This provider's $4.7M 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.
Notable: Payments increased 52% 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 | $213.12 | $129.48 | 1.65x | $83.64 | $338.3K | 2.6K | 2.6K |
| 2015 | $272.64 | $125.56 | 2.17x | $147.08 | $359.3K | 2.9K | 2.8K |
| 2016 | $358.37 | $112.76 | 3.18x | $245.61 | $544.5K | 5.4K | 5.3K |
| 2017 | $370.52 | $112.49 | 3.29x | $258.03 | $516.4K | 4.9K | 4.9K |
| 2018 | $345.65 | $98.58 | 3.51x | $247.07 | $498.4K | 5.0K | 5.0K |
| 2019 | $348.72 | $96.09 | 3.63x | $252.63 | $627.8K | 5.8K | 5.8K |
| 2020 | $420.69 | $112.20 | 3.75x | $308.49 | $510.4K | 4.6K | 4.5K |
| 2021 | $469.57 | $131.18 | 3.58x | $338.39 | $426.6K | 3.9K | 3.8K |
| 2022 | $494.43 | $128.52 | 3.85x | $365.91 | $448.1K | 4.3K | 4.2K |
| 2023 | $408.61 | $110.23 | 3.71x | $298.38 | $441.5K | 4.6K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 3.7K | $591.9K | $161.81 | 1.97x |
| 71250 | CT scan chest | 2.6K | $351.4K | $133.11 | 4.02x |
| 76641 | Ultrasound of one breast | 2.8K | $331.9K | $120.06 | 2.89x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 1.7K | $262.7K | $156.95 | 2.09x |
| 77063 | Screening digital tomography of both breasts | 4.1K | $261.3K | $63.12 | 3.08x |
| 74183 | MRI scan of abdomen before and after contrast | 658 | $258.2K | $392.37 | 3.92x |
| 74176 | CT scan of abdomen and pelvis | 1.4K | $249.3K | $176.55 | 3.51x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 753 | $248.5K | $330.04 | 3.41x |
| 74177 | CT scan of abdomen and pelvis with contrast | 853 | $244.0K | $286.00 | 3.20x |
| 76536 | Ultrasound of head and neck | 2.1K | $210.0K | $102.15 | 2.45x |
| 72148 | MRI scan of lower spinal canal | 618 | $127.9K | $206.97 | 2.80x |
| 76700 | Ultrasound of abdomen | 984 | $105.0K | $106.68 | 2.03x |
| 77065 | Mammography of one breast | 733 | $85.2K | $116.24 | 2.60x |
| 76642 | Ultrasound of one breast | 789 | $67.9K | $86.08 | 2.51x |
| 70551 | MRI scan brain | 328 | $67.9K | $206.88 | 3.32x |
| 77066 | Mammography of both breasts | 420 | $61.9K | $147.36 | 2.51x |
| 71046 | X-ray of chest, 2 views | 2.2K | $61.7K | $27.96 | 3.28x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 544 | $58.0K | $106.68 | 2.11x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 1.1K | $56.8K | $50.91 | 3.05x |
| 71260 | CT scan chest with contrast | 391 | $55.8K | $142.79 | 3.86x |
This provider submits charges 2.95 times higher than what Medicare actually pays.
A markup ratio of 2.95x means for every $100 Medicare pays, this provider initially charges $295. 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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