This provider averages 56 services per working day
Based on 139.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.1M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Averaging 56 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
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 | $321.11 | $144.94 | 2.22x | $176.17 | $1.0M | 14.3K | 12.2K |
| 2015 | $335.09 | $137.01 | 2.45x | $198.08 | $946.6K | 13.8K | 11.8K |
| 2016 | $335.71 | $145.69 | 2.30x | $190.02 | $963.8K | 13.5K | 11.3K |
| 2017 | $334.95 | $144.68 | 2.32x | $190.27 | $1.1M | 13.8K | 11.3K |
| 2018 | $333.50 | $145.11 | 2.30x | $188.39 | $1.3M | 16.6K | 13.5K |
| 2019 | $350.74 | $130.18 | 2.69x | $220.56 | $1.3M | 16.9K | 13.9K |
| 2020 | $437.73 | $133.88 | 3.27x | $303.85 | $1.1M | 14.2K | 12.0K |
| 2021 | $433.80 | $141.80 | 3.06x | $292.00 | $1.4M | 16.6K | 13.8K |
| 2022 | $458.08 | $137.30 | 3.34x | $320.78 | $1.2M | 13.0K | 11.3K |
| 2023 | $491.01 | $138.73 | 3.54x | $352.28 | $898.3K | 7.2K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 9.0K | $1.4M | $157.18 | 1.62x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 48.7K | $922.8K | $18.96 | 1.94x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 5.6K | $850.8K | $151.62 | 1.68x |
| 76641 | Ultrasound of one breast | 6.6K | $718.2K | $108.94 | 2.26x |
| 71250 | CT scan chest | 3.6K | $508.1K | $141.50 | 2.45x |
| 72148 | MRI scan of lower spinal canal | 2.2K | $441.1K | $196.55 | 2.98x |
| 74183 | MRI scan of abdomen before and after contrast | 1.1K | $426.5K | $399.39 | 2.81x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.2K | $415.6K | $332.72 | 2.76x |
| 73721 | MRI scan of leg joint | 1.8K | $379.2K | $209.41 | 3.64x |
| 93976 | Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 2.3K | $321.0K | $142.10 | 2.07x |
| 76536 | Ultrasound of head and neck | 3.0K | $314.4K | $105.48 | 1.88x |
| 70551 | MRI scan brain | 1.4K | $283.3K | $202.10 | 3.56x |
| 76700 | Ultrasound of abdomen | 2.5K | $275.9K | $111.07 | 2.22x |
| 77065 | Mammography of one breast | 1.7K | $203.8K | $121.01 | 2.49x |
| 74176 | CT scan of abdomen and pelvis | 1.0K | $185.5K | $178.69 | 6.16x |
| 73221 | MRI scan of arm joint | 879 | $184.0K | $209.29 | 2.77x |
| 70553 | MRI scan of brain before and after contrast | 549 | $183.6K | $334.45 | 2.72x |
| 76376 | 3D radiographic procedure | 8.1K | $177.1K | $21.81 | 10.38x |
| 72197 | MRI scan of pelvis before and after contrast | 431 | $168.8K | $391.55 | 2.25x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 1.1K | $164.5K | $143.58 | 1.78x |
This provider submits charges 2.61 times higher than what Medicare actually pays.
A markup ratio of 2.61x means for every $100 Medicare pays, this provider initially charges $261. 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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