Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

ADVOCARE, LLC

Pediatrics·MARLTON, NJ·NPI: 1770538696Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $32.1M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$32.1M

$32,120,385

Total Claims

695K

Beneficiaries

613K

1.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$38K
+3937%
2019
$1.5M
+126%
2020
$3.4M
+110%
2021
$7.2M
+12%
2022
$8.0M
-71%
2023
$2.3M
+305%
2024
$9.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 37% of total spending.

99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$11.8M

181K claims · 36.7%

Your Cost: $65.05/claim|Median: $37.81
1.7× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$9.6M

111K claims · 30.0%

Your Cost: $87.10/claim|Median: $53.41
1.6× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.6M

44K claims · 5.0%

Your Cost: $36.53/claim|Median: $17.85
2.0× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.2M

12K claims · 3.7%

Your Cost: $100.82/claim|Median: $75.18
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.1M

11K claims · 3.4%

Your Cost: $103.07/claim|Median: $74.82
1.4× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$824K

9,022 claims · 2.6%

Your Cost: $91.38/claim|Median: $69.35
1.3× median
90471Top 10%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$777K

38K claims · 2.4%

Your Cost: $20.51/claim|Median: $9.80
2.1× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$754K

6,729 claims · 2.3%

Your Cost: $112.08/claim|Median: $80.15
1.4× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$474K

14K claims · 1.5%

Your Cost: $33.57/claim|Median: $30.04
1.1× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$252K

7,758 claims · 0.8%

Your Cost: $32.47/claim|Median: $6.93
4.7× median
87428Top 5%

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$246K

3,516 claims · 0.8%

Your Cost: $69.85/claim|Median: $39.63
1.8× median
87804Normal range

Influenza virus detection, rapid test

$231K

18K claims · 0.7%

Your Cost: $12.64/claim|Median: $12.59
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$215K

1,724 claims · 0.7%

Your Cost: $124.99/claim|Median: $74.09
1.7× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$208K

1,551 claims · 0.6%

Your Cost: $134.04/claim|Median: $84.03
1.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$185K

15K claims · 0.6%

Your Cost: $12.21/claim|Median: $11.48
1.1× median
90677Top 5%

$184K

923 claims · 0.6%

Your Cost: $198.81/claim|Median: $12.96
15.3× median
90472Normal range

Immunization administration, each additional vaccine

$176K

12K claims · 0.5%

Your Cost: $14.51/claim|Median: $11.79
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$157K

5,263 claims · 0.5%

Your Cost: $29.84/claim|Median: $25.06
1.2× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$137K

1,572 claims · 0.4%

Your Cost: $87.09/claim|Median: $57.85
1.5× median
96110Normal range

Developmental screening, per standardized instrument

$128K

15K claims · 0.4%

Your Cost: $8.37/claim|Median: $9.10
0.9× median
99308Normal range

Nursing facility care, subsequent, straightforward

$123K

7,275 claims · 0.4%

Your Cost: $16.92/claim|Median: $9.79
1.7× median
93924Top 10%

$121K

881 claims · 0.4%

Your Cost: $137.55/claim|Median: $56.65
2.4× median
90697Top 1%

$118K

970 claims · 0.4%

Your Cost: $121.14/claim|Median: $7.24
16.7× median
92551Normal range

Screening audiometry, pure tone, air only

$110K

12K claims · 0.3%

Your Cost: $9.20/claim|Median: $6.61
1.4× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$101K

755 claims · 0.3%

Your Cost: $133.94/claim|Median: $91.47
1.5× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$99K

859 claims · 0.3%

Your Cost: $114.88/claim|Median: $47.08
2.4× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$97K

1,927 claims · 0.3%

Your Cost: $50.32/claim|Median: $39.70
1.3× median
92015Top 25%

Determination of refractive state

$88K

4,934 claims · 0.3%

Your Cost: $17.80/claim|Median: $10.36
1.7× median
95004Normal range

Percutaneous allergy skin tests, each

$65K

490 claims · 0.2%

Your Cost: $133.05/claim|Median: $134.97
1.0× median
31231Top 25%

Nasal endoscopy, diagnostic

$63K

368 claims · 0.2%

Your Cost: $171.82/claim|Median: $98.77
1.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$59K

16K claims · 0.2%

Your Cost: $3.79/claim|Median: $3.67
1.0× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$50K

432 claims · 0.2%

Your Cost: $115.18/claim|Median: $72.71
1.6× median
92552Top 25%

Pure tone audiometry, air only, each ear

$41K

1,534 claims · 0.1%

Your Cost: $26.47/claim|Median: $12.63
2.1× median
92060Normal range

$35K

944 claims · 0.1%

Your Cost: $37.50/claim|Median: $35.83
1.0× median
95117Normal range

$29K

3,550 claims · 0.1%

Your Cost: $8.29/claim|Median: $8.34
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$29K

28K claims · 0.1%

Your Cost: $1.05/claim|Median: $7.18
0.1× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$28K

262 claims · 0.1%

Your Cost: $107.47/claim|Median: $76.22
1.4× median
95165Top 25%

Professional services for allergen immunotherapy, per injection

$26K

100 claims · 0.1%

Your Cost: $264.33/claim|Median: $144.04
1.8× median
97110Normal range

Therapeutic exercises, each 15 min

$26K

2,865 claims · 0.1%

Your Cost: $9.22/claim|Median: $24.49
0.4× median
97140Normal range

Manual therapy techniques, per 15 minutes

$26K

1,947 claims · 0.1%

Your Cost: $13.22/claim|Median: $16.79
0.8× median
J0717Normal range

$25K

36 claims · 0.1%

Your Cost: $695.64/claim|Median: $1,144.80
0.6× median
90619Top 1%

$24K

154 claims · 0.1%

Your Cost: $157.66/claim|Median: $8.36
18.9× median
99306Top 25%

$22K

306 claims · 0.1%

Your Cost: $70.73/claim|Median: $29.97
2.4× median
99177Normal range

$21K

4,149 claims · 0.1%

Your Cost: $5.07/claim|Median: $3.74
1.4× median
90651Normal range

HPV vaccine, 9-valent

$20K

1,380 claims · 0.1%

Your Cost: $14.45/claim|Median: $8.93
1.6× median
92588Normal range

Vestibular evoked myogenic potential testing, each side

$20K

601 claims · 0.1%

Your Cost: $32.78/claim|Median: $31.08
1.1× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$19K

404 claims · 0.1%

Your Cost: $47.81/claim|Median: $29.03
1.6× median
92587Normal range

$19K

1,163 claims · 0.1%

Your Cost: $16.56/claim|Median: $19.24
0.9× median
97530Normal range

Therapeutic activities, each 15 min

$19K

2,065 claims · 0.1%

Your Cost: $9.29/claim|Median: $33.11
0.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$18K

847 claims · 0.1%

Your Cost: $20.66/claim|Median: $23.99
0.9× median

Other Top Providers in New Jersey

View all →

Department of Health and Senior Services

Specialist

$1.07B

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$717.5M

Care Finders Total Care LLC

Home Health

$708.7M

Quest Diagnostics Incorporated

Clinical Medical Laboratory

$637.7M

Bioreference Health LLC

Clinical Medical Laboratory

$620.1M

Similar Providers

Other top providers in Pediatrics

Legacy Community Health Services, INC

Houston, TX

$406.5M

Saltzman Tanis Pittell Levin and Jacobson

Hollywood, FL

$201.3M

Children's Specialized Hospital

New Brunswick, NJ

$199.9M

Phoenix Children's Hospital

Phoenix, AZ

$162.4M

Texas Children's Physician Group

Houston, TX

$160.8M

← All providersAll providers in New Jersey →How we detect fraud →