This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 114% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 77% in 2017
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 | $393.64 | $278.38 | 1.41x | $115.26 | $265.3K | 1.7K | 1.6K |
| 2015 | $485.94 | $238.65 | 2.04x | $247.29 | $251.2K | 1.7K | 1.6K |
| 2016 | $537.97 | $118.51 | 4.54x | $419.46 | $221.3K | 2.2K | 2.2K |
| 2017 | $697.99 | $213.44 | 3.27x | $484.55 | $391.5K | 2.9K | 2.9K |
| 2018 | $650.10 | $204.46 | 3.18x | $445.64 | $426.2K | 3.2K | 3.1K |
| 2019 | $734.10 | $228.04 | 3.22x | $506.06 | $459.4K | 3.6K | 3.5K |
| 2020 | $621.54 | $183.13 | 3.39x | $438.41 | $443.7K | 3.5K | 3.5K |
| 2021 | $636.96 | $185.55 | 3.43x | $451.41 | $519.9K | 4.2K | 4.1K |
| 2022 | $713.69 | $170.60 | 4.18x | $543.09 | $521.8K | 4.3K | 4.1K |
| 2023 | $947.36 | $199.28 | 4.75x | $748.08 | $566.6K | 4.8K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 6.5K | $1.0M | $157.24 | 2.88x |
| 76641 | Ultrasound of one breast | 6.4K | $797.4K | $124.77 | 3.20x |
| 77063 | Screening digital tomography of both breasts | 7.6K | $471.8K | $62.10 | 1.51x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 2.7K | $397.9K | $145.38 | 2.22x |
| 77065 | Mammography of one breast | 2.1K | $244.7K | $115.98 | 2.99x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 428 | $241.4K | $564.13 | 3.73x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 308 | $165.8K | $538.43 | 2.41x |
| 77049 | MRI of both breasts with and without contrast | 380 | $129.8K | $341.49 | 6.73x |
| 77059 | MRI scan of both breasts with contrast | 282 | $122.6K | $434.68 | 3.37x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 798 | $88.1K | $110.41 | 2.34x |
| 77066 | Mammography of both breasts | 453 | $65.8K | $145.17 | 3.13x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 396 | $53.0K | $133.78 | 2.16x |
| 76642 | Ultrasound of one breast | 684 | $49.8K | $72.77 | 3.23x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 955 | $46.1K | $48.29 | 2.91x |
| 76645 | Ultrasound of breasts | 526 | $44.2K | $84.09 | 1.53x |
| 76830 | Ultrasound pelvis through vagina | 362 | $38.0K | $104.98 | 3.89x |
| 19085 | Biopsy of breast accessed through the skin with MRI guidance | 33 | $27.2K | $825.50 | 3.82x |
| 77058 | MRI scan of one breast with contrast | 55 | $27.2K | $494.23 | 1.49x |
| 19281 | Placement of breast localization devices accessed through the skin with mammographic guidance | 103 | $22.5K | $218.67 | 3.51x |
| 76856 | Ultrasound of pelvis | 122 | $11.6K | $95.22 | 2.74x |
This provider submits charges 2.88 times higher than what Medicare actually pays.
A markup ratio of 2.88x means for every $100 Medicare pays, this provider initially charges $288. 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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