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“Medicare tax doesn't match Medicare wages”

What this flag on a W-2 means, why it matters, and what to check.

What it means

Box 6 isn't 1.45% of box 5, plus 0.9% on wages above $200,000.

Why it matters

Like Social Security, the rate is fixed, so edited wages stop matching the tax.

Ordinary explanations

What to check

Ask the applicant for the IRS wage and income transcript (free at irs.gov or with Form 4506-T), which lists W-2 amounts as the employer reported them.

A flag is a reason to verify with the source, not proof. Apply the same steps to every applicant.

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