This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 108% from 2014 to 2023.
65% of their billing comes from a single procedure code (78815 — Nuclear medicine study with CT imaging skull base to mid-thigh).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 78% in 2018
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 | $217.43 | $73.45 | 2.96x | $143.98 | $384.7K | 2.2K | 2.1K |
| 2015 | $587.05 | $200.51 | 2.93x | $386.54 | $533.0K | 2.3K | 2.2K |
| 2016 | $481.35 | $156.31 | 3.08x | $325.04 | $497.0K | 2.3K | 2.2K |
| 2017 | $583.96 | $184.27 | 3.17x | $399.69 | $544.4K | 2.0K | 1.9K |
| 2018 | $833.48 | $299.37 | 2.78x | $534.11 | $966.7K | 2.5K | 2.4K |
| 2019 | $884.10 | $326.30 | 2.71x | $557.80 | $826.1K | 1.8K | 1.7K |
| 2020 | $790.74 | $295.13 | 2.68x | $495.61 | $612.3K | 1.3K | 1.3K |
| 2021 | $956.80 | $394.80 | 2.42x | $562.00 | $711.6K | 1.6K | 1.6K |
| 2022 | $827.63 | $326.78 | 2.53x | $500.85 | $767.8K | 1.7K | 1.6K |
| 2023 | $1.0K | $445.50 | 2.31x | $584.16 | $801.1K | 1.6K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 3.1K | $4.2M | $1.4K | 2.38x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 3.3K | $844.8K | $257.40 | 2.07x |
| 78816 | Nuclear medicine study with CT imaging whole body | 242 | $347.2K | $1.4K | 2.28x |
| 78306 | Bone and/or joint imaging, whole body | 582 | $153.8K | $264.33 | 2.58x |
| 74177 | CT scan of abdomen and pelvis with contrast | 501 | $144.6K | $288.63 | 3.39x |
| 77080 | Bone density measurement using dedicated X-ray machine | 2.0K | $94.2K | $47.74 | 5.23x |
| 71250 | CT scan chest | 654 | $89.0K | $136.05 | 4.26x |
| 71260 | CT scan chest with contrast | 482 | $82.0K | $170.06 | 4.43x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 409 | $69.5K | $169.89 | 2.59x |
| 74176 | CT scan of abdomen and pelvis | 372 | $66.5K | $178.85 | 3.97x |
| 70460 | CT scan head or brain with contrast | 396 | $58.0K | $146.49 | 4.32x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 29 | $56.7K | $2.0K | 1.54x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 35 | $52.0K | $1.5K | 2.05x |
| 78071 | Imaging of parathyroid with nuclear medicine study | 139 | $45.5K | $327.28 | 3.54x |
| 78264 | Stomach emptying study | 116 | $36.7K | $316.80 | 2.61x |
| 70450 | CT scan head or brain | 258 | $27.4K | $106.35 | 4.48x |
| 78315 | Bone and/or joint imaging, 3 phase study | 85 | $26.9K | $316.42 | 2.78x |
| 78227 | Imaging of liver and bile duct system with use of drugs | 60 | $24.8K | $412.97 | 3.03x |
| 78803 | Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging | 52 | $19.1K | $366.96 | 2.64x |
| 77081 | Bone density measurement using dedicated X-ray machine | 587 | $18.5K | $31.59 | 3.96x |
This provider submits charges 2.52 times higher than what Medicare actually pays.
A markup ratio of 2.52x means for every $100 Medicare pays, this provider initially charges $252. 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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