This provider's $4.2M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 294% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 52% in 2022
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 | $940.72 | $125.71 | 7.48x | $815.01 | $197.6K | 2.1K | 2.0K |
| 2015 | $1.1K | $148.34 | 7.37x | $944.63 | $270.0K | 1.7K | 1.7K |
| 2016 | $1.2K | $169.58 | 6.95x | $1.0K | $330.8K | 1.8K | 1.8K |
| 2017 | $413.97 | $65.06 | 6.36x | $348.91 | $265.0K | 5.2K | 5.1K |
| 2018 | $352.24 | $78.13 | 4.51x | $274.11 | $376.0K | 5.9K | 5.7K |
| 2019 | $342.39 | $80.84 | 4.24x | $261.55 | $358.0K | 5.5K | 5.3K |
| 2020 | $408.97 | $99.04 | 4.13x | $309.93 | $343.5K | 3.4K | 3.3K |
| 2021 | $623.41 | $162.91 | 3.83x | $460.50 | $505.3K | 3.0K | 2.9K |
| 2022 | $772.58 | $211.32 | 3.66x | $561.26 | $767.7K | 3.1K | 3.0K |
| 2023 | $723.59 | $188.29 | 3.84x | $535.30 | $777.9K | 3.5K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.2K | $1.3M | $1.1K | 3.79x |
| 74177 | CT scan of abdomen and pelvis with contrast | 2.5K | $477.1K | $194.51 | 5.31x |
| 74183 | MRI scan of abdomen before and after contrast | 1.1K | $373.2K | $331.41 | 4.93x |
| 72197 | MRI scan of pelvis before and after contrast | 1.0K | $299.0K | $295.44 | 5.54x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 225 | $189.7K | $843.17 | 2.07x |
| 71250 | CT scan chest | 1.7K | $153.2K | $88.26 | 5.62x |
| 74176 | CT scan of abdomen and pelvis | 1.2K | $133.2K | $114.41 | 5.93x |
| 78816 | Nuclear medicine study with CT imaging whole body | 86 | $118.7K | $1.4K | 4.45x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 747 | $98.4K | $131.73 | 3.14x |
| 71260 | CT scan chest with contrast | 1.0K | $98.1K | $95.79 | 7.26x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 330 | $90.9K | $275.46 | 5.63x |
| 76770 | Ultrasound behind abdominal cavity | 1.1K | $68.8K | $63.90 | 7.22x |
| 71275 | CT scan of blood vessels in chest with contrast | 438 | $64.1K | $146.38 | 5.46x |
| 70450 | CT scan head or brain | 1.4K | $62.9K | $46.08 | 5.88x |
| 71046 | X-ray of chest, 2 views | 3.0K | $62.8K | $21.08 | 4.06x |
| 76700 | Ultrasound of abdomen | 892 | $59.4K | $66.54 | 5.13x |
| 76536 | Ultrasound of head and neck | 759 | $47.5K | $62.62 | 6.08x |
| 74181 | MRI scan of abdomen | 340 | $47.4K | $139.34 | 5.26x |
| 78306 | Bone and/or joint imaging, whole body | 244 | $40.1K | $164.52 | 4.01x |
| 76856 | Ultrasound of pelvis | 430 | $32.6K | $75.88 | 4.58x |
This provider submits charges 4.69 times higher than what Medicare actually pays.
A markup ratio of 4.69x means for every $100 Medicare pays, this provider initially charges $469. 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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