Statistical flag only — not an accusation of fraud
Settled Nov 2025 for $17M under False Claims Act. Billed Medicare for COVID tests not provided to beneficiaries or sent months after billing.
View DOJ source →This provider's $75.8M in total Medicare payments ranks in the 99th percentile of Pharmacy providers nationally.
100% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
This provider has been statistically flagged with a risk score of 75/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $12.00 | $11.76 | 1.02x | $0.24 | $49.2M | 4.2M | 1 |
| 2023 | $12.00 | $11.76 | 1.02x | $0.24 | $26.6M | 2.3M | 1 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 6.4M | $75.8M | $11.76 | 1.02x |
This provider submits charges 1.02 times higher than what Medicare actually pays.
A markup ratio of 1.02x means for every $100 Medicare pays, this provider initially charges $102. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Pharmacy providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ez Rx Boynton Beach Llc | Boca Raton, FL | $58.7M | ⚠️ Flagged |
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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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