This provider's $6.3M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 6.53x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 766% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 154% in 2016
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $591.55 | $155.98 | 3.79x | $435.57 | $108.9K | 603 | 585 |
| 2015 | $483.46 | $105.49 | 4.58x | $377.97 | $161.1K | 1.2K | 1.2K |
| 2016 | $811.02 | $204.32 | 3.97x | $606.70 | $408.5K | 2.0K | 1.9K |
| 2017 | $775.63 | $177.46 | 4.37x | $598.17 | $648.6K | 3.1K | 2.9K |
| 2018 | $891.44 | $201.65 | 4.42x | $689.79 | $668.8K | 3.1K | 2.9K |
| 2019 | $1.0K | $196.97 | 5.16x | $818.84 | $713.9K | 3.5K | 3.1K |
| 2020 | $737.32 | $196.29 | 3.76x | $541.03 | $825.8K | 4.0K | 3.6K |
| 2021 | $726.05 | $164.08 | 4.42x | $561.97 | $935.5K | 4.8K | 4.3K |
| 2022 | $1.6K | $188.10 | 8.49x | $1.4K | $921.3K | 4.7K | 4.3K |
| 2023 | $2.2K | $175.02 | 12.58x | $2.0K | $943.5K | 5.0K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 73721 | MRI scan of leg joint | 11.2K | $2.2M | $194.65 | 6.90x |
| 73221 | MRI scan of arm joint | 7.3K | $1.4M | $192.74 | 6.91x |
| 73218 | MRI scan of arm | 2.7K | $760.8K | $281.55 | 3.04x |
| 72148 | MRI scan of lower spinal canal | 4.3K | $755.8K | $174.11 | 8.76x |
| 73718 | MRI scan of leg | 2.9K | $682.7K | $238.20 | 5.25x |
| 72141 | MRI scan of upper spinal canal | 1.5K | $238.9K | $162.07 | 8.85x |
| 73720 | MRI scan of leg before and after contrast | 286 | $97.0K | $339.17 | 4.71x |
| 73723 | MRI scan of leg joint before and after contrast | 142 | $48.8K | $343.66 | 4.60x |
| 72195 | MRI scan of pelvis | 203 | $45.0K | $221.74 | 6.68x |
| 72146 | Mri scan of middle spinal canal | 250 | $38.3K | $153.29 | 12.29x |
| 73700 | CT scan leg | 343 | $35.2K | $102.60 | 4.65x |
| 72158 | Mri scan of lower spinal canal before and after contrast | 76 | $23.2K | $305.86 | 8.34x |
| 73200 | CT scan of arm | 134 | $12.5K | $92.95 | 3.75x |
| 73223 | Mri scan of arm joint before and after contrast | 12 | $4.5K | $376.31 | 6.37x |
| 72157 | Mri scan of middle spinal canal before and after contrast | 11 | $3.5K | $314.69 | 14.35x |
| 70553 | Mri scan of brain before and after contrast | 11 | $3.2K | $286.68 | 12.21x |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 24 | $2.3K | $94.34 | 3.09x |
| 73630 | X-ray of foot, minimum of 3 views | 57 | $1.7K | $30.64 | 3.01x |
| 76700 | Complete ultrasound scan of abdomen | 12 | $1.2K | $103.35 | 14.51x |
| 71046 | X-ray of chest, 2 views | 36 | $1.1K | $30.82 | 14.60x |
This provider submits charges 6.53 times higher than what Medicare actually pays.
A markup ratio of 6.53x means for every $100 Medicare pays, this provider initially charges $653. This is higher 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.
Other Diagnostic Radiology providers in NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Mark Lodespoto, M.D. | Oceanside, NY | $34.9M | โ Clear |
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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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