This provider's $3.8M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 6.1x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 211% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 108% 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 | $299.36 | $44.82 | 6.68x | $254.54 | $99.9K | 2.2K | 2.0K |
| 2015 | $509.18 | $87.71 | 5.81x | $421.47 | $169.7K | 2.0K | 1.9K |
| 2016 | $514.09 | $90.99 | 5.65x | $423.10 | $353.4K | 3.2K | 3.0K |
| 2017 | $553.32 | $96.99 | 5.70x | $456.33 | $424.5K | 3.6K | 3.5K |
| 2018 | $587.50 | $102.20 | 5.75x | $485.30 | $401.3K | 3.6K | 3.5K |
| 2019 | $596.25 | $102.60 | 5.81x | $493.65 | $506.1K | 4.6K | 4.4K |
| 2020 | $608.10 | $104.47 | 5.82x | $503.63 | $463.9K | 4.2K | 4.0K |
| 2021 | $721.05 | $112.38 | 6.42x | $608.67 | $543.5K | 4.8K | 4.6K |
| 2022 | $638.28 | $98.36 | 6.49x | $539.92 | $525.2K | 5.1K | 5.0K |
| 2023 | $616.90 | $86.17 | 7.16x | $530.73 | $310.2K | 4.2K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 70551 | MRI scan brain | 6.6K | $1.0M | $156.73 | 5.87x |
| 70553 | MRI scan of brain before and after contrast | 3.7K | $820.6K | $222.56 | 5.60x |
| 70544 | MRA scan of head blood vessels | 2.0K | $327.8K | $160.92 | 5.84x |
| 70450 | CT scan head or brain | 7.6K | $281.7K | $37.16 | 8.29x |
| 70547 | MRA scan of neck blood vessels | 1.3K | $232.5K | $173.13 | 4.80x |
| 72148 | MRI scan of lower spinal canal | 1.4K | $191.3K | $132.75 | 6.45x |
| 72141 | MRI scan of upper spinal canal | 1.4K | $186.8K | $134.77 | 6.94x |
| 70496 | CT scan of blood vessel of head with contrast | 1.5K | $131.3K | $86.93 | 5.97x |
| 70498 | CT scan of neck blood vessels with contrast | 1.4K | $115.1K | $80.34 | 6.62x |
| 72125 | CT scan of upper spine | 2.0K | $84.6K | $42.18 | 7.21x |
| 72146 | MRI scan of middle spinal canal | 677 | $82.0K | $121.18 | 6.92x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 905 | $61.7K | $68.17 | 4.19x |
| 72156 | MRI scan of upper spinal canal before and after contrast | 189 | $43.2K | $228.69 | 5.55x |
| 72131 | CT scan of lower spine | 978 | $40.1K | $41.02 | 7.80x |
| 72128 | CT scan of middle spine | 905 | $37.0K | $40.94 | 7.82x |
| 72157 | MRI scan of middle spinal canal before and after contrast | 211 | $33.3K | $157.66 | 5.29x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 194 | $27.9K | $143.74 | 5.48x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 137 | $26.8K | $195.72 | 4.88x |
| 70486 | CT scan of face | 477 | $17.8K | $37.22 | 9.44x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 563 | $7.7K | $13.64 | 8.45x |
This provider submits charges 6.1 times higher than what Medicare actually pays.
A markup ratio of 6.1x means for every $100 Medicare pays, this provider initially charges $610. 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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