This provider's $3.8M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 9.02x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 148% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 92% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $763.39 | $124.41 | 6.14x | $638.98 | $247.8K | 1.8K | 1.7K |
| 2015 | $699.34 | $116.29 | 6.01x | $583.05 | $319.4K | 2.7K | 2.6K |
| 2016 | $646.43 | $110.07 | 5.87x | $536.36 | $344.7K | 2.9K | 2.7K |
| 2017 | $691.86 | $122.71 | 5.64x | $569.15 | $345.6K | 2.7K | 2.5K |
| 2018 | $756.53 | $121.67 | 6.22x | $634.86 | $312.9K | 2.3K | 2.2K |
| 2019 | $719.50 | $129.43 | 5.56x | $590.07 | $311.6K | 2.4K | 2.2K |
| 2020 | $721.75 | $130.31 | 5.54x | $591.44 | $249.3K | 1.7K | 1.7K |
| 2021 | $950.86 | $136.07 | 6.99x | $814.79 | $477.8K | 3.1K | 3.0K |
| 2022 | $1.2K | $127.53 | 9.52x | $1.1K | $621.1K | 4.0K | 3.9K |
| 2023 | $1.3K | $123.35 | 10.47x | $1.2K | $614.3K | 4.2K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 72148 | MRI scan of lower spinal canal | 5.1K | $964.6K | $189.28 | 12.31x |
| 70551 | MRI scan brain | 3.2K | $655.8K | $203.16 | 7.94x |
| 70553 | MRI scan of brain before and after contrast | 1.3K | $424.3K | $328.88 | 8.60x |
| 72141 | MRI scan of upper spinal canal | 1.9K | $355.7K | $183.56 | 10.97x |
| 70450 | CT scan head or brain | 1.1K | $115.4K | $103.15 | 6.94x |
| 72146 | MRI scan of middle spinal canal | 613 | $110.4K | $180.05 | 13.11x |
| 70544 | MRA scan of head blood vessels | 411 | $102.1K | $248.38 | 6.51x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 314 | $76.4K | $243.27 | 3.29x |
| 70486 | CT scan of face | 579 | $75.8K | $130.84 | 6.68x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 394 | $62.0K | $157.38 | 3.49x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 192 | $60.1K | $313.21 | 14.73x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 872 | $58.7K | $67.29 | 6.10x |
| 70547 | MRA scan of neck blood vessels | 217 | $57.5K | $264.85 | 7.05x |
| 72131 | CT scan of lower spine | 395 | $53.0K | $134.19 | 6.76x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 943 | $43.9K | $46.55 | 4.19x |
| 77067 | Mammography of both breasts | 248 | $40.3K | $162.67 | 12.00x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 216 | $39.0K | $180.73 | 5.01x |
| 70491 | CT scan of neck with contrast | 173 | $33.8K | $195.31 | 6.04x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 152 | $32.7K | $215.12 | 3.72x |
| 70543 | Mri scan bones of the eye, face, and/or neck before and after contrast | 91 | $30.8K | $338.00 | 11.23x |
This provider submits charges 9.02 times higher than what Medicare actually pays.
A markup ratio of 9.02x means for every $100 Medicare pays, this provider initially charges $902. 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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