This provider's $9.5M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 181% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 119% in 2022
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 | $446.47 | $116.02 | 3.85x | $330.45 | $541.0K | 6.6K | 6.6K |
| 2015 | $530.15 | $137.53 | 3.85x | $392.62 | $750.3K | 9.5K | 9.4K |
| 2016 | $505.03 | $118.44 | 4.26x | $386.59 | $761.1K | 10.1K | 10.0K |
| 2017 | $530.51 | $133.85 | 3.96x | $396.66 | $763.9K | 6.6K | 6.5K |
| 2018 | $522.88 | $135.09 | 3.87x | $387.79 | $703.9K | 6.1K | 6.0K |
| 2019 | $722.50 | $145.21 | 4.98x | $577.29 | $958.9K | 8.3K | 8.3K |
| 2020 | $835.96 | $165.68 | 5.05x | $670.28 | $982.7K | 7.6K | 7.6K |
| 2021 | $632.06 | $125.78 | 5.03x | $506.28 | $787.9K | 7.3K | 7.2K |
| 2022 | $764.33 | $141.36 | 5.41x | $622.97 | $1.7M | 17.6K | 17.5K |
| 2023 | $738.58 | $138.48 | 5.33x | $600.10 | $1.5M | 15.5K | 15.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 8.7K | $1.4M | $159.50 | 1.89x |
| 76641 | Ultrasound of one breast | 8.9K | $1.1M | $119.32 | 3.60x |
| 76536 | Ultrasound of head and neck | 9.6K | $1.0M | $104.02 | 2.78x |
| 77080 | Bone density measurement using dedicated X-ray machine | 19.4K | $933.3K | $48.00 | 5.72x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 4.4K | $693.0K | $157.43 | 1.96x |
| 77063 | Screening digital tomography of both breasts | 9.4K | $598.4K | $63.45 | 1.17x |
| 77049 | MRI of both breasts with and without contrast | 1.5K | $517.7K | $356.51 | 6.73x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 855 | $483.7K | $565.76 | 4.42x |
| 76770 | Ultrasound behind abdominal cavity | 4.2K | $415.6K | $99.87 | 2.86x |
| 77059 | MRI scan of both breasts with contrast | 795 | $381.8K | $480.24 | 5.03x |
| 76700 | Ultrasound of abdomen | 2.5K | $260.4K | $105.09 | 2.71x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 366 | $211.3K | $577.35 | 5.20x |
| 77065 | Mammography of one breast | 1.3K | $154.7K | $117.67 | 2.31x |
| 77066 | Mammography of both breasts | 965 | $147.6K | $153.00 | 2.13x |
| 10005 | Fine needle aspiration of first lesion using ultrasound guidance | 1.0K | $133.4K | $128.04 | 10.31x |
| 76856 | Ultrasound of pelvis | 1.4K | $122.7K | $87.74 | 3.26x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 2.2K | $113.4K | $50.55 | 1.52x |
| 76830 | Ultrasound pelvis through vagina | 804 | $90.0K | $111.95 | 2.97x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 696 | $79.4K | $114.11 | 2.40x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 450 | $66.1K | $147.00 | 2.23x |
This provider submits charges 3.57 times higher than what Medicare actually pays.
A markup ratio of 3.57x means for every $100 Medicare pays, this provider initially charges $357. 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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