This provider's $3.7M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 268% in 2020
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 | $369.56 | $139.69 | 2.65x | $229.87 | $419.7K | 5.0K | 4.9K |
| 2015 | $261.86 | $101.94 | 2.57x | $159.92 | $503.7K | 5.1K | 4.7K |
| 2016 | $389.80 | $141.68 | 2.75x | $248.12 | $559.5K | 6.5K | 5.9K |
| 2017 | $208.32 | $94.20 | 2.21x | $114.12 | $183.7K | 1.9K | 1.8K |
| 2018 | $448.84 | $172.99 | 2.59x | $275.85 | $176.5K | 1.6K | 1.6K |
| 2019 | $428.59 | $160.68 | 2.67x | $267.91 | $99.4K | 1.1K | 1.1K |
| 2020 | $434.22 | $162.19 | 2.68x | $272.03 | $365.6K | 3.3K | 3.2K |
| 2021 | $566.47 | $193.82 | 2.92x | $372.65 | $511.2K | 4.8K | 4.6K |
| 2022 | $518.00 | $160.25 | 3.23x | $357.75 | $474.2K | 4.5K | 4.4K |
| 2023 | $498.98 | $156.24 | 3.19x | $342.74 | $431.1K | 4.1K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 6.0K | $947.7K | $158.06 | 1.74x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 4.5K | $693.6K | $155.38 | 1.61x |
| 76641 | Ultrasound of one breast | 4.7K | $518.7K | $111.48 | 2.41x |
| 77063 | Screening digital tomography of both breasts | 7.6K | $484.3K | $63.45 | 3.21x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 3.1K | $328.3K | $106.32 | 1.31x |
| 77080 | Bone density measurement using dedicated X-ray machine | 3.4K | $163.2K | $47.83 | 4.34x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 150 | $87.6K | $584.13 | 3.32x |
| 77065 | Mammography of one breast | 526 | $61.3K | $116.48 | 1.39x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 327 | $59.2K | $180.95 | 2.71x |
| 76645 | Ultrasound of breasts | 673 | $59.0K | $87.60 | 2.05x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 809 | $40.5K | $50.11 | 2.69x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 65 | $36.6K | $562.80 | 3.38x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 3.3K | $36.1K | $10.85 | 11.52x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 303 | $34.1K | $112.47 | 1.81x |
| 77066 | Mammography of both breasts | 188 | $28.3K | $150.70 | 2.10x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 128 | $23.0K | $179.78 | 2.30x |
| 74177 | CT scan of abdomen and pelvis with contrast | 272 | $21.3K | $78.46 | 1.32x |
| 78816 | Nuclear medicine study with CT imaging whole body | 169 | $18.2K | $107.64 | 1.41x |
| 71260 | CT scan chest with contrast | 275 | $12.4K | $45.10 | 1.74x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 74 | $11.0K | $148.77 | 2.03x |
This provider submits charges 2.28 times higher than what Medicare actually pays.
A markup ratio of 2.28x means for every $100 Medicare pays, this provider initially charges $228. 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 | ✓ 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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