This provider's $5.3M 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.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 55% 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 | $203.01 | $79.65 | 2.55x | $123.36 | $371.6K | 5.4K | 5.4K |
| 2015 | $343.44 | $121.59 | 2.82x | $221.85 | $531.8K | 6.0K | 5.9K |
| 2016 | $364.77 | $136.53 | 2.67x | $228.24 | $826.5K | 9.1K | 8.9K |
| 2017 | $278.91 | $86.13 | 3.24x | $192.78 | $629.0K | 7.0K | 6.9K |
| 2018 | $410.19 | $98.14 | 4.18x | $312.05 | $675.6K | 7.1K | 7.0K |
| 2019 | $463.89 | $106.02 | 4.38x | $357.87 | $634.9K | 6.5K | 6.4K |
| 2020 | $510.00 | $126.44 | 4.03x | $383.56 | $485.1K | 4.4K | 4.4K |
| 2021 | $448.55 | $78.86 | 5.69x | $369.69 | $621.2K | 7.6K | 7.2K |
| 2022 | $408.07 | $21.16 | 19.28x | $386.91 | $250.9K | 12.5K | 11.2K |
| 2023 | $405.96 | $20.46 | 19.84x | $385.50 | $267.9K | 11.3K | 10.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 71250 | CT scan chest | 3.7K | $430.0K | $114.77 | 5.25x |
| 74176 | CT scan of abdomen and pelvis | 4.3K | $404.8K | $94.67 | 14.50x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 1.2K | $362.7K | $300.76 | 4.12x |
| 76641 | Ultrasound of one breast | 2.9K | $338.6K | $118.30 | 2.57x |
| 77067 | Mammography of both breasts | 2.5K | $336.0K | $135.28 | 4.25x |
| 76700 | Ultrasound of abdomen | 3.1K | $307.8K | $99.08 | 3.26x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.4K | $228.0K | $158.20 | 8.81x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 1.4K | $220.2K | $156.70 | 1.62x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 698 | $209.9K | $300.72 | 3.97x |
| 76856 | Ultrasound of pelvis | 2.5K | $197.9K | $79.90 | 3.42x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 801 | $185.0K | $230.99 | 3.11x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.3K | $182.9K | $139.17 | 3.80x |
| 76536 | Ultrasound of head and neck | 1.8K | $182.2K | $99.84 | 2.72x |
| 77080 | Bone density measurement using dedicated X-ray machine | 3.5K | $178.0K | $51.02 | 4.39x |
| 76770 | Ultrasound behind abdominal cavity | 1.5K | $128.8K | $87.07 | 3.42x |
| 76830 | Ultrasound pelvis through vagina | 1.1K | $126.5K | $112.62 | 2.47x |
| 77085 | Bone density measurement using dedicated X-ray machine | 1.8K | $91.0K | $50.82 | 4.01x |
| 77063 | Screening digital tomography of both breasts | 1.4K | $88.0K | $62.55 | 3.44x |
| 71045 | X-ray of chest, 1 view | 12.7K | $84.5K | $6.63 | 37.39x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 831 | $69.4K | $83.46 | 4.01x |
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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