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

Advocare , LLC

Advocare , LLC was paid $125K by Medicaid between Nov 2023 and Oct 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoADVOCARE , LLC
PHILADELPHIA, PA 19128
33aNPI1811673163assigned 06/22/2023
33bProvider typePediatrics Physician
28Total paid$125K
24GClaims3,210
24DCodes billed17
24AFirst – last monthNov 2023 – Oct 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#443 of 1,257
Median peer was paid$45K
This provider vs. median2.8×

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$10K$20K2018201920202021202220232024
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
2023621$26K
2024incomplete2,589$99K
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 41% 1,095 1,017 $51K
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 20% 369 346 $25K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13% 187 175 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.5% 77 76 $8K
90460 Immunization administration through 18 years of age via any route, first or only component 4.4% 250 228 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.4% 54 54 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.3% 66 62 $5K
92552 2.1% 167 157 $3K
90686 2.0% 192 192 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 151 131 $1K
96127 <1% 189 166 $839.33
90658 <1% 50 50 $644.42
5 more codes
99173 <1% 164 $473.23
92551 <1% 117 $345.18
96160 <1% 21 $28.58
80061 Lipid panel <1% 18 $15.40
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 43 $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)
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, 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.