Statistical flag only — not an accusation of fraud
This provider's $445.9M in total Medicare payments ranks in the 99th percentile of Centralized Flu providers nationally.
Medicare payments to this provider grew 2358% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 75/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 185% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $23.53 | $22.41 | 1.05x | $1.12 | $4.4M | 197.8K | 14 |
| 2015 | $41.16 | $37.95 | 1.08x | $3.21 | $8.6M | 226.2K | 11 |
| 2016 | $39.06 | $37.00 | 1.06x | $2.06 | $9.1M | 245.3K | 11 |
| 2017 | $36.47 | $35.13 | 1.04x | $1.34 | $13.3M | 378.0K | 11 |
| 2018 | $41.21 | $39.62 | 1.04x | $1.59 | $37.8M | 954.6K | 11 |
| 2019 | $39.59 | $36.53 | 1.08x | $3.06 | $30.9M | 846.3K | 9 |
| 2020 | $39.83 | $37.49 | 1.06x | $2.34 | $38.2M | 1.0M | 13 |
| 2021 | $63.91 | $36.11 | 1.77x | $27.80 | $100.4M | 2.8M | 19 |
| 2022 | $33.57 | $23.23 | 1.45x | $10.34 | $94.3M | 4.1M | 27 |
| 2023 | $41.76 | $38.13 | 1.10x | $3.63 | $108.9M | 2.9M | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 1.5M | $80.1M | $52.22 | 1.02x |
| G0008 | Administration of influenza virus vaccine | 2.7M | $56.9M | $21.03 | 1.17x |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 4.2M | $49.0M | $11.69 | 1.02x |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 517.9K | $31.1M | $59.99 | 1.01x |
| 90670 | Pneumococcal vaccine, 13-valent | 149.6K | $29.5M | $197.38 | 1.06x |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 169.5K | $21.0M | $123.83 | 1.11x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 133.6K | $17.7M | $132.58 | 1.03x |
| 0064A | Adm sarscov2 50mcg/0.25mlbst | 398.4K | $16.0M | $40.22 | 2.49x |
| 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 | 349.5K | $13.1M | $37.36 | 1.57x |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 48.8K | $12.9M | $264.04 | 1.02x |
| 90653 | Vaccine for influenza for injection into muscle | 277.9K | $12.5M | $44.98 | 1.02x |
| 0004A | Adm sarscov2 30mcg/0.3ml bst | 293.7K | $11.9M | $40.49 | 2.47x |
| 90480 | Admn sarscov2 vacc 1 dose | 303.2K | $11.0M | $36.28 | 1.02x |
| 90732 | Pneumococcal vaccine, 23-valent | 97.5K | $10.4M | $106.39 | 1.03x |
| 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 | 358.0K | $10.0M | $28.04 | 1.82x |
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 223.4K | $9.0M | $40.18 | 2.49x |
| 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 | 245.6K | $8.8M | $35.85 | 1.55x |
| 0003A | Adm sarscov2 30mcg/0.3ml 3rd | 214.6K | $8.7M | $40.65 | 2.44x |
| 0134A | Adm sarscv2 bvl 50mcg/.5ml a | 187.8K | $7.5M | $39.94 | 2.50x |
| 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 | 250.0K | $6.3M | $25.07 | 1.88x |
This provider submits charges 1.31 times higher than what Medicare actually pays.
A markup ratio of 1.31x means for every $100 Medicare pays, this provider initially charges $131. 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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