Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Advocare, LLC (NPI 1770538696)

Advocare, LLC is a pediatrics physician provider located in Marlton, New Jersey. This profile covers 0 Medicare and 172 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Advocare, LLC
Address	401 Route 73 N Ste 320
City	Marlton
State	NJ
ZIP	08053
Taxonomy	Pediatrics Physician
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$32.1M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

172 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	181,400	$70	$11.8M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	110,570	$90	$9.6M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	43,920	$40	$1.6M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	11,730	$100	$1.2M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	10,520	$100	$1.1M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,020	$90	$821K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	37,880	$20	$795.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,730	$110	$753.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	14,110	$30	$479.9K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	7,760	$30	$248.3K

Showing 1–10 of 172

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Advocare, LLC — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

172 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	50	80	430	$290	$897.3K
S9083	Global fee urgent care centers	79	90	780	$90	$481.8K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	27	50	460	$150	$285.7K
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	2	10	210	$1,350	$276K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	443	480	220	$260	$260.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	8	4,450	740	$40	$229.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	12	3,790	580	$60	$204K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	192	520	1,020	$40	$177.3K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	47	70	380	$100	$165K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	269	730	1,350	$20	$155.4K

Showing 1–10 of 172

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vijay Singh	NJ	Rheumatology Physician	$1.7M	$0
Jennifer Lincoln	NJ	Medical Physician Assistant	$1.1M	$0
Rajendra Patel	NJ	Cardiovascular Disease Physician	$969.7K	$0
Richard Daniels	NJ	Vascular Surgery Physician	$827.7K	$5.4K
Richa Mishra	NJ	Rheumatology Physician	$823.8K	$0
Nickolas Tyris	NJ	Rheumatology Physician	$804.4K	$0
Nicholas Palladino	NJ	Internal Medicine Physician	$681.3K	$0
Neil Mushlin	PA	Pulmonary Disease Physician	$669.7K	$0
Sarah Curci	NJ	Medical Physician Assistant	$587K	$0
Nicholas Depace	NJ	Cardiovascular Disease Physician	$522.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Devereux Foundation	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$400.8M
Merakey New Jersey	NJ	Community/Behavioral Health Agency	$0	$76M
Virtua Medical Group, PA	NJ	Family Medicine Physician	$0	$48M
Hba Management, Inc.	NJ	Children's Rehabilitation Hospital	$0	$30.4M
Greater New Jersey Creative Counseling	NJ	Community/Behavioral Health Agency	$0	$25.7M
Prestige Of Marlton Amdc LLC	NJ	Adult Day Care Clinic/Center	$0	$18.4M
Trinity Medical Laboratories	NJ	Clinical Medical Laboratory	$214.5K	$11.8M
Hba Management Inc	NJ	Medically Fragile Infants and Children Day Care	$0	$12M
Union Association Of The Children's Home Of Burlington County, Inc.	NJ	Community/Behavioral Health Agency	$0	$11.9M
Comfort Hands Home Care	NJ	Home Health Agency	$0	$11.9M

Advocare, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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