This provider averages 62 services per working day
Based on 156.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.8M in total Medicare payments ranks in the 99th percentile of Pediatric Medicine providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 634% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 817% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $23.93 | $20.96 | 1.14x | $2.97 | $133.0K | 5.0K | 5.0K |
| 2015 | $25.22 | $21.93 | 1.15x | $3.29 | $228.6K | 7.9K | 7.9K |
| 2016 | $27.21 | $25.20 | 1.08x | $2.01 | $221.8K | 6.9K | 6.9K |
| 2017 | $28.90 | $27.47 | 1.05x | $1.43 | $226.7K | 6.9K | 6.9K |
| 2018 | $41.10 | $30.45 | 1.35x | $10.65 | $159.7K | 4.5K | 4.5K |
| 2019 | $45.20 | $29.86 | 1.51x | $15.34 | $170.4K | 4.9K | 4.9K |
| 2020 | $38.69 | $26.56 | 1.46x | $12.13 | $286.8K | 8.0K | 8.0K |
| 2021 | $36.86 | $33.30 | 1.11x | $3.56 | $2.6M | 80.0K | 79.9K |
| 2022 | $44.18 | $38.23 | 1.16x | $5.95 | $765.1K | 18.1K | 18.0K |
| 2023 | $69.98 | $54.97 | 1.27x | $15.01 | $975.6K | 13.9K | 13.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 90662 | Vaccine for influenza for injection into muscle | 31.6K | $1.7M | $54.25 | 1.21x |
| G0008 | Administration of influenza virus vaccine | 34.7K | $769.4K | $22.16 | 1.65x |
| 0002A | Adm sarscov2 30mcg/0.3ml 2nd | 18.6K | $628.9K | $33.82 | 1.02x |
| 0004A | Fee covid-19 vac 1 res | 12.6K | $503.2K | $39.99 | 1.00x |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 3.4K | $489.6K | $142.96 | 1.22x |
| 0001A | Adm sarscov2 30mcg/0.3ml 1st | 17.3K | $356.7K | $20.62 | 1.02x |
| 0064A | Fee covid-19 vac 7 res | 7.3K | $291.4K | $39.82 | 1.00x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 3.7K | $144.7K | $38.68 | 1.01x |
| 90480 | Admn sarscov2 vacc 1 dose | 3.4K | $136.5K | $39.87 | 1.38x |
| 0124A | Fee covid-19 vac 13 res | 3.5K | $135.8K | $38.90 | 1.03x |
| 0003A | Fee covid-19 vac 1 booster | 3.2K | $126.5K | $39.99 | 1.00x |
| 0054A | Adm sarscv2 30mcg trs-sucr b | 3.0K | $118.1K | $39.25 | 1.02x |
| 0013A | Fee covid-19 vac 2 booster | 2.1K | $82.2K | $39.98 | 1.00x |
| 0011A | Adm sarscov2 100mcg/0.5ml1st | 3.8K | $76.3K | $20.31 | 1.03x |
| 0134A | Fee covid-19 vac 14 res | 1.9K | $74.3K | $38.90 | 1.03x |
| 0031A | Adm sarscov2 vac ad26 .5ml | 2.1K | $61.0K | $29.35 | 1.05x |
| 90686 | Vaccine for influenza administered into muscle to individuals 3 years of age and older | 3.0K | $55.8K | $18.55 | 1.27x |
| 0034A | Fee covid-19 vac 4 res | 759 | $30.4K | $40.00 | 1.00x |
| 90656 | Vaccine for influenza for injection into muscle, patient 3 years and older | 106 | $1.5K | $14.45 | 1.24x |
| 0053A | Adm sarscv2 30mcg trs-sucr 3 | 29 | $1.1K | $39.52 | 1.01x |
This provider submits charges 1.18 times higher than what Medicare actually pays.
A markup ratio of 1.18x means for every $100 Medicare pays, this provider initially charges $118. 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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