This provider's $24.8M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 3708% from 2014 to 2023.
64% of their billing comes from a single procedure code (78815 — Nuclear medicine study from skull base to mid-thigh with ct scan).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 916% in 2020
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 | $1.1K | $189.21 | 5.90x | $927.64 | $198.3K | 1.0K | 10 |
| 2015 | $3.3K | $541.80 | 6.09x | $2.8K | $196.1K | 362 | 7 |
| 2016 | $3.0K | $496.30 | 5.95x | $2.5K | $213.4K | 430 | 8 |
| 2017 | $3.3K | $490.60 | 6.82x | $2.9K | $214.9K | 438 | 9 |
| 2018 | $3.8K | $591.73 | 6.47x | $3.2K | $298.8K | 505 | 9 |
| 2019 | $3.3K | $616.36 | 5.40x | $2.7K | $468.4K | 760 | 8 |
| 2020 | $1.7K | $532.54 | 3.27x | $1.2K | $4.8M | 8.9K | 14 |
| 2021 | $1.8K | $491.35 | 3.72x | $1.3K | $5.0M | 10.2K | 9 |
| 2022 | $2.2K | $549.28 | 4.07x | $1.7K | $5.9M | 10.8K | 15 |
| 2023 | $2.3K | $529.13 | 4.29x | $1.7K | $7.6M | 14.3K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 10.4K | $15.8M | $1.5K | 3.91x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 7.2K | $3.4M | $476.44 | 5.47x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 9.2K | $2.6M | $282.00 | 3.30x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 2.3K | $971.5K | $428.36 | 3.72x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 4.9K | $936.1K | $191.24 | 2.07x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 1.1K | $800.6K | $735.16 | 4.14x |
| 78816 | Nuclear medicine study whole body with ct scan | 150 | $206.8K | $1.4K | 6.66x |
| 82947 | Blood glucose (sugar) level | 7.8K | $30.5K | $3.89 | 12.84x |
| 78306 | Bone and/or joint imaging, whole body | 119 | $30.4K | $255.41 | 7.43x |
| 78582 | Nuclear medicine study of lung ventilation and blood circulation in the lungs | 235 | $10.8K | $46.06 | 6.28x |
| 78320 | Nuclear medicine study of bone and/or joint | 86 | $9.7K | $112.86 | 17.85x |
| 36415 | Insertion of needle into vein for collection of blood sample | 2.7K | $9.4K | $3.54 | 5.64x |
| 79101 | Radioactive drug therapy through a vein | 39 | $5.4K | $138.71 | 3.97x |
| 96374 | Injection of drug or substance into vein | 123 | $4.6K | $37.74 | 5.03x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 64 | $4.3K | $67.51 | 8.14x |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 16 | $3.1K | $196.32 | 3.57x |
| A9503 | Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries | 133 | $2.3K | $16.98 | 5.42x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 17 | $2.2K | $130.21 | 2.96x |
| 78195 | Imaging of lymphatic tissue and lymph node | 37 | $1.8K | $49.04 | 6.79x |
| 93016 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision | 73 | $1.4K | $19.21 | 5.67x |
This provider submits charges 4.04 times higher than what Medicare actually pays.
A markup ratio of 4.04x means for every $100 Medicare pays, this provider initially charges $404. 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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