This provider's $3.4M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 55% from 2014 to 2023.
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 | $472.80 | $340.01 | 1.39x | $132.79 | $231.4K | 1.5K | 1.5K |
| 2015 | $529.97 | $263.16 | 2.01x | $266.81 | $268.7K | 1.7K | 1.7K |
| 2016 | $647.79 | $193.21 | 3.35x | $454.58 | $324.2K | 2.6K | 2.6K |
| 2017 | $686.50 | $209.94 | 3.27x | $476.56 | $380.8K | 3.1K | 3.1K |
| 2018 | $661.90 | $226.22 | 2.93x | $435.68 | $393.1K | 3.1K | 3.1K |
| 2019 | $682.30 | $208.67 | 3.27x | $473.63 | $387.0K | 3.2K | 3.1K |
| 2020 | $663.22 | $207.40 | 3.20x | $455.82 | $337.0K | 2.8K | 2.7K |
| 2021 | $666.22 | $200.81 | 3.32x | $465.41 | $396.4K | 3.3K | 3.2K |
| 2022 | $782.65 | $188.66 | 4.15x | $593.99 | $356.7K | 3.0K | 3.0K |
| 2023 | $852.92 | $177.23 | 4.81x | $675.69 | $359.4K | 3.1K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 6.0K | $946.4K | $157.52 | 2.88x |
| 76641 | Ultrasound of one breast | 5.0K | $616.9K | $122.99 | 3.24x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 3.8K | $563.9K | $150.02 | 2.27x |
| 77063 | Screening digital tomography of both breasts | 7.5K | $471.6K | $62.49 | 1.56x |
| 77059 | MRI scan of both breasts with contrast | 311 | $145.8K | $468.91 | 3.48x |
| 77065 | Mammography of one breast | 1.0K | $116.5K | $115.68 | 2.97x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 199 | $112.3K | $564.52 | 2.03x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 177 | $102.4K | $578.54 | 3.41x |
| 77049 | MRI of both breasts with and without contrast | 249 | $85.9K | $345.15 | 6.74x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 656 | $70.0K | $106.78 | 2.42x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 361 | $49.6K | $137.30 | 2.21x |
| 77066 | Mammography of both breasts | 295 | $43.5K | $147.60 | 3.06x |
| 76645 | Ultrasound of breasts | 440 | $36.0K | $81.90 | 1.60x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 540 | $26.9K | $49.81 | 2.76x |
| 76642 | Ultrasound of one breast | 319 | $24.8K | $77.82 | 3.18x |
| 77058 | MRI scan of one breast with contrast | 30 | $14.3K | $478.07 | 1.53x |
| 19281 | Placement of breast localization devices accessed through the skin with mammographic guidance | 35 | $7.6K | $215.99 | 3.72x |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 55 | $76.37 | $1.39 | 1.61x |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 455 | $64.18 | $0.14 | 3.68x |
This provider submits charges 2.74 times higher than what Medicare actually pays.
A markup ratio of 2.74x means for every $100 Medicare pays, this provider initially charges $274. 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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