This provider's $5.3M 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 68% 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 | $532.88 | $160.09 | 3.33x | $372.79 | $434.4K | 2.9K | 2.9K |
| 2015 | $420.86 | $124.47 | 3.38x | $296.39 | $606.4K | 5.0K | 4.9K |
| 2016 | $419.70 | $139.73 | 3.00x | $279.97 | $1.0M | 8.6K | 8.3K |
| 2017 | $497.58 | $138.06 | 3.60x | $359.52 | $677.9K | 5.4K | 5.3K |
| 2018 | $592.37 | $116.74 | 5.07x | $475.63 | $502.3K | 4.0K | 3.9K |
| 2019 | $538.37 | $108.00 | 4.98x | $430.37 | $404.2K | 3.2K | 3.2K |
| 2020 | $477.32 | $106.21 | 4.49x | $371.11 | $279.3K | 2.2K | 2.2K |
| 2021 | $457.29 | $101.95 | 4.49x | $355.34 | $441.2K | 3.7K | 3.7K |
| 2022 | $493.03 | $94.53 | 5.22x | $398.50 | $513.2K | 4.7K | 4.6K |
| 2023 | $770.66 | $98.12 | 7.85x | $672.54 | $425.0K | 4.0K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 72148 | MRI scan of lower spinal canal | 4.1K | $786.0K | $191.72 | 5.21x |
| 70551 | MRI scan brain | 3.1K | $621.2K | $202.22 | 4.95x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.0K | $360.8K | $179.69 | 3.85x |
| 70553 | MRI scan of brain before and after contrast | 1.0K | $348.9K | $342.36 | 5.64x |
| 76536 | Ultrasound of head and neck | 3.4K | $343.6K | $100.68 | 4.08x |
| 72141 | MRI scan of upper spinal canal | 1.6K | $310.2K | $188.83 | 5.19x |
| 76700 | Ultrasound of abdomen | 2.2K | $229.0K | $103.40 | 4.16x |
| 76770 | Ultrasound behind abdominal cavity | 1.8K | $175.0K | $98.58 | 4.27x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 838 | $147.6K | $176.17 | 4.51x |
| 70450 | CT scan head or brain | 1.5K | $141.4K | $96.31 | 5.43x |
| 70486 | CT scan of face | 983 | $118.9K | $121.00 | 4.98x |
| 70544 | MRA scan of head blood vessels | 376 | $99.2K | $263.83 | 3.91x |
| 76856 | Ultrasound of pelvis | 1.2K | $98.1K | $80.36 | 4.56x |
| 72146 | MRI scan of middle spinal canal | 467 | $90.8K | $194.34 | 5.23x |
| 71250 | CT scan chest | 628 | $86.8K | $138.16 | 3.87x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 722 | $79.7K | $110.39 | 4.29x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 318 | $79.3K | $249.24 | 3.75x |
| 70547 | MRA scan of neck blood vessels | 266 | $78.9K | $296.74 | 3.21x |
| 73721 | MRI scan of leg joint | 377 | $76.5K | $202.91 | 3.90x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 271 | $63.0K | $232.50 | 4.56x |
This provider submits charges 4.57 times higher than what Medicare actually pays.
A markup ratio of 4.57x means for every $100 Medicare pays, this provider initially charges $457. 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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