This provider's $7.9M 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.
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 | $547.74 | $145.04 | 3.78x | $402.70 | $567.0K | 4.5K | 4.5K |
| 2015 | $540.67 | $142.04 | 3.81x | $398.63 | $626.0K | 5.3K | 5.1K |
| 2016 | $572.66 | $143.43 | 3.99x | $429.23 | $814.0K | 6.4K | 6.3K |
| 2017 | $646.52 | $164.82 | 3.92x | $481.70 | $778.9K | 5.7K | 5.6K |
| 2018 | $745.09 | $174.55 | 4.27x | $570.54 | $773.2K | 6.2K | 6.0K |
| 2019 | $736.88 | $169.65 | 4.34x | $567.23 | $889.6K | 6.9K | 6.7K |
| 2020 | $722.10 | $174.97 | 4.13x | $547.13 | $787.6K | 5.9K | 5.8K |
| 2021 | $651.51 | $153.30 | 4.25x | $498.21 | $816.3K | 6.6K | 6.4K |
| 2022 | $652.33 | $149.93 | 4.35x | $502.40 | $1.0M | 8.7K | 8.4K |
| 2023 | $599.19 | $148.56 | 4.03x | $450.63 | $785.9K | 6.6K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 71250 | CT scan chest | 13.9K | $1.9M | $133.66 | 4.84x |
| 74177 | CT scan of abdomen and pelvis with contrast | 5.7K | $1.7M | $295.38 | 2.65x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 3.7K | $1.2M | $333.21 | 2.98x |
| 74176 | CT scan of abdomen and pelvis | 5.2K | $916.2K | $176.53 | 2.77x |
| 74183 | MRI scan of abdomen before and after contrast | 1.7K | $755.7K | $446.11 | 5.40x |
| 71260 | CT scan chest with contrast | 2.3K | $335.0K | $144.34 | 4.87x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 467 | $131.6K | $281.89 | 2.26x |
| 71275 | CT scan of blood vessels in chest with contrast | 498 | $128.9K | $258.75 | 3.63x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 739 | $127.9K | $173.07 | 3.71x |
| 74170 | CT scan abdomen before and after contrast | 520 | $121.2K | $233.16 | 3.73x |
| 74181 | MRI scan of abdomen | 283 | $79.5K | $280.92 | 4.36x |
| 72197 | MRI scan of pelvis before and after contrast | 290 | $77.9K | $268.47 | 8.93x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 275 | $49.9K | $181.63 | 3.32x |
| 74160 | CT scan abdomen with contrast | 229 | $48.9K | $213.60 | 3.38x |
| 82565 | Blood creatinine level | 8.0K | $46.4K | $5.80 | 1.92x |
| 74150 | CT scan abdomen | 348 | $42.3K | $121.67 | 5.24x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 290 | $32.4K | $111.78 | 2.72x |
| 71270 | CT scan chest before and after contrast | 130 | $24.7K | $190.13 | 4.74x |
| 71046 | X-ray of chest, 2 views | 831 | $23.7K | $28.49 | 3.66x |
| 71020 | X-ray of chest, 2 views, front and side | 993 | $23.6K | $23.79 | 4.38x |
This provider submits charges 3.75 times higher than what Medicare actually pays.
A markup ratio of 3.75x means for every $100 Medicare pays, this provider initially charges $375. 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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