This provider's $5.3M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 6.13x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 75721% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 49762% in 2017
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2016 | $35.00 | $10.68 | 3.28x | $24.32 | $1.0K | 94 | 80 |
| 2017 | $573.61 | $145.86 | 3.93x | $427.75 | $500.6K | 4.0K | 4.0K |
| 2018 | $675.96 | $159.98 | 4.23x | $515.98 | $765.0K | 6.0K | 5.9K |
| 2019 | $729.85 | $163.17 | 4.47x | $566.68 | $831.4K | 5.6K | 5.5K |
| 2020 | $745.93 | $167.44 | 4.45x | $578.49 | $757.9K | 4.7K | 4.6K |
| 2021 | $862.10 | $193.66 | 4.45x | $668.44 | $809.5K | 4.7K | 4.6K |
| 2022 | $947.66 | $178.23 | 5.32x | $769.43 | $877.6K | 5.3K | 5.0K |
| 2023 | $933.10 | $190.25 | 4.90x | $742.85 | $761.2K | 4.6K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74183 | MRI scan of abdomen before and after contrast | 6.8K | $2.4M | $356.90 | 6.58x |
| 72197 | MRI scan of pelvis before and after contrast | 4.6K | $1.5M | $333.17 | 7.02x |
| 74181 | MRI scan of abdomen | 1.3K | $272.7K | $205.34 | 5.82x |
| 74182 | MRI scan of abdomen with contrast | 742 | $241.6K | $325.67 | 4.10x |
| 72195 | MRI scan of pelvis | 797 | $189.1K | $237.24 | 4.99x |
| 74177 | CT scan of abdomen and pelvis with contrast | 342 | $96.7K | $282.87 | 2.71x |
| 72196 | MRI scan of pelvis with contrast | 305 | $77.3K | $253.41 | 4.79x |
| 74176 | CT scan of abdomen and pelvis | 299 | $52.3K | $174.82 | 2.73x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 147 | $47.2K | $320.79 | 3.03x |
| 76700 | Ultrasound of abdomen | 407 | $42.4K | $104.23 | 2.73x |
| 76770 | Ultrasound behind abdominal cavity | 381 | $37.8K | $99.10 | 2.89x |
| 71046 | X-ray of chest, 2 views | 1.5K | $35.8K | $24.13 | 4.18x |
| 71552 | MRI scan of chest before and after contrast | 75 | $31.5K | $420.13 | 5.18x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 265 | $28.5K | $107.65 | 2.67x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 165 | $27.4K | $166.09 | 3.41x |
| 71250 | CT scan chest | 143 | $17.4K | $121.54 | 5.12x |
| 71020 | X-ray of chest, 2 views, front and side | 688 | $17.1K | $24.83 | 4.12x |
| 82565 | Blood creatinine level | 2.7K | $16.0K | $5.93 | 1.86x |
| 71550 | Mri scan of chest | 49 | $13.6K | $278.22 | 4.43x |
| 74185 | MRI scan of blood vessels of abdomen | 36 | $13.4K | $372.16 | 4.29x |
This provider submits charges 6.13 times higher than what Medicare actually pays.
A markup ratio of 6.13x means for every $100 Medicare pays, this provider initially charges $613. 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 | โ 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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