This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Centralized Flu providers nationally.
Medicare payments to this provider grew 30571% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 818% 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 | $25.93 | $23.63 | 1.10x | $2.30 | $6.9K | 261 | 258 |
| 2015 | $58.90 | $55.21 | 1.07x | $3.69 | $11.3K | 244 | 244 |
| 2016 | $62.43 | $58.12 | 1.07x | $4.31 | $15.0K | 341 | 341 |
| 2017 | $68.91 | $65.97 | 1.04x | $2.94 | $30.3K | 564 | 558 |
| 2018 | $78.63 | $76.05 | 1.03x | $2.58 | $25.7K | 532 | 530 |
| 2019 | $74.50 | $69.82 | 1.07x | $4.68 | $27.1K | 586 | 586 |
| 2020 | $88.39 | $83.99 | 1.05x | $4.40 | $41.9K | 867 | 864 |
| 2021 | $64.29 | $57.38 | 1.12x | $6.91 | $384.4K | 8.5K | 8.5K |
| 2022 | $71.03 | $58.50 | 1.21x | $12.53 | $1.0M | 21.2K | 21.1K |
| 2023 | $84.84 | $74.80 | 1.13x | $10.04 | $2.1M | 29.5K | 29.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 3.8K | $543.0K | $143.00 | 1.03x |
| 90694 | Influenza virus vaccine, quadrivalent (aiiv4), inactivated, adjuvanted, preservative free, for injection into muscle, 0.5 ml dosage | 5.9K | $431.4K | $72.66 | 1.08x |
| 90662 | Vaccine for influenza for injection into muscle | 6.1K | $413.0K | $67.17 | 1.12x |
| G0008 | Administration of influenza virus vaccine | 12.9K | $403.8K | $31.22 | 1.02x |
| 0124A | Fee covid-19 vac 13 res | 7.6K | $346.8K | $45.88 | 1.42x |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 2.6K | $328.7K | $128.48 | 1.03x |
| 90480 | Admn sarscov2 vacc 1 dose | 6.4K | $293.6K | $46.15 | 1.02x |
| 0051A | Adm sarscv2 30mcg trs-sucr 1 | 3.5K | $163.3K | $46.18 | 1.41x |
| 0064A | Fee covid-19 vac 7 res | 3.3K | $153.3K | $46.57 | 1.32x |
| 0004A | Fee covid-19 vac 1 res | 3.0K | $140.8K | $46.97 | 1.23x |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 500 | $140.7K | $281.39 | 1.12x |
| 0134A | Fee covid-19 vac 14 res | 1.8K | $80.5K | $45.97 | 1.41x |
| 90670 | Pneumococcal vaccine for injection into muscle | 250 | $50.2K | $200.97 | 1.04x |
| 0054A | Adm sarscv2 30mcg trs-sucr b | 872 | $40.1K | $45.97 | 1.41x |
| 0012A | Adm sarscov2 100mcg/0.5ml2nd | 631 | $29.2K | $46.26 | 1.23x |
| G0009 | Administration of pneumococcal vaccine | 987 | $28.7K | $29.11 | 1.06x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 208 | $25.3K | $121.54 | 1.06x |
| 90653 | Vaccine for influenza for injection into muscle | 348 | $19.0K | $54.48 | 1.04x |
| 0011A | Adm sarscov2 100mcg/0.5ml1st | 522 | $18.4K | $35.22 | 1.61x |
| 0003A | Fee covid-19 vac 1 booster | 324 | $15.2K | $46.91 | 1.22x |
This provider submits charges 1.14 times higher than what Medicare actually pays.
A markup ratio of 1.14x means for every $100 Medicare pays, this provider initially charges $114. 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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