Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Advocare, LLC

Advocare, LLC was paid $769K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 92060, — 32% of everything it billed.

33Billing provider infoADVOCARE, LLC
CEDAR KNOLLS, NJ 07927
33aNPI1104162726assigned 12/31/2012
33bProvider typeOphthalmology Physician
28Total paid$769K
24GClaims13,045
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#24 of 213
Median peer was paid$20K
This provider vs. median39×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CANDIA, DAWN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20186,384$407K
20193,520$224K
2020354$14K
2021850$43K
2022577$22K
2023669$29K
2024incomplete691$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92060 32% 4,154 4,138 $245K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21% 1,101 1,099 $161K
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 18% 1,402 1,401 $139K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 1,259 1,237 $85K
92015 Determination of refractive state 11% 4,661 4,646 $82K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.8% 229 229 $29K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3.7% 239 239 $28K

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 officialCANDIA, DAWN (DIRECTOR OF CREDENTIALING)
Parent organizationADVOCARE , LLC
Same official

Other billing entities under CANDIA, DAWN

Full network →
ProviderLocationPaid
Advocare, LLCMarlton, NJ$32.12M
Advocare, LLCCherry Hill, NJ$719K
Einstein Practice Plan, INC.Philadelphia, PA$594K
Advocare, LLCWest Deptford, NJ$580K
Advocare, LLCBlackwood, NJ$462K
Advocare, LLCUnion City, NJ$360K
Advocare LLCBergenfield, NJ$329K
Advocare, LLCDelran, NJ$272K
Advocare, LLCVoorhees, NJ$253K
Advocare, LLCWenonah, NJ$192K
Advocare, LLCEast Brunswick, NJ$150K
Advocare , LLCPhiladelphia, PA$125K
Advocare, LLCMt Arlington, NJ$109K
Advocare , LLCClifton, NJ$81K
Einstein Practice Plan, INC.Philadelphia, PA$77K
Advocare , LLCMarlton, NJ$71K
Advocare , LLCBerlin, NJ$55K
Advocare LLCEnglewood, NJ$48K
Advocare, LLCHaddonfield, NJ$39K
Advocare, LLCSewell, NJ$31K

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