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Market snapshot

90756 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90756 — Influenza vaccine, quadrivalent derived from cell cultures

Billing groups
19
Named-group FFS services
537
FFS of Medicare
49%
Services YoY
-98.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,151 services

537 observed fee-for-service (47%) · ~614 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 90756 (CY2024)

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$25K
Named-group allowed amount
$17K
Named-group Medicare payments
$17K
Avg charge / svc
$47
Avg allowed / svc
$31
Avg payment / svc
$31
Average charge per group
$29 19 groups · avg submitted charge / service $100
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 90756 services, CY2024
#Physician group City St Specialty Providers 90756 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SCH PROFESSIONAL CORPORATION SALEM OH INTERNAL MEDICINE 56 82 $2,870 $35 premium 15.7% (330) 332-7220
2 AMERICAN HEALTH NETWORK OF OHIO, LLC COLUMBUS OH FAMILY PRACTICE 51 60 $2,700 $45 premium 11.5% (614) 279-9905
3 PHYSICIANS GROUP OF SOUTHEASTERN OHIO INC ZANESVILLE OH FAMILY PRACTICE 61 57 $3,705 $65 premium 10.9% (740) 455-3304
4 RAJESH AGARWAL MD, LLC WARRENSVILLE HEIGHTS OH NURSE PRACTITIONER 12 45 $1,575 $35 premium 8.6% (216) 751-1212
5 UNION INTERNAL MEDICINE GROUP PA UNION NJ INTERNAL MEDICINE 2 40 $3,000 $75 premium 31.5% (908) 688-2480
6 PT PROS, INC ELIZABETHTOWN KY ORTHOPEDIC SURGERY 325 36 $1,080 $30 premium 37.5% (270) 982-4776
7 DR. TAMARA MCINTOSH LLC OHATCHEE AL FAMILY PRACTICE 2 25 $1,000 $40 premium 61.0% (256) 892-2121
8 MAXIM KARABACH M.D, LLC WHITING NJ INTERNAL MEDICINE 2 24 $840 $35 premium 18.9% (732) 716-1700
9 FAITH FAMILY PRACTICE PLLC WEST LIBERTY KY FAMILY PRACTICE 2 23 $920 $40 premium 24.0% (606) 743-1422
10 CAPITAL INTERNAL MEDICINE AND GERIATRICS LLC WASHINGTON DC INTERNAL MEDICINE 2 20 $1,500 $75 premium 100.0% (202) 722-0149
11 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 20 $1,000 $50 premium 3.8% (440) 333-3332
12 CLINIC PC TOXEY AL NURSE PRACTITIONER 3 16 $800 $50 premium 39.0% (251) 843-5949
13 DESERT PEAKS HEALTH CARE, LLC REDMOND OR INTERNAL MEDICINE 3 15 $917 $61 premium 100.0% (541) 548-4088
14 BALBIR S CHAHAL MD PA TOMBALL TX INTERNAL MEDICINE 2 14 $630 $45 premium 11.4% (832) 277-1178
15 SAXON INTERNAL MEDICINE P A ORANGE CITY FL INTERNAL MEDICINE 2 13 $1,300 $100 premium 15.1% (386) 775-1086
16 ACCESS HEALTH CARE PHYSICIANS LLC SPRING HILL FL NURSE PRACTITIONER 179 12 $540 $45 premium 14.0% (352) 688-8116
17 PREMIER HEALTHCARE INC NEW YORK NY NURSE PRACTITIONER 58 12 $348 $29 premium 100.0% (212) 273-6521
18 SHIFA PSC CHAVIES KY FAMILY PRACTICE 2 12 $360 $30 premium 12.5%
19 WINCHESTER INTERNAL MEDICINE, INC WINCHESTER VA INTERNAL MEDICINE 8 11 $385 $35 premium 15.9% (540) 662-6135

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →