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

Advocare, LLC

Advocare, LLC was paid $272K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoADVOCARE, LLC
DELRAN, NJ 08075
33aNPI1669483970assigned 08/11/2006
33bProvider typePediatrics Physician
28Total paid$272K
24GClaims4,689
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#229 of 549
Median peer was paid$154K
This provider vs. median1.8×

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
20181,051$60K
2019949$57K
2020254$7K
2021386$23K
2022888$55K
2023862$50K
2024incomplete299$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 1,920 1,845 $132K
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 29% 841 787 $79K
90460 Immunization administration through 18 years of age via any route, first or only component 15% 1,351 1,329 $41K
87428 3.4% 164 160 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.8% 50 50 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.2% 39 39 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 13 13 $1K
90686 <1% 232 232 $972.39
92551 <1% 30 30 $342.62
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 13 13 $81.84
99173 <1% 12 12 $34.56
90670 0% 24 24 $0.00

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, 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.