This provider's $5.1M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $462.56 | $104.25 | 4.44x | $358.31 | $442.4K | 5.3K | 5.2K |
| 2015 | $463.78 | $92.32 | 5.02x | $371.46 | $422.4K | 5.5K | 5.4K |
| 2016 | $546.29 | $97.44 | 5.61x | $448.85 | $510.1K | 6.2K | 6.0K |
| 2017 | $529.74 | $92.58 | 5.72x | $437.16 | $547.2K | 6.2K | 6.1K |
| 2018 | $541.53 | $96.35 | 5.62x | $445.18 | $560.7K | 6.3K | 6.2K |
| 2019 | $575.16 | $98.81 | 5.82x | $476.35 | $529.1K | 6.1K | 6.0K |
| 2020 | $683.22 | $114.77 | 5.95x | $568.45 | $512.2K | 4.7K | 4.6K |
| 2021 | $777.21 | $132.42 | 5.87x | $644.79 | $601.0K | 5.2K | 5.2K |
| 2022 | $726.05 | $122.63 | 5.92x | $603.42 | $508.9K | 5.0K | 4.9K |
| 2023 | $672.72 | $113.36 | 5.93x | $559.36 | $466.4K | 4.2K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 76536 | Ultrasound of head and neck | 6.5K | $593.2K | $91.43 | 3.73x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.2K | $508.7K | $157.55 | 3.49x |
| 77067 | Mammography of both breasts | 3.2K | $477.9K | $147.28 | 2.77x |
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 299 | $416.3K | $1.4K | 3.59x |
| 72148 | MRI scan of lower spinal canal | 1.7K | $300.4K | $176.49 | 7.61x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 1.9K | $271.7K | $141.80 | 2.18x |
| 70551 | MRI scan brain | 1.2K | $221.0K | $184.20 | 7.19x |
| 70553 | MRI scan of brain before and after contrast | 705 | $207.6K | $294.52 | 8.22x |
| 72141 | MRI scan of upper spinal canal | 928 | $150.6K | $162.32 | 7.93x |
| 70450 | CT scan head or brain | 1.4K | $125.8K | $90.28 | 6.31x |
| 73562 | X-ray of knee, 3 views | 2.5K | $92.1K | $36.37 | 6.74x |
| 76641 | Ultrasound of one breast | 840 | $91.0K | $108.32 | 4.57x |
| 77080 | Bone density measurement using dedicated X-ray machine | 1.9K | $83.6K | $44.20 | 6.79x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 243 | $71.7K | $295.00 | 8.17x |
| 70544 | MRA scan of head blood vessels | 316 | $71.5K | $226.42 | 5.74x |
| 70498 | CT scan of neck blood vessels with contrast | 232 | $54.0K | $232.63 | 5.21x |
| 71275 | CT scan of blood vessels in chest with contrast | 233 | $53.9K | $231.49 | 6.16x |
| 73030 | X-ray of shoulder, minimum of 2 views | 2.0K | $52.3K | $26.35 | 7.64x |
| 71046 | X-ray of chest, 2 views | 2.0K | $52.2K | $25.96 | 6.16x |
| 73502 | X-ray of hip with pelvis, 2-3 views | 1.4K | $49.4K | $34.90 | 4.44x |
This provider submits charges 4.93 times higher than what Medicare actually pays.
A markup ratio of 4.93x means for every $100 Medicare pays, this provider initially charges $493. 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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