This provider's $6.7M in total Medicare payments ranks in the 99th percentile of Centralized Flu providers nationally.
Medicare payments to this provider grew 210% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 53% 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 |
|---|---|---|---|---|---|---|---|
| 2016 | $62.40 | $61.15 | 1.02x | $1.25 | $475.4K | 11.2K | 11.2K |
| 2017 | $59.92 | $58.71 | 1.02x | $1.21 | $630.3K | 13.0K | 12.8K |
| 2018 | $60.87 | $59.60 | 1.02x | $1.27 | $610.5K | 13.3K | 13.1K |
| 2019 | $63.19 | $61.53 | 1.03x | $1.66 | $585.6K | 13.6K | 13.5K |
| 2020 | $64.66 | $62.28 | 1.04x | $2.38 | $705.8K | 15.2K | 15.1K |
| 2021 | $60.86 | $56.41 | 1.08x | $4.45 | $1.1M | 24.6K | 24.5K |
| 2022 | $91.35 | $66.15 | 1.38x | $25.20 | $1.1M | 22.4K | 22.1K |
| 2023 | $100.40 | $84.28 | 1.19x | $16.12 | $1.5M | 20.8K | 20.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90662 | Vaccine for influenza for injection into muscle | 33.2K | $1.9M | $58.19 | 1.02x |
| G0008 | Administration of influenza virus vaccine | 43.9K | $1.1M | $25.28 | 1.03x |
| 90670 | Pneumococcal vaccine for injection into muscle | 3.8K | $751.2K | $198.09 | 1.02x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 3.0K | $326.5K | $107.97 | 1.01x |
| 90694 | Influenza virus vaccine, quadrivalent (aiiv4), inactivated, adjuvanted, preservative free, for injection into muscle, 0.5 ml dosage | 4.8K | $291.5K | $61.00 | 1.00x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 2.0K | $281.9K | $143.00 | 1.12x |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 2.0K | $261.6K | $128.48 | 1.12x |
| 0064A | Fee covid-19 vac 7 res | 5.1K | $249.9K | $49.36 | 1.63x |
| 90480 | Admn sarscov2 vacc 1 dose | 4.0K | $208.6K | $52.07 | 2.00x |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 659 | $183.9K | $279.00 | 1.02x |
| G0009 | Administration of pneumococcal vaccine | 7.5K | $153.0K | $20.39 | 1.23x |
| 90682 | Vaccine for influenza for injection into muscle | 2.4K | $137.8K | $58.63 | 1.01x |
| 0124A | Fee covid-19 vac 13 res | 2.6K | $127.2K | $48.92 | 2.04x |
| 0134A | Fee covid-19 vac 14 res | 2.4K | $119.6K | $49.34 | 2.02x |
| 0004A | Fee covid-19 vac 1 res | 2.3K | $112.8K | $49.70 | 1.40x |
| 0054A | Adm sarscv2 30mcg trs-sucr b | 1.2K | $57.5K | $48.77 | 2.05x |
| 90653 | Vaccine for influenza for injection into muscle | 1.0K | $55.7K | $55.22 | 1.02x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 1.4K | $50.4K | $35.95 | 1.08x |
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 1.1K | $46.2K | $41.06 | 1.08x |
| 90686 | Vaccine for influenza for administration into muscle, 0.5 ml dosage | 2.1K | $41.3K | $19.62 | 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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