⚠️ This provider averages 357 services per working day — physically unusual for an individual practitioner
Based on 624.5K total services over 7 years (250 working days/year). Learn about impossible service volumes →
This provider's $19.7M in total Medicare payments ranks in the 99th percentile of Pediatric Medicine providers nationally.
Averaging 357 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 48538% from 2015 to 2021.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 9080% 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $30.28 | $15.23 | 1.99x | $15.05 | $38.9K | 2.1K | 2.1K |
| 2016 | $24.43 | $15.55 | 1.57x | $8.88 | $81.9K | 3.9K | 3.8K |
| 2017 | $32.92 | $21.58 | 1.53x | $11.34 | $134.0K | 5.4K | 5.4K |
| 2018 | $50.22 | $26.64 | 1.89x | $23.58 | $167.7K | 5.9K | 5.8K |
| 2019 | $58.20 | $26.48 | 2.20x | $31.72 | $215.2K | 8.4K | 8.4K |
| 2020 | $57.50 | $29.61 | 1.94x | $27.89 | $205.9K | 7.0K | 6.9K |
| 2021 | $44.16 | $34.08 | 1.30x | $10.08 | $18.9M | 591.8K | 591.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 166.0K | $6.7M | $40.61 | 1.28x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 127.3K | $5.1M | $39.71 | 1.31x |
| 0001A | Adm sarscov2 30mcg/0.3ml 1st | 164.7K | $3.9M | $23.69 | 1.25x |
| 0011A | Adm sarscov2 100mcg/0.5ml1st | 127.1K | $2.9M | $22.90 | 1.27x |
| G0008 | Administration of influenza virus vaccine | 15.3K | $359.0K | $23.44 | 2.60x |
| 0031A | Adm sarscov2 vac ad26 .5ml | 6.7K | $293.3K | $43.50 | 1.34x |
| 90662 | Vaccine for influenza for injection into muscle | 6.1K | $250.3K | $41.04 | 1.61x |
| 90686 | Vaccine for influenza for administration into muscle, 0.5 ml dosage | 4.1K | $77.7K | $18.88 | 2.14x |
| 90682 | Vaccine for influenza for injection into muscle | 1.2K | $47.1K | $38.63 | 1.34x |
| 90653 | Vaccine for influenza for injection into muscle | 927 | $27.5K | $29.70 | 1.03x |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 1.3K | $21.0K | $16.35 | 1.30x |
| 90656 | Vaccine for influenza for injection into muscle, patient 3 years and older | 1.1K | $18.4K | $16.61 | 2.04x |
| 90674 | Vaccine for influenza for administration into muscle, 0.5 ml dosage | 578 | $16.6K | $28.68 | 1.68x |
| 90471 | Administration of 1 vaccine | 1.3K | $15.0K | $11.39 | 5.77x |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 362 | $5.6K | $15.47 | 1.15x |
| 90661 | Vaccine for influenza for injection into muscle | 222 | $2.2K | $9.80 | 1.02x |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 78 | $920.40 | $11.80 | 1.69x |
| Q2039 | Influenza virus vaccine, not otherwise specified | 25 | $558.25 | $22.33 | 1.03x |
| G0009 | Administration of pneumococcal vaccine | 11 | $329.66 | $29.97 | 2.14x |
This provider submits charges 1.32 times higher than what Medicare actually pays.
A markup ratio of 1.32x means for every $100 Medicare pays, this provider initially charges $132. 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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