This provider's $21.8M in total Medicare payments ranks in the 99th percentile of Mass Immunizer Roster Biller providers nationally.
Medicare payments to this provider grew 154% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 67128% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2020 | $8.47 | $7.94 | 1.07x | $0.53 | $29.9K | 3.0K | 3.0K |
| 2021 | $24.34 | $22.76 | 1.07x | $1.58 | $20.1M | 1.5M | 1.1M |
| 2022 | $26.55 | $24.36 | 1.09x | $2.19 | $1.6M | 82.1K | 81.4K |
| 2023 | $20.11 | $19.30 | 1.04x | $0.81 | $76.1K | 4.2K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 190.3K | $5.9M | $30.86 | 1.08x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 153.3K | $4.6M | $30.19 | 1.08x |
| 0001A | Adm sarscov2 30mcg/0.3ml 1st | 187.2K | $3.8M | $20.12 | 1.07x |
| 0011A | Adm sarscov2 100mcg/0.5ml1st | 155.9K | $3.0M | $19.08 | 1.07x |
| 0004A | Fee covid-19 vac 1 res | 43.3K | $1.6M | $37.19 | 1.08x |
| 0064A | Fee covid-19 vac 7 res | 40.3K | $1.5M | $37.01 | 1.08x |
| 0054A | Adm sarscv2 30mcg trs-sucr b | 9.9K | $362.7K | $36.51 | 1.10x |
| 0124A | Fee covid-19 vac 13 res | 9.8K | $357.6K | $36.35 | 1.10x |
| 0134A | Fee covid-19 vac 14 res | 7.6K | $275.2K | $36.44 | 1.10x |
| 0031A | Adm sarscov2 vac ad26 .5ml | 5.5K | $194.9K | $35.36 | 1.08x |
| 0003A | Fee covid-19 vac 1 booster | 2.2K | $80.5K | $37.20 | 1.08x |
| 0013A | Fee covid-19 vac 2 booster | 2.1K | $78.4K | $37.18 | 1.08x |
| 0053A | Adm sarscv2 30mcg trs-sucr 3 | 920 | $33.6K | $36.49 | 1.10x |
| 0034A | Fee covid-19 vac 4 res | 520 | $19.3K | $37.17 | 1.08x |
| 0052A | Adm sarscv2 30mcg trs-sucr 2 | 384 | $14.0K | $36.39 | 1.10x |
| 0051A | Adm sarscv2 30mcg trs-sucr 1 | 185 | $6.8K | $36.67 | 1.09x |
| 91300 | Sarscov2 vac 30mcg/0.3ml im | 404.0K | $4.0K | $0.01 | 1.00x |
| 91301 | Sarscov2 vac 100mcg/0.5ml im | 305.9K | $3.1K | $0.01 | 1.00x |
| 0091A | Adm sarscov2 50 mcg/.5 ml1st | 82 | $3.0K | $36.16 | 1.11x |
| 90686 | Vaccine for influenza for administration into muscle, 0.5 ml dosage, quadrivalent, preservation free | 89 | $1.8K | $20.43 | 1.00x |
This provider submits charges 1.08 times higher than what Medicare actually pays.
A markup ratio of 1.08x means for every $100 Medicare pays, this provider initially charges $108. This is lower than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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