Providers
JASON C OCEAN, LCSW
NPI 1992108658, individual, Durham, NC, Social Worker, Clinical
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 29 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code H2020 ($4487 per patient-month) sit in the top 5% of every provider billing that code.
score 56 of 100, rank 7371, $10.6M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| May 2020 | More hours than a day holds, even counting one unit per claim line | 35.4 | 19.6 | 13.1 | 19.3 | 122 | 1 | 90791 90837 99354 | $47K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 38.1 | 23.2 | 15.4 | 21.1 | 134 | 1 | 90791 90837 | $54K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 35.7 | 31.7 | 21.2 | 28.5 | 155 | 1 | 90791 90837 | $76K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 40.5 | 37.9 | 25.3 | 37.3 | 141 | 1 | 90837 | $90K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 44.3 | 40.6 | 27.1 | 35.8 | 168 | 1 | 90837 H0038 | $95K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 56.1 | 47.2 | 31.4 | 41.3 | 233 | 1 | 90791 90837 H0038 | $117K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 57.5 | 55.3 | 36.9 | 47.5 | 223 | 1 | 90837 H0038 | $135K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 57.7 | 54.7 | 36.5 | 43.3 | 234 | 1 | 90837 H0038 | $139K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 60.3 | 56.2 | 37.5 | 43.4 | 250 | 1 | 90837 H0038 | $160K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 68.9 | 71.7 | 47.8 | 41.2 | 266 | 1 | 90837 H0038 | $207K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 64.2 | 94.3 | 62.8 | 38.1 | 275 | 1 | 90837 H0038 | $335K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 73.9 | 112.8 | 75.2 | 44.7 | 315 | 2 | 90837 H0038 | $391K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 80.8 | 131.4 | 87.6 | 51.6 | 332 | 2 | 90791 90837 H0038 | $481K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 85.5 | 142.1 | 94.7 | 51.1 | 349 | 2 | 90837 H0038 | $504K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 89.8 | 164.9 | 110.0 | 59.2 | 424 | 2 | 90791 90837 H0038 | $610K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 93.0 | 171.3 | 114.2 | 59.9 | 383 | 2 | 90837 H0038 | $637K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 90.0 | 157.5 | 105.0 | 58.5 | 381 | 2 | 90837 H0038 | $555K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 84.6 | 153.5 | 102.3 | 59.9 | 372 | 2 | 90837 H0038 | $562K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 80.3 | 148.2 | 98.8 | 57.2 | 368 | 2 | 90837 H0038 | $517K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 81.8 | 154.9 | 103.3 | 57.4 | 354 | 2 | 90837 H0038 | $562K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 74.4 | 111.3 | 74.2 | 52.9 | 350 | 2 | 90837 H0038 | $457K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 61.4 | 76.8 | 51.2 | 41.7 | 370 | 2 | 90837 H0038 | $263K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 81.3 | 121.8 | 81.2 | 60.1 | 382 | 2 | 90837 H0038 | $474K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 84.6 | 138.6 | 92.4 | 62.3 | 383 | 2 | 90837 H0038 | $556K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 82.8 | 131.1 | 87.4 | 61.9 | 387 | 2 | 90791 90837 H0038 | $531K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 105.3 | 152.6 | 101.7 | 80.2 | 356 | 2 | 90837 H0038 | $561K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 94.2 | 137.9 | 91.9 | 81.6 | 367 | 2 | 90837 H0038 | $513K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 65.6 | 109.9 | 73.2 | 52.9 | 356 | 2 | 90837 H0038 | $432K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 45.8 | 52.1 | 34.7 | 24.0 | 313 | 2 | 90837 H0038 | $203K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JASON C OCEAN, LCSW |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | October 8, 2014, last updated November 30, 2020 |
| Practice location | 2530 MERIDIAN PKWY STE 300, Durham, NC 27713-5273, 919-924-7584 |
| Specialties | Social Worker, Clinical (1041C0700X, license P011176 NC) Social Worker, Clinical (1041C0700X, license 254677 KY) Social Worker, Clinical (1041C0700X, primary, license C012882 NC) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H2020 | Therapeutic behavioral services per diem | $7.9M | 38% | $4K | $455 (top 5% from $2K) | 99th percentile | |
| H0038 | Self-help/peer services per 15 min | $7.2M | 35% | $3K | $147 (top 5% from $2K) | 98th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $4.0M | 19% | $538 | $191 (top 5% from $442) | 97th percentile | |
| T2023 | Medicaid service code | $1.3M | 6% | $309 | $332 (top 5% from $1K) | 31st percentile | |
| H0025 | Medicaid service code | $166K | 1% | $471 | $83 (top 5% from $1K) | 87th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $33K | 0% | $92 | $105 (top 5% from $228) | 38th percentile | |
| H0015 | Alcohol/drug intensive outpatient per diemhistory of abuse | $33K | 0% | $805 | $666 (top 5% from $2K) | too few months to rank | |
| 90834 | Psychotherapy, 45 minutes | $25K | 0% | $267 | $101 (top 5% from $318) | 92nd percentile |
In this area
6 providers in Durham County, NC carry an indicator in the public record, with $2.6M at stake between them. The most common is part of a provider network, on 3 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MALIK MUHAMMAD Durham, NC, ranked 116 | $2K |
|
| 3 | PIUS ONDACHI Durham, NC, ranked 960 | $24K |
|
| 3 | DUKE UNIVERSITY HEALTH SYSTEM, INC. Durham, NC, ranked 2712 | $0 |
|
| 3 | HILLCREST CONVALESCENT CENTER, INC. Durham, NC, ranked 2905 | $0 |
|
| 3 | DUKE UNIVERSITY HEALTH SYSTEM, INC. Durham, NC, ranked 4671 | $0 |
|
| 4 | LISA HOWELL Durham, NC, ranked 7605 | $2.6M |
|
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedAug 27, 2026
Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program
Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.
DOJPleaded guiltyJul 9, 2026
Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme
Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.
DOJPleaded guiltyJun 24, 2026
Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals
Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.
DOJChargedJun 24, 2026
McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown
White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.
DOJIndictedJun 24, 2026
Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy
Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.