This provider's $3.7M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.09x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 633% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 177% in 2020
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 | $205.35 | $28.44 | 7.22x | $176.91 | $93.7K | 3.9K | 3.7K |
| 2015 | $200.81 | $29.03 | 6.92x | $171.78 | $158.4K | 6.3K | 5.8K |
| 2016 | $208.42 | $30.02 | 6.94x | $178.40 | $147.9K | 5.8K | 5.2K |
| 2017 | $197.79 | $30.20 | 6.55x | $167.59 | $176.0K | 6.9K | 6.0K |
| 2018 | $211.45 | $32.95 | 6.42x | $178.50 | $167.5K | 6.5K | 5.8K |
| 2019 | $207.37 | $31.88 | 6.50x | $175.49 | $178.4K | 6.5K | 5.8K |
| 2020 | $703.17 | $159.51 | 4.41x | $543.66 | $494.2K | 3.6K | 3.3K |
| 2021 | $708.08 | $159.97 | 4.43x | $548.11 | $792.1K | 6.2K | 5.6K |
| 2022 | $613.12 | $129.73 | 4.73x | $483.39 | $815.8K | 6.6K | 5.9K |
| 2023 | $602.92 | $128.49 | 4.69x | $474.43 | $687.1K | 5.4K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 70553 | MRI scan of brain before and after contrast | 2.0K | $576.6K | $293.57 | 4.67x |
| 71250 | CT scan chest | 4.4K | $429.9K | $98.67 | 4.86x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.5K | $254.0K | $173.98 | 4.84x |
| 70450 | CT scan head or brain | 4.4K | $186.7K | $41.99 | 7.47x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.2K | $141.1K | $115.41 | 4.41x |
| 74183 | Mri scan of abdomen before and after contrast | 364 | $130.7K | $359.13 | 4.18x |
| 71260 | CT scan chest with contrast | 1.1K | $128.5K | $116.17 | 5.65x |
| 72148 | MRI scan of lower spinal canal | 860 | $115.5K | $134.25 | 4.98x |
| 74176 | CT scan of abdomen and pelvis | 1.2K | $114.1K | $95.90 | 5.94x |
| 72158 | Mri scan of lower spinal canal before and after contrast | 382 | $109.3K | $286.19 | 5.24x |
| 76770 | Ultrasound behind abdominal cavity | 1.4K | $105.9K | $76.79 | 4.96x |
| 76700 | Ultrasound of abdomen | 982 | $99.8K | $101.61 | 2.67x |
| 72157 | MRI scan of middle spinal canal before and after contrast | 274 | $87.8K | $320.53 | 4.55x |
| 70551 | MRI scan brain | 884 | $83.2K | $94.06 | 5.67x |
| 72197 | Mri scan of pelvis before and after contrast | 233 | $78.4K | $336.60 | 4.46x |
| 76536 | Ultrasound of head and neck | 829 | $76.2K | $91.88 | 4.28x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 882 | $66.2K | $75.02 | 4.16x |
| 72125 | CT scan of upper spine | 1.3K | $60.0K | $47.55 | 6.87x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 263 | $49.2K | $187.24 | 3.74x |
| 71010 | X-ray of chest, 1 view, front | 6.0K | $48.4K | $8.11 | 5.18x |
This provider submits charges 5.09 times higher than what Medicare actually pays.
A markup ratio of 5.09x means for every $100 Medicare pays, this provider initially charges $509. 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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