This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Public Health or Welfare Agency providers nationally.
Medicare payments to this provider grew 595% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 217% in 2015
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 | $42.22 | $41.37 | 1.02x | $0.85 | $113.0K | 6.2K | 6.2K |
| 2015 | $58.00 | $56.58 | 1.03x | $1.42 | $358.7K | 8.8K | 8.7K |
| 2016 | $56.92 | $50.80 | 1.12x | $6.12 | $170.7K | 6.4K | 6.3K |
| 2017 | $70.50 | $56.78 | 1.24x | $13.72 | $236.9K | 6.4K | 6.4K |
| 2018 | $77.28 | $69.38 | 1.11x | $7.90 | $264.6K | 6.3K | 6.2K |
| 2019 | $75.64 | $68.68 | 1.10x | $6.96 | $252.0K | 6.5K | 6.4K |
| 2020 | $63.67 | $57.27 | 1.11x | $6.40 | $268.8K | 6.8K | 6.8K |
| 2021 | $61.06 | $38.72 | 1.58x | $22.34 | $539.9K | 15.5K | 15.4K |
| 2022 | $85.45 | $57.70 | 1.48x | $27.75 | $487.8K | 11.2K | 11.2K |
| 2023 | $83.72 | $74.02 | 1.13x | $9.70 | $785.3K | 12.0K | 12.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90694 | Influenza virus vaccine, quadrivalent (aiiv4), inactivated, adjuvanted, preservative free, for injection into muscle, 0.5 ml dosage | 12.1K | $822.7K | $68.02 | 1.06x |
| G0008 | Administration of influenza virus vaccine | 29.5K | $533.4K | $18.07 | 1.09x |
| 90670 | Pneumococcal vaccine for injection into muscle | 2.4K | $391.4K | $165.24 | 1.07x |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 2.5K | $326.2K | $128.38 | 1.02x |
| 90662 | Vaccine for influenza for injection into muscle | 5.1K | $239.5K | $47.11 | 1.03x |
| 90653 | Vaccine for influenza for injection into muscle | 2.7K | $157.4K | $58.31 | 1.02x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 1.3K | $137.7K | $102.22 | 1.12x |
| 90688 | Vaccine for influenza administered into muscle to individuals 3 years of age and older | 7.0K | $118.5K | $16.91 | 1.12x |
| 0124A | Fee covid-19 vac 13 res | 2.8K | $107.4K | $38.70 | 2.17x |
| 90480 | Admn sarscov2 vacc 1 dose | 2.5K | $99.7K | $39.20 | 1.02x |
| 0003A | Fee covid-19 vac 1 booster | 2.2K | $86.7K | $39.72 | 2.11x |
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 2.4K | $82.8K | $34.36 | 1.71x |
| G0009 | Administration of pneumococcal vaccine | 4.0K | $70.9K | $17.78 | 1.05x |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 281 | $69.2K | $246.16 | 1.02x |
| 0064A | Fee covid-19 vac 7 res | 1.3K | $51.2K | $39.47 | 2.13x |
| 0001A | Adm sarscov2 30mcg/0.3ml 1st | 2.5K | $50.6K | $20.04 | 1.92x |
| 0054A | Adm sarscv2 30mcg trs-sucr b | 1.0K | $39.6K | $38.96 | 2.16x |
| 90686 | Vaccine for influenza administered into muscle to individuals 3 years of age and older | 2.3K | $37.8K | $16.69 | 1.40x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 748 | $23.6K | $31.60 | 1.86x |
| 0011A | Adm sarscov2 100mcg/0.5ml1st | 733 | $15.3K | $20.85 | 1.70x |
This provider submits charges 1.19 times higher than what Medicare actually pays.
A markup ratio of 1.19x means for every $100 Medicare pays, this provider initially charges $119. 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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