This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Mass Immunizer Roster Biller providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 803% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $21.90 | $21.09 | 1.04x | $0.81 | $729.7K | 30.3K | 29.8K |
| 2015 | $35.29 | $34.37 | 1.03x | $0.92 | $647.8K | 25.1K | 24.9K |
| 2016 | $37.77 | $36.82 | 1.03x | $0.95 | $425.3K | 13.8K | 13.7K |
| 2017 | $51.31 | $50.29 | 1.02x | $1.02 | $663.5K | 19.8K | 19.7K |
| 2018 | $63.01 | $58.73 | 1.07x | $4.28 | $644.2K | 17.8K | 17.7K |
| 2019 | $76.63 | $65.57 | 1.17x | $11.06 | $22.1K | 630 | 630 |
| 2020 | $84.20 | $74.22 | 1.13x | $9.98 | $200.0K | 11.1K | 11.0K |
| 2021 | $31.07 | $28.10 | 1.11x | $2.97 | $167.1K | 10.3K | 10.2K |
| 2022 | $26.21 | $22.82 | 1.15x | $3.39 | $975.4K | 55.3K | 54.7K |
| 2023 | $54.43 | $50.46 | 1.08x | $3.97 | $546.2K | 16.3K | 16.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90662 | Vaccine for influenza for injection into muscle | 33.8K | $1.3M | $39.48 | 1.03x |
| G0008 | Administration of influenza virus vaccine | 66.7K | $1.3M | $19.25 | 1.03x |
| 90686 | Vaccine for influenza administered into muscle to individuals 3 years of age and older | 21.6K | $407.3K | $18.87 | 2.28x |
| 90653 | Vaccine for influenza for injection into muscle | 8.3K | $337.9K | $40.76 | 1.02x |
| 0134A | Fee covid-19 vac 14 res | 8.6K | $310.2K | $36.17 | 1.11x |
| 0064A | Fee covid-19 vac 7 res | 5.4K | $196.7K | $36.24 | 1.10x |
| 90670 | Pneumococcal vaccine for injection into muscle | 1.4K | $179.2K | $130.83 | 1.05x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 2.2K | $172.1K | $78.06 | 1.03x |
| 0124A | Fee covid-19 vac 13 res | 4.8K | $172.0K | $36.19 | 1.11x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 2.1K | $169.9K | $80.55 | 1.02x |
| 0004A | Fee covid-19 vac 1 res | 2.8K | $99.8K | $36.26 | 1.10x |
| 90480 | Admn sarscov2 vacc 1 dose | 2.0K | $77.2K | $38.25 | 1.05x |
| G0009 | Administration of pneumococcal vaccine | 3.7K | $71.5K | $19.53 | 1.03x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 1.6K | $54.2K | $33.04 | 1.09x |
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 1.8K | $50.7K | $27.76 | 1.04x |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 3.4K | $28.6K | $8.41 | 1.27x |
| 0013A | Fee covid-19 vac 2 booster | 426 | $15.7K | $36.77 | 1.09x |
| 0003A | Fee covid-19 vac 1 booster | 426 | $15.6K | $36.73 | 1.09x |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 44 | $10.3K | $234.20 | 1.02x |
| 90688 | Vaccine for influenza administered into muscle to individuals 3 years of age and older | 886 | $8.7K | $9.80 | 1.02x |
This provider submits charges 1.14 times higher than what Medicare actually pays.
A markup ratio of 1.14x means for every $100 Medicare pays, this provider initially charges $114. 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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