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    Ocean Monmouth Care, LLC — Billing Profile & Reimbursement Data

    NPI 1275851917 · Brick, NJ · Methadone Clinic

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    Ocean Monmouth Care, LLC is a methadone clinic provider located in Brick, New Jersey. This profile covers 3 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOcean Monmouth Care, LLC
    Address150 Brick Blvd
    CityBrick
    StateNJ
    ZIP08723
    TaxonomyMethadone Clinic
    NPI EnumeratedMay 5, 2010

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

    Payer SourceTotal Paid
    Medicaid$10.8M
    Medicare$555.9K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…2,050$260$523.3K
    G2078Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure810$40$30.7K
    G2076Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a…10$200$2.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G2067230810$240$226.1K
    G2078720660$40$27.8K
    G207611010$190$2.5K

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…88,950$110$9.3M
    G2068Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if…3,990$180$726.2K
    G2078Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure6,950$50$340.4K
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)8,470$20$203.4K
    G2076Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a…180$350$64.2K
    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,…1,060$50$51.7K
    99203The provider sees a new 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 provider…250$120$29.4K
    90832In 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…380$70$27.1K
    G2079Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary…130$180$22.6K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.230$90$20K

    Showing 1–10 of 12

    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

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)346014,740$80$3.4M
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…36020,750$110$2.9M
    G2068Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if…3201,010$180$320.6K
    90832In 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…248430550$50$190.5K
    G2076Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a…2440270$400$146.7K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.296550280$120$131.8K
    G2078Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure6402,230$40$125.3K
    99203The provider sees a new 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 provider…6091,460150$80$97.8K
    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,…4041,520260$40$71.9K
    H0038Self‑help/peer services, per 15 minutes1830550$30$71.5K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Ocean Monmouth Care, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Association For The Multiple Impaired Blind, Inc.NJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$73.8M
    Affinity Care Of Nj LLCNJCommunity Based Hospice Care Agency$0$11.9M
    Signature Behavioral Health LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$9.2M
    The Arc Ocean County Chapter, Inc.NJDevelopmentally Disabled Services Day Training Agency$0$7.9M
    Jasper Ambulatory Surgical Center LLCNJAmbulatory Surgical Clinic/Center$2M$0
    Township Of BrickNJLand Ambulance$670.2K$392.1K
    Thomas KomorowskiNJCardiovascular Disease Physician$883.5K$0
    Leonard SandlerNJCardiovascular Disease Physician$856.3K$0
    Diosdado Non Medical Services LLCNJAnatomic Pathology Physician$454.2K$0
    Sunil AsnaniNJEndocrinology, Diabetes & Metabolism Physician$391.1K$0

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Ocean Monmouth Care, LLC — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    2 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Ocean Monmouth Care, LLC — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey