This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.56x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 12452% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 8949% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $50.49 | $8.43 | 5.99x | $42.06 | $4.3K | 538 | 474 |
| 2016 | $374.41 | $142.16 | 2.63x | $232.25 | $384.6K | 2.7K | 2.5K |
| 2017 | $497.09 | $155.83 | 3.19x | $341.26 | $883.9K | 5.0K | 4.8K |
| 2018 | $922.06 | $200.25 | 4.60x | $721.81 | $868.0K | 5.9K | 5.8K |
| 2019 | $754.81 | $155.67 | 4.85x | $599.14 | $537.9K | 4.5K | 4.4K |
| 2020 | $695.16 | $148.21 | 4.69x | $546.95 | $423.5K | 3.5K | 3.4K |
| 2021 | $723.14 | $157.17 | 4.60x | $565.97 | $454.5K | 3.5K | 3.4K |
| 2022 | $1.1K | $219.66 | 5.01x | $881.18 | $535.0K | 3.5K | 3.5K |
| 2023 | $1.2K | $152.84 | 7.86x | $1.0K | $533.5K | 3.7K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74183 | MRI scan of abdomen before and after contrast | 2.7K | $995.2K | $362.02 | 9.06x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 490 | $659.5K | $1.3K | 2.77x |
| 72197 | MRI scan of pelvis before and after contrast | 1.6K | $551.3K | $348.51 | 8.07x |
| 71250 | CT scan chest | 2.5K | $338.2K | $133.59 | 5.18x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 844 | $279.8K | $331.54 | 3.71x |
| 74177 | CT scan of abdomen and pelvis with contrast | 909 | $265.4K | $292.00 | 3.78x |
| 74176 | CT scan of abdomen and pelvis | 1.3K | $225.2K | $176.87 | 4.00x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 526 | $125.5K | $238.51 | 2.08x |
| 74181 | MRI scan of abdomen | 487 | $99.0K | $203.20 | 7.10x |
| 76700 | Ultrasound of abdomen | 836 | $87.4K | $104.49 | 3.89x |
| 71260 | CT scan chest with contrast | 485 | $77.2K | $159.09 | 4.99x |
| 77067 | Mammography of both breasts | 391 | $64.1K | $163.88 | 2.74x |
| 72195 | MRI scan of pelvis | 246 | $61.8K | $251.38 | 4.89x |
| 76856 | Ultrasound of pelvis | 682 | $55.0K | $80.67 | 4.34x |
| 76536 | Ultrasound of head and neck | 510 | $53.1K | $104.06 | 3.47x |
| 74185 | MRI scan of blood vessels of abdomen | 142 | $49.7K | $349.68 | 4.75x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 264 | $47.3K | $179.18 | 4.07x |
| 76641 | Ultrasound of one breast | 358 | $45.1K | $125.93 | 2.48x |
| 75635 | CT scan of abdominal aorta and both leg arteries with contrast | 139 | $42.8K | $308.15 | 4.58x |
| 76770 | Ultrasound behind abdominal cavity | 394 | $38.7K | $98.17 | 4.20x |
This provider submits charges 5.56 times higher than what Medicare actually pays.
A markup ratio of 5.56x means for every $100 Medicare pays, this provider initially charges $556. 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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