Statistical flag only — not an accusation of fraud
This provider's $160.6M in total Medicare payments ranks in the 99th percentile of Centralized Flu providers nationally.
Medicare payments to this provider grew 1500% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 74/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 113% 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 | $39.88 | $27.95 | 1.43x | $11.93 | $2.8M | 101.7K | 11 |
| 2015 | $59.18 | $43.44 | 1.36x | $15.74 | $6.0M | 139.2K | 11 |
| 2016 | $66.98 | $46.83 | 1.43x | $20.15 | $7.7M | 163.5K | 11 |
| 2017 | $66.79 | $48.13 | 1.39x | $18.66 | $9.3M | 193.9K | 12 |
| 2018 | $70.70 | $48.20 | 1.47x | $22.50 | $12.6M | 262.4K | 12 |
| 2019 | $70.06 | $47.59 | 1.47x | $22.47 | $13.6M | 284.7K | 11 |
| 2020 | $66.49 | $48.44 | 1.37x | $18.05 | $15.7M | 324.1K | 11 |
| 2021 | $71.50 | $46.01 | 1.55x | $25.49 | $17.6M | 383.1K | 19 |
| 2022 | $81.36 | $59.62 | 1.36x | $21.74 | $29.7M | 497.9K | 29 |
| 2023 | $108.71 | $72.38 | 1.50x | $36.33 | $45.5M | 628.8K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 884.7K | $53.3M | $60.20 | 1.26x |
| 90670 | Pneumococcal vaccine, 13-valent | 129.2K | $26.0M | $201.55 | 1.34x |
| G0008 | Administration of influenza virus vaccine | 1.1M | $25.5M | $22.83 | 1.92x |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 74.2K | $20.8M | $281.03 | 1.48x |
| 90732 | Pneumococcal vaccine, 23-valent | 112.3K | $12.8M | $114.05 | 1.34x |
| G0009 | Administration of pneumococcal vaccine | 318.5K | $7.3M | $23.04 | 1.88x |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 138.3K | $2.7M | $19.53 | 1.68x |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 16.5K | $2.1M | $128.48 | 1.27x |
| 90682 | Influenza vaccine, quadrivalent derived from recombinant dna | 32.2K | $2.0M | $60.76 | 1.16x |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 25.7K | $1.9M | $72.61 | 1.25x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11.6K | $1.7M | $143.00 | 1.28x |
| 90480 | Admn sarscov2 vacc 1 dose | 28.2K | $1.1M | $39.08 | 1.28x |
| 90671 | Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use | 2.3K | $546.3K | $241.39 | 1.51x |
| 90688 | Influenza vaccine, quadrivalent, 0.5 ml dosage | 20.8K | $368.8K | $17.75 | 1.66x |
| 0012A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose | 9.0K | $358.5K | $39.73 | 1.14x |
| 0011A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose | 9.1K | $336.1K | $36.82 | 1.18x |
| 90653 | Vaccine for influenza for injection into muscle, inactivated | 5.0K | $293.4K | $58.37 | 1.07x |
| 0134A | Adm sarscv2 bvl 50mcg/.5ml a | 7.5K | $281.5K | $37.37 | 1.23x |
| 90674 | Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 7.3K | $228.4K | $31.15 | 1.30x |
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 5.1K | $201.5K | $39.76 | 1.10x |
This provider submits charges 1.45 times higher than what Medicare actually pays.
A markup ratio of 1.45x means for every $100 Medicare pays, this provider initially charges $145. 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.
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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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