This provider's $3.5M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 1677% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1359% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $248.29 | $37.59 | 6.61x | $210.70 | $57.1K | 1.7K | 1.5K |
| 2015 | $276.64 | $39.39 | 7.02x | $237.25 | $66.0K | 1.9K | 1.6K |
| 2016 | $348.54 | $45.96 | 7.58x | $302.58 | $55.3K | 1.4K | 1.3K |
| 2017 | $222.66 | $52.16 | 4.27x | $170.50 | $55.6K | 1.2K | 1.1K |
| 2018 | $199.25 | $44.32 | 4.50x | $154.93 | $57.1K | 1.3K | 1.2K |
| 2019 | $170.67 | $38.93 | 4.38x | $131.74 | $47.3K | 1.3K | 1.2K |
| 2020 | $523.00 | $111.00 | 4.71x | $412.00 | $689.5K | 3.1K | 3.0K |
| 2021 | $567.08 | $137.14 | 4.14x | $429.94 | $720.6K | 3.2K | 3.0K |
| 2022 | $766.74 | $174.91 | 4.38x | $591.83 | $765.9K | 4.3K | 4.2K |
| 2023 | $701.87 | $162.38 | 4.32x | $539.49 | $1.0M | 4.9K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 930 | $1.3M | $1.3K | 3.68x |
| 72197 | MRI scan of pelvis before and after contrast | 2.5K | $776.9K | $315.54 | 4.48x |
| 74183 | MRI scan of abdomen before and after contrast | 2.1K | $496.9K | $236.72 | 4.36x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 743 | $217.6K | $292.81 | 3.42x |
| 74177 | CT scan of abdomen and pelvis with contrast | 736 | $110.3K | $149.83 | 4.40x |
| 71260 | CT scan chest with contrast | 679 | $47.5K | $69.98 | 5.86x |
| 72195 | Mri scan of pelvis | 200 | $46.6K | $233.19 | 4.29x |
| 76770 | Ultrasound behind abdominal cavity | 536 | $46.4K | $86.65 | 4.87x |
| 74176 | CT scan of abdomen and pelvis | 438 | $38.4K | $87.63 | 4.62x |
| 76377 | 3d radiographic procedure with computerized image postprocessing | 556 | $37.7K | $67.86 | 22.10x |
| 76700 | Ultrasound of abdomen | 485 | $36.4K | $75.03 | 3.30x |
| 71250 | CT scan chest | 618 | $36.1K | $58.43 | 5.26x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 567 | $34.5K | $60.78 | 6.71x |
| 74181 | MRI scan of abdomen | 233 | $28.3K | $121.66 | 4.93x |
| 76775 | Ultrasound behind abdominal cavity, limited | 805 | $26.4K | $32.80 | 6.60x |
| 73723 | Mri scan of leg joint before and after contrast | 54 | $22.4K | $414.14 | 4.10x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 45 | $21.8K | $485.50 | 5.36x |
| 73721 | Mri scan of leg joint | 107 | $20.8K | $194.81 | 4.62x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 161 | $16.3K | $101.04 | 9.05x |
| 71010 | X-ray of chest, 1 view, front | 1.7K | $13.8K | $8.02 | 5.53x |
This provider submits charges 4.47 times higher than what Medicare actually pays.
A markup ratio of 4.47x means for every $100 Medicare pays, this provider initially charges $447. 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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