OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Ira Fastlich
๐Ÿ“ก
MDIndividual

Ira Fastlich, MD

NPI: 1891752770
Lindenhurst, NY
10 years of data
Diagnostic Radiology
$4.6M
Total Payments
43.2K
Beneficiaries
43.5K
Services
2.95x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$4.6M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $4.6M over 10 years
22.95x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
4Payments surged 67% in 2022
512 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $4.6M 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 67% in 2022

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$352.99$98.833.57x$254.16$443.7K4.1K4.0K
2015$297.82$86.323.45x$211.50$410.6K4.0K3.9K
2016$305.15$88.883.43x$216.27$462.2K4.4K4.4K
2017$315.53$96.143.28x$219.39$467.1K4.4K4.3K
2018$309.19$89.993.44x$219.20$478.4K4.5K4.5K
2019$309.31$89.313.46x$220.00$450.1K4.4K4.4K
2020$308.21$92.623.33x$215.59$439.8K4.2K4.2K
2021$283.53$91.093.11x$192.44$345.1K3.2K3.2K
2022$312.32$90.393.46x$221.93$577.9K5.7K5.6K
2023$323.71$98.503.29x$225.21$478.5K4.7K4.6K

Top Procedures (20)

76770Ultrasound behind abdominal cavity
$1.2M
12.1K services$100.01/svc2.89x markup
76700Ultrasound of abdomen
$951.7K
8.9K services$107.14/svc2.69x markup
76536Ultrasound of head and neck
$942.5K
9.2K services$102.11/svc2.83x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuversโš  3.4x markup
$463.7K
2.6K services$175.43/svc3.39x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
$423.5K
3.9K services$108.05/svc2.77x markup
76856Ultrasound of pelvisโš  3.4x markup
$205.9K
2.4K services$84.08/svc3.42x markup
76830Ultrasound pelvis through vaginaโš  3.0x markup
$127.3K
1.1K services$110.97/svc3.05x markup
76705Ultrasound of abdomenโš  3.4x markup
$77.4K
962 services$80.48/svc3.39x markup
76870Ultrasound of scrotumโš  4.5x markup
$24.3K
378 services$64.16/svc4.49x markup
74240X-ray of upper digestive tractโš  3.2x markup
$16.9K
165 services$102.64/svc3.16x markup
74220X-ray of esophagus
$14.3K
182 services$78.83/svc2.93x markup
76775Ultrasound behind abdominal cavity, limitedโš  5.7x markup
$14.0K
273 services$51.26/svc5.65x markup
74177CT scan of abdomen and pelvis with contrast
$12.0K
40 services$299.93/svc2.64x markup
76857Ultrasound of pelvisโš  6.7x markup
$11.2K
293 services$38.38/svc6.67x markup
76706Ultrasound evaluation of abdominal aorta to detect bulging (aneurysm)
$9.1K
68 services$134.25/svc2.05x markup
71250CT scan chestโš  4.5x markup
$7.4K
51 services$145.28/svc4.51x markup
74176CT scan of abdomen and pelvis
$5.6K
32 services$175.64/svc2.77x markup
72148MRI scan of lower spinal canalโš  5.6x markup
$4.0K
18 services$219.82/svc5.60x markup
70551MRI scan brainโš  5.4x markup
$3.6K
16 services$227.74/svc5.41x markup
76882Ultrasound of arm or legโš  6.7x markup
$3.4K
85 services$40.25/svc6.72x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
76770Ultrasound behind abdominal cavity12.1K$1.2M$100.012.89x
76700Ultrasound of abdomen8.9K$951.7K$107.142.69x
76536Ultrasound of head and neck9.2K$942.5K$102.112.83x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers2.6K$463.7K$175.433.39x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3.9K$423.5K$108.052.77x
76856Ultrasound of pelvis2.4K$205.9K$84.083.42x
76830Ultrasound pelvis through vagina1.1K$127.3K$110.973.05x
76705Ultrasound of abdomen962$77.4K$80.483.39x
76870Ultrasound of scrotum378$24.3K$64.164.49x
74240X-ray of upper digestive tract165$16.9K$102.643.16x
74220X-ray of esophagus182$14.3K$78.832.93x
76775Ultrasound behind abdominal cavity, limited273$14.0K$51.265.65x
74177CT scan of abdomen and pelvis with contrast40$12.0K$299.932.64x
76857Ultrasound of pelvis293$11.2K$38.386.67x
76706Ultrasound evaluation of abdominal aorta to detect bulging (aneurysm)68$9.1K$134.252.05x
71250CT scan chest51$7.4K$145.284.51x
74176CT scan of abdomen and pelvis32$5.6K$175.642.77x
72148MRI scan of lower spinal canal18$4.0K$219.825.60x
70551MRI scan brain16$3.6K$227.745.41x
76882Ultrasound of arm or leg85$3.4K$40.256.72x

Markup Analysis

Charge-to-Payment Ratio

2.95x

This provider submits charges 2.95 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.95x means for every $100 Medicare pays, this provider initially charges $295. This is higher than the national average.

Location

Lindenhurst, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Diagnostic Radiology providers in NY for peer comparison.

Ira Fastlich (you)
$4.6M
Mark Lodespoto, M.D.
$34.9M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Mark Lodespoto, M.D.Oceanside, NY$34.9Mโœ“ Clear

Related

Browse
โ† Back to Provider Directory
State
All providers in NY โ†’
Specialty
All Diagnostic Radiology providers โ†’
Tool
Compare this provider โ†’
Analysis
Fraud Watchlist โ†’
Search
Search all providers โ†’

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data