Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ADVOCARE, LLC

NPI: 1881045151 · EAST BRUNSWICK, NJ 08816 · Pediatrics Physician · NPI assigned 06/28/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CANDIA, DAWN controls 20+ related entities in our dataset. Read more

$150K
Total Medicaid Paid
3,902
Total Claims
3,788
Beneficiaries
14
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialCANDIA, DAWN (DIRECTOR)
NPI Enumeration Date06/28/2016

Related Entities

Other providers sharing the same authorized official: CANDIA, DAWN

ProviderCityStateTotal Paid
ADVOCARE, LLC MARLTON NJ $32.12M
ADVOCARE, LLC CEDAR KNOLLS NJ $769K
ADVOCARE, LLC CHERRY HILL NJ $719K
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $594K
ADVOCARE, LLC WEST DEPTFORD NJ $580K
ADVOCARE, LLC BLACKWOOD NJ $462K
ADVOCARE, LLC UNION CITY NJ $360K
ADVOCARE LLC BERGENFIELD NJ $329K
ADVOCARE, LLC DELRAN NJ $272K
ADVOCARE, LLC VOORHEES NJ $253K
ADVOCARE, LLC WENONAH NJ $192K
ADVOCARE , LLC PHILADELPHIA PA $125K
ADVOCARE, LLC MT ARLINGTON NJ $109K
ADVOCARE , LLC CLIFTON NJ $81K
EINSTEIN PRACTICE PLAN, INC. PHILADELPHIA PA $77K
ADVOCARE , LLC MARLTON NJ $71K
ADVOCARE , LLC BERLIN NJ $55K
ADVOCARE LLC ENGLEWOOD NJ $48K
ADVOCARE, LLC HADDONFIELD NJ $39K
ADVOCARE, LLC SEWELL NJ $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,737 $62K
2019 979 $43K
2020 387 $4K
2021 345 $15K
2022 304 $16K
2023 150 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,528 1,478 $96K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 356 342 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 906 887 $13K
90686 409 406 $2K
90472 Immunization administration, each additional vaccine (list separately) 129 129 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 249 249 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 54 27 $557.66
99173 81 81 $273.97
96110 Developmental screening, with scoring and documentation, per standardized instrument 14 14 $111.67
81002 52 52 $107.84
81000 54 53 $102.84
87071 13 13 $77.21
96127 12 12 $51.59
36416 45 45 $24.40