This provider's $3.7M in total Medicare payments ranks in the 98th 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.
Notable: Payments increased 67% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $499.77 | $133.63 | 3.74x | $366.14 | $263.5K | 2.0K | 1.9K |
| 2015 | $631.88 | $134.50 | 4.70x | $497.38 | $249.9K | 2.2K | 2.1K |
| 2016 | $528.04 | $108.79 | 4.85x | $419.25 | $418.3K | 4.2K | 4.0K |
| 2017 | $554.06 | $113.18 | 4.90x | $440.88 | $420.3K | 4.3K | 4.0K |
| 2018 | $508.17 | $102.04 | 4.98x | $406.13 | $419.0K | 4.3K | 4.1K |
| 2019 | $488.75 | $105.92 | 4.61x | $382.83 | $450.5K | 4.3K | 4.2K |
| 2020 | $445.09 | $115.61 | 3.85x | $329.48 | $303.2K | 2.7K | 2.7K |
| 2021 | $504.56 | $129.91 | 3.88x | $374.65 | $414.1K | 3.4K | 3.4K |
| 2022 | $581.48 | $117.46 | 4.95x | $464.02 | $382.6K | 3.5K | 3.4K |
| 2023 | $836.31 | $129.10 | 6.48x | $707.21 | $351.3K | 2.9K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 71250 | CT scan chest | 5.6K | $748.5K | $133.54 | 6.00x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.6K | $549.8K | $336.70 | 4.19x |
| 74176 | CT scan of abdomen and pelvis | 1.7K | $303.6K | $176.91 | 4.22x |
| 74177 | CT scan of abdomen and pelvis with contrast | 840 | $256.4K | $305.19 | 4.16x |
| 76700 | Ultrasound of abdomen | 2.4K | $242.2K | $100.21 | 4.29x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.3K | $227.7K | $177.99 | 4.03x |
| 76536 | Ultrasound of head and neck | 1.7K | $179.1K | $102.43 | 3.75x |
| 74183 | MRI scan of abdomen before and after contrast | 270 | $118.4K | $438.54 | 5.87x |
| 73721 | MRI scan of leg joint | 536 | $112.0K | $208.86 | 4.95x |
| 76770 | Ultrasound behind abdominal cavity | 1.1K | $111.0K | $98.94 | 4.17x |
| 71260 | CT scan chest with contrast | 466 | $66.8K | $143.44 | 6.42x |
| 73221 | MRI scan of arm joint | 308 | $65.4K | $212.29 | 5.12x |
| 76376 | 3D radiographic procedure | 2.8K | $61.8K | $21.89 | 15.87x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 327 | $58.6K | $179.22 | 3.97x |
| 76856 | Ultrasound of pelvis | 655 | $57.8K | $88.19 | 4.30x |
| 76830 | Ultrasound pelvis through vagina | 465 | $51.8K | $111.29 | 3.57x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 364 | $39.5K | $108.48 | 4.25x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 218 | $37.4K | $171.40 | 3.49x |
| 73718 | MRI scan of leg | 119 | $35.6K | $298.87 | 4.01x |
| 71046 | X-ray of chest, 2 views | 1.3K | $34.7K | $26.28 | 4.02x |
This provider submits charges 4.89 times higher than what Medicare actually pays.
A markup ratio of 4.89x means for every $100 Medicare pays, this provider initially charges $489. 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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