This provider's $9.1M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.63x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 58% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 74% 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 | $259.01 | $75.41 | 3.43x | $183.60 | $804.7K | 10.4K | 9.1K |
| 2015 | $331.99 | $81.06 | 4.10x | $250.93 | $899.6K | 10.6K | 9.5K |
| 2016 | $462.60 | $89.69 | 5.16x | $372.91 | $585.6K | 10.1K | 9.0K |
| 2017 | $407.19 | $80.17 | 5.08x | $327.02 | $483.2K | 10.9K | 9.8K |
| 2018 | $442.62 | $89.66 | 4.94x | $352.96 | $457.8K | 9.6K | 8.9K |
| 2019 | $436.95 | $88.50 | 4.94x | $348.45 | $670.9K | 11.4K | 10.2K |
| 2020 | $571.82 | $96.71 | 5.91x | $475.11 | $1.2M | 12.4K | 10.8K |
| 2021 | $639.62 | $101.47 | 6.30x | $538.15 | $1.4M | 13.4K | 12.3K |
| 2022 | $677.80 | $105.46 | 6.43x | $572.34 | $1.4M | 13.9K | 12.9K |
| 2023 | $691.77 | $102.98 | 6.72x | $588.79 | $1.3M | 13.5K | 12.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 2.8K | $3.2M | $1.1K | 5.46x |
| 78816 | Nuclear medicine study with CT imaging whole body | 642 | $879.5K | $1.4K | 6.18x |
| 71250 | CT scan chest | 8.2K | $669.4K | $81.60 | 4.84x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.6K | $651.6K | $255.44 | 3.13x |
| 74177 | CT scan of abdomen and pelvis with contrast | 4.2K | $581.3K | $139.93 | 5.46x |
| 74176 | CT scan of abdomen and pelvis | 4.2K | $406.8K | $97.98 | 5.30x |
| 70450 | CT scan head or brain | 8.3K | $325.8K | $39.33 | 6.86x |
| 71275 | CT scan of blood vessels in chest with contrast | 2.5K | $278.0K | $112.86 | 6.98x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 823 | $202.6K | $246.12 | 4.75x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 3.8K | $171.3K | $45.48 | 7.05x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.1K | $165.8K | $79.14 | 5.55x |
| 71260 | CT scan chest with contrast | 2.1K | $152.7K | $74.00 | 7.15x |
| 71045 | X-ray of chest, 1 view | 18.3K | $149.6K | $8.20 | 9.71x |
| 71046 | X-ray of chest, 2 views | 8.4K | $124.3K | $14.76 | 8.04x |
| 76770 | Ultrasound behind abdominal cavity | 2.3K | $110.3K | $48.41 | 5.51x |
| 71010 | X-ray of chest, 1 view, front | 12.5K | $100.6K | $8.07 | 3.63x |
| 76700 | Ultrasound of abdomen | 1.6K | $93.5K | $58.96 | 5.27x |
| 78582 | Nuclear medicine study of lung ventilation and blood circulation in the lungs | 1.9K | $86.7K | $46.81 | 6.81x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 968 | $67.5K | $69.73 | 10.07x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 2.0K | $67.3K | $33.47 | 6.94x |
This provider submits charges 5.63 times higher than what Medicare actually pays.
A markup ratio of 5.63x means for every $100 Medicare pays, this provider initially charges $563. 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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