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

Advocare, LLC

Advocare, LLC was paid $109K by Medicaid between Jan 2018 and Nov 2023, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoADVOCARE, LLC
MT ARLINGTON, NJ 07856
33aNPI1598023459assigned 04/30/2012
33bProvider typeOtolaryngology Physician
28Total paid$109K
24GClaims1,482
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers

Next to other Otolaryngology Physician providers in New Jersey

Rank by total paid#17 of 42
Median peer was paid$43K
This provider vs. median2.5×

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$5.0K$10K$15K2018201920202021202220232024
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
2018562$34K
2019269$16K
2021197$20K
2022278$22K
2023176$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 63% 783 729 $68K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 416 396 $23K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.4% 65 65 $6K
31231 3.7% 24 24 $4K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 3.1% 13 13 $3K
92557 2.3% 95 95 $3K
69210 1.5% 57 56 $2K
92550 <1% 29 29 $411.54

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, LLCCedar Knolls, NJ$769K
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 , 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.