This provider's $6.2M 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 56% in 2015
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 | $564.25 | $212.88 | 2.65x | $351.37 | $647.0K | 2.6K | 2.5K |
| 2015 | $689.70 | $245.44 | 2.81x | $444.26 | $1.0M | 2.9K | 2.8K |
| 2016 | $692.43 | $237.46 | 2.92x | $454.97 | $654.8K | 3.9K | 3.9K |
| 2017 | $578.76 | $200.84 | 2.88x | $377.92 | $522.5K | 3.5K | 3.5K |
| 2018 | $603.21 | $181.64 | 3.32x | $421.57 | $507.3K | 2.6K | 2.6K |
| 2019 | $845.28 | $183.50 | 4.61x | $661.78 | $697.6K | 2.9K | 2.8K |
| 2020 | $1.3K | $251.96 | 5.17x | $1.0K | $644.7K | 2.9K | 2.9K |
| 2021 | $803.84 | $189.08 | 4.25x | $614.76 | $562.9K | 3.5K | 3.4K |
| 2022 | $902.32 | $214.62 | 4.20x | $687.70 | $515.3K | 3.3K | 3.3K |
| 2023 | $1.3K | $236.83 | 5.31x | $1.0K | $415.0K | 3.0K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.9K | $2.6M | $1.4K | 3.31x |
| 71250 | CT scan chest | 6.3K | $845.4K | $134.79 | 5.35x |
| 74177 | CT scan of abdomen and pelvis with contrast | 2.2K | $657.5K | $294.84 | 3.45x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.7K | $571.5K | $337.54 | 3.77x |
| 74176 | CT scan of abdomen and pelvis | 2.4K | $428.8K | $176.76 | 3.56x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.0K | $293.7K | $148.34 | 2.64x |
| 71260 | CT scan chest with contrast | 921 | $141.4K | $153.51 | 5.53x |
| 78816 | Nuclear medicine study with CT imaging whole body | 105 | $140.3K | $1.3K | 3.87x |
| 71275 | CT scan of blood vessels in chest with contrast | 326 | $84.9K | $260.42 | 3.75x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 175 | $50.7K | $289.83 | 2.47x |
| 74170 | CT scan abdomen before and after contrast | 165 | $39.7K | $240.53 | 4.63x |
| 78306 | Bone and/or joint imaging, whole body | 164 | $39.2K | $239.15 | 2.11x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 212 | $36.0K | $169.58 | 3.64x |
| 71046 | X-ray of chest, 2 views | 961 | $27.5K | $28.65 | 3.75x |
| 74150 | CT scan abdomen | 146 | $18.5K | $126.49 | 5.36x |
| 74220 | X-ray of esophagus | 221 | $17.3K | $78.18 | 3.05x |
| 74240 | X-ray of upper digestive tract | 147 | $14.8K | $100.68 | 3.21x |
| 71020 | X-ray of chest, 2 views, front and side | 574 | $13.4K | $23.34 | 4.45x |
| 82565 | Blood creatinine level | 2.1K | $12.6K | $5.94 | 2.24x |
| 78264 | Stomach emptying study | 41 | $11.7K | $286.13 | 1.57x |
This provider submits charges 3.72 times higher than what Medicare actually pays.
A markup ratio of 3.72x means for every $100 Medicare pays, this provider initially charges $372. 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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