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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. John Melnick
๐Ÿ“ก
MDIndividual

John Melnick, M.D.

NPI: 1477552933
New York, NY
10 years of data
Diagnostic Radiology
$5.3M
Total Payments
61.5K
Beneficiaries
62.0K
Services
3.85x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$5.3M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $5.3M over 10 years
23.85x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
4Payments surged 120% in 2020
511 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.3M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Medicare payments to this provider grew 92% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 120% in 2020

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$868.88$247.623.51x$621.26$484.7K1.5K1.4K
2015$728.67$185.073.94x$543.60$339.2K1.5K1.5K
2016$782.89$207.343.78x$575.55$271.4K1.2K1.2K
2017$524.76$152.843.43x$371.92$319.3K1.9K1.9K
2018$504.69$130.083.88x$374.61$380.3K3.5K3.4K
2019$484.27$107.744.49x$376.53$233.3K2.2K2.1K
2020$386.77$90.084.29x$296.69$513.0K7.5K7.5K
2021$366.99$88.924.13x$278.07$990.9K13.6K13.5K
2022$332.51$80.144.15x$252.37$820.1K14.2K14.1K
2023$408.57$83.694.88x$324.88$930.5K14.8K14.8K

Top Procedures (20)

77067Mammography of both breasts
$711.4K
6.0K services$118.51/svc1.86x markup
78815Nuclear medicine study with CT imaging skull base to mid-thigh
$649.0K
505 services$1.3K/svc2.84x markup
72197MRI scan of pelvis before and after contrastโš  4.4x markup
$574.5K
1.5K services$378.47/svc4.43x markup
77080Bone density measurement using dedicated X-ray machineโš  7.3x markup
$429.3K
12.1K services$35.61/svc7.30x markup
76536Ultrasound of head and neck
$182.4K
2.2K services$83.10/svc2.26x markup
77063Screening digital tomography of both breastsโš  4.3x markup
$175.8K
5.8K services$30.58/svc4.25x markup
76641Ultrasound of one breast
$160.5K
2.0K services$79.64/svc2.33x markup
74183MRI scan of abdomen before and after contrastโš  4.1x markup
$149.5K
380 services$393.32/svc4.12x markup
74178CT scan of abdomen and pelvis before and after contrastโš  3.9x markup
$140.9K
453 services$311.03/svc3.90x markup
72148MRI scan of lower spinal canalโš  7.3x markup
$136.0K
1.1K services$120.78/svc7.34x markup
74177CT scan of abdomen and pelvis with contrastโš  3.6x markup
$111.2K
415 services$267.86/svc3.65x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
$101.7K
500 services$203.47/svc1.42x markup
77085Bone density measurement using dedicated X-ray machine
$93.7K
2.0K services$46.22/svc2.68x markup
78306Bone and/or joint imaging, whole body
$90.7K
370 services$245.16/svc2.50x markup
71250CT scan chestโš  4.6x markup
$89.1K
742 services$120.05/svc4.62x markup
76770Ultrasound behind abdominal cavity
$85.6K
1.2K services$71.57/svc2.64x markup
763773D radiographic procedure with computerized image postprocessingโš  4.2x markup
$83.9K
1.3K services$66.29/svc4.21x markup
74176CT scan of abdomen and pelvisโš  4.6x markup
$75.5K
473 services$159.54/svc4.63x markup
70551MRI scan brainโš  8.1x markup
$71.0K
551 services$128.77/svc8.05x markup
93925Ultrasound study of arteries and arterial grafts of both legs
$60.7K
294 services$206.38/svc1.79x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
77067Mammography of both breasts6.0K$711.4K$118.511.86x
78815Nuclear medicine study with CT imaging skull base to mid-thigh505$649.0K$1.3K2.84x
72197MRI scan of pelvis before and after contrast1.5K$574.5K$378.474.43x
77080Bone density measurement using dedicated X-ray machine12.1K$429.3K$35.617.30x
76536Ultrasound of head and neck2.2K$182.4K$83.102.26x
77063Screening digital tomography of both breasts5.8K$175.8K$30.584.25x
76641Ultrasound of one breast2.0K$160.5K$79.642.33x
74183MRI scan of abdomen before and after contrast380$149.5K$393.324.12x
74178CT scan of abdomen and pelvis before and after contrast453$140.9K$311.033.90x
72148MRI scan of lower spinal canal1.1K$136.0K$120.787.34x
74177CT scan of abdomen and pelvis with contrast415$111.2K$267.863.65x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries500$101.7K$203.471.42x
77085Bone density measurement using dedicated X-ray machine2.0K$93.7K$46.222.68x
78306Bone and/or joint imaging, whole body370$90.7K$245.162.50x
71250CT scan chest742$89.1K$120.054.62x
76770Ultrasound behind abdominal cavity1.2K$85.6K$71.572.64x
763773D radiographic procedure with computerized image postprocessing1.3K$83.9K$66.294.21x
74176CT scan of abdomen and pelvis473$75.5K$159.544.63x
70551MRI scan brain551$71.0K$128.778.05x
93925Ultrasound study of arteries and arterial grafts of both legs294$60.7K$206.381.79x

Markup Analysis

Charge-to-Payment Ratio

3.85x

This provider submits charges 3.85 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.85x means for every $100 Medicare pays, this provider initially charges $385. This is higher than the national average.

Location

New York, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Diagnostic Radiology providers in NY for peer comparison.

John Melnick (you)
$5.3M
Mark Lodespoto, M.D.
$34.9M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Mark Lodespoto, M.D.Oceanside, NY$34.9Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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