This provider's $17.4M in total Medicare payments ranks in the 99th percentile of Centralized Flu providers nationally.
Medicare payments to this provider grew 3811% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1076% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $45.40 | $43.70 | 1.04x | $1.70 | $119.3K | 2.7K | 6 |
| 2018 | $44.27 | $42.25 | 1.05x | $2.02 | $1.4M | 33.2K | 9 |
| 2019 | $44.60 | $42.16 | 1.06x | $2.44 | $1.6M | 37.8K | 8 |
| 2020 | $45.90 | $42.79 | 1.07x | $3.11 | $1.9M | 45.3K | 11 |
| 2021 | $47.90 | $35.11 | 1.36x | $12.79 | $4.1M | 118.2K | 19 |
| 2022 | $39.67 | $28.12 | 1.41x | $11.55 | $3.6M | 126.4K | 25 |
| 2023 | $56.71 | $45.08 | 1.26x | $11.63 | $4.7M | 103.5K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 72.3K | $4.5M | $62.79 | 1.02x |
| G0008 | Administration of influenza virus vaccine | 101.7K | $2.1M | $20.67 | 1.19x |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 110.8K | $1.3M | $11.69 | 1.04x |
| 90670 | Pneumococcal vaccine, 13-valent | 4.9K | $1.0M | $212.18 | 1.01x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 6.3K | $898.5K | $143.00 | 1.10x |
| 90694 | Influenza virus vaccine, quadrivalent (aiiv4), inactivated, adjuvanted, preservative free, for injection into muscle, 0.5 ml dosage | 12.7K | $777.7K | $61.00 | 1.00x |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 2.5K | $711.3K | $280.38 | 1.02x |
| 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 | 21.9K | $696.6K | $31.74 | 1.33x |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 5.0K | $642.7K | $128.48 | 1.12x |
| 0064A | Adm sarscov2 50mcg/0.25mlbst | 15.7K | $602.1K | $38.29 | 2.06x |
| 90682 | Influenza vaccine, quadrivalent derived from recombinant dna | 9.4K | $580.4K | $61.47 | 1.01x |
| 90732 | Pneumococcal vaccine, 23-valent | 4.2K | $483.5K | $114.97 | 1.01x |
| 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 | 21.6K | $446.9K | $20.68 | 1.87x |
| 90480 | Admn sarscov2 vacc 1 dose | 11.3K | $443.8K | $39.30 | 2.62x |
| 0004A | Adm sarscov2 30mcg/0.3ml bst | 7.4K | $284.3K | $38.24 | 1.84x |
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 6.5K | $244.2K | $37.38 | 2.66x |
| 0002A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose | 5.4K | $204.9K | $38.19 | 1.37x |
| 0134A | Adm sarscv2 bvl 50mcg/.5ml a | 5.4K | $204.5K | $37.82 | 2.64x |
| 0003A | Adm sarscov2 30mcg/0.3ml 3rd | 5.1K | $193.2K | $38.18 | 1.43x |
| 0001A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose | 5.1K | $189.5K | $37.15 | 1.37x |
This provider submits charges 1.26 times higher than what Medicare actually pays.
A markup ratio of 1.26x means for every $100 Medicare pays, this provider initially charges $126. 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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