — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey