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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Allen Rothpearl
๐Ÿ“ก
MDIndividual

Allen Rothpearl, M.D.

NPI: 1619977030
New Hyde Park, NY
10 years of data
Diagnostic Radiology
$4.4M
Total Payments
33.1K
Beneficiaries
34.1K
Services
3.58x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$4.4M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $4.4M over 10 years
23.58x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
414 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $4.4M in total Medicare payments ranks in the 99th 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$613.53$149.864.09x$463.67$614.4K4.0K3.9K
2015$648.87$152.114.27x$496.76$480.0K3.2K3.1K
2016$406.87$120.303.38x$286.57$294.8K2.2K2.2K
2017$646.91$133.124.86x$513.79$415.0K2.9K2.8K
2018$643.42$137.444.68x$505.98$350.6K2.5K2.4K
2019$549.15$127.794.30x$421.36$480.6K4.3K4.3K
2020$434.35$124.053.50x$310.30$406.7K3.3K3.2K
2021$457.38$141.373.24x$316.01$511.7K4.1K3.8K
2022$435.53$155.402.80x$280.13$416.8K3.6K3.4K
2023$409.35$130.683.13x$278.67$433.2K4.0K3.8K

Top Procedures (20)

93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$778.2K
4.7K services$166.24/svc2.53x markup
76700Ultrasound of abdomenโš  3.6x markup
$512.2K
4.6K services$112.43/svc3.56x markup
95923Testing of autonomic (sympathetic) nervous system functionโš  3.6x markup
$442.9K
3.7K services$118.59/svc3.58x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve functionโš  5.8x markup
$391.5K
2.2K services$181.94/svc5.78x markup
93922Ultrasound study of arteries of both arms and legsโš  3.8x markup
$347.7K
4.3K services$80.10/svc3.75x markup
93886Ultrasound scanning of head and neck vessel blood flow (inside the brain)
$314.8K
1.4K services$228.63/svc2.30x markup
95921Testing of autonomic (sympathetic) nervous system functionโš  4.5x markup
$293.0K
3.7K services$78.42/svc4.46x markup
93925Ultrasound study of arteries and arterial grafts of both legs
$217.5K
971 services$224.02/svc1.87x markup
93978Ultrasound scan of vena cava or groin graft or vessel blood flow
$165.4K
976 services$169.52/svc2.61x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
$163.8K
939 services$174.41/svc2.85x markup
76770Ultrasound behind abdominal cavityโš  4.5x markup
$157.6K
1.5K services$104.72/svc4.55x markup
76536Ultrasound of head and neckโš  3.2x markup
$138.8K
1.3K services$106.29/svc3.23x markup
72148MRI scan of lower spinal canalโš  6.7x markup
$70.5K
378 services$186.62/svc6.66x markup
76856Ultrasound of pelvisโš  4.2x markup
$67.9K
704 services$96.52/svc4.17x markup
73721MRI scan of leg jointโš  6.5x markup
$53.5K
270 services$198.01/svc6.53x markup
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow
$52.0K
222 services$234.44/svc2.11x markup
73221MRI scan of arm jointโš  7.0x markup
$47.4K
231 services$204.99/svc6.97x markup
93976Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflowโš  3.6x markup
$28.9K
217 services$133.21/svc3.61x markup
70551MRI scan brainโš  6.1x markup
$22.5K
129 services$174.29/svc6.11x markup
72141MRI scan of upper spinal canalโš  6.3x markup
$18.5K
104 services$177.95/svc6.35x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck4.7K$778.2K$166.242.53x
76700Ultrasound of abdomen4.6K$512.2K$112.433.56x
95923Testing of autonomic (sympathetic) nervous system function3.7K$442.9K$118.593.58x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function2.2K$391.5K$181.945.78x
93922Ultrasound study of arteries of both arms and legs4.3K$347.7K$80.103.75x
93886Ultrasound scanning of head and neck vessel blood flow (inside the brain)1.4K$314.8K$228.632.30x
95921Testing of autonomic (sympathetic) nervous system function3.7K$293.0K$78.424.46x
93925Ultrasound study of arteries and arterial grafts of both legs971$217.5K$224.021.87x
93978Ultrasound scan of vena cava or groin graft or vessel blood flow976$165.4K$169.522.61x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers939$163.8K$174.412.85x
76770Ultrasound behind abdominal cavity1.5K$157.6K$104.724.55x
76536Ultrasound of head and neck1.3K$138.8K$106.293.23x
72148MRI scan of lower spinal canal378$70.5K$186.626.66x
76856Ultrasound of pelvis704$67.9K$96.524.17x
73721MRI scan of leg joint270$53.5K$198.016.53x
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow222$52.0K$234.442.11x
73221MRI scan of arm joint231$47.4K$204.996.97x
93976Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow217$28.9K$133.213.61x
70551MRI scan brain129$22.5K$174.296.11x
72141MRI scan of upper spinal canal104$18.5K$177.956.35x

Markup Analysis

Charge-to-Payment Ratio

3.58x

This provider submits charges 3.58 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.58x means for every $100 Medicare pays, this provider initially charges $358. This is higher than the national average.

Location

New Hyde Park, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Diagnostic Radiology providers in NY for peer comparison.

Allen Rothpearl (you)
$4.4M
Mark Lodespoto, M.D.
$34.9M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Mark Lodespoto, M.D.Oceanside, NY$34.9Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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