This provider averages 63 services per working day
Based on 157.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.9M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.08x is significantly above the specialty median of 5.4x.
Averaging 63 services per working day raises questions about billing patterns.
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 | $481.79 | $185.47 | 2.60x | $296.32 | $1.5M | 14.9K | 14.8K |
| 2015 | $515.54 | $129.28 | 3.99x | $386.26 | $782.2K | 13.6K | 13.5K |
| 2016 | $894.75 | $137.98 | 6.48x | $756.77 | $823.0K | 18.5K | 18.4K |
| 2017 | $1.2K | $158.28 | 7.69x | $1.1K | $909.4K | 14.6K | 14.6K |
| 2018 | $921.28 | $128.29 | 7.18x | $792.99 | $911.2K | 14.5K | 14.5K |
| 2019 | $1.0K | $119.99 | 8.34x | $880.94 | $1.2M | 19.1K | 19.0K |
| 2020 | $1.0K | $118.97 | 8.80x | $927.40 | $941.7K | 14.9K | 14.9K |
| 2021 | $1.4K | $115.67 | 11.69x | $1.2K | $1.0M | 16.5K | 16.4K |
| 2022 | $969.44 | $95.88 | 10.11x | $873.56 | $976.4K | 16.3K | 16.2K |
| 2023 | $891.75 | $87.11 | 10.24x | $804.64 | $825.9K | 14.4K | 14.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 34.7K | $2.8M | $81.09 | 4.76x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 20.1K | $2.1M | $102.39 | 3.34x |
| 76641 | Ultrasound of one breast | 29.2K | $1.9M | $64.81 | 6.92x |
| 77063 | Screening digital tomography of both breasts | 42.5K | $1.4M | $32.62 | 5.12x |
| 77059 | MRI scan of both breasts with contrast | 1.3K | $498.2K | $380.04 | 4.27x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 412 | $247.3K | $600.21 | 8.39x |
| 76645 | Ultrasound of breasts | 2.1K | $189.8K | $88.39 | 3.58x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 1.3K | $137.0K | $107.90 | 3.25x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 13.7K | $108.6K | $7.91 | 5.64x |
| 77049 | MRI of both breasts with and without contrast | 572 | $104.3K | $182.38 | 13.27x |
| 77065 | Mammography of one breast | 1.2K | $75.3K | $60.72 | 6.10x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 2.7K | $72.2K | $26.78 | 5.62x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 896 | $71.3K | $79.60 | 3.41x |
| 76642 | Ultrasound of one breast | 1.6K | $67.2K | $42.23 | 6.52x |
| 77066 | Mammography of both breasts | 769 | $60.1K | $78.19 | 5.88x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 61 | $38.9K | $638.25 | 5.91x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 392 | $29.1K | $74.19 | 3.40x |
| 77051 | Computer analysis of diagnostic mammogram | 1.6K | $11.0K | $6.84 | 7.59x |
| 76830 | Ultrasound pelvis through vagina | 91 | $7.4K | $80.91 | 3.89x |
| 77080 | Bone density measurement using dedicated X-ray machine | 109 | $6.3K | $57.96 | 4.41x |
This provider submits charges 5.08 times higher than what Medicare actually pays.
A markup ratio of 5.08x means for every $100 Medicare pays, this provider initially charges $508. 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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