This provider's $3.7M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.22x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 137086% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51521% 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 | $52.00 | $8.63 | 6.03x | $43.37 | $334.18 | 42 | 41 |
| 2015 | $567.32 | $137.10 | 4.14x | $430.22 | $172.5K | 1.5K | 1.4K |
| 2016 | $780.17 | $196.85 | 3.96x | $583.32 | $678.0K | 5.2K | 5.2K |
| 2017 | $924.52 | $225.26 | 4.10x | $699.26 | $609.1K | 3.7K | 3.7K |
| 2018 | $852.62 | $197.58 | 4.32x | $655.04 | $511.0K | 3.7K | 3.7K |
| 2019 | $823.24 | $185.45 | 4.44x | $637.79 | $520.2K | 3.6K | 3.6K |
| 2020 | $625.37 | $102.45 | 6.10x | $522.92 | $175.0K | 2.1K | 2.0K |
| 2021 | $832.12 | $122.20 | 6.81x | $709.92 | $206.7K | 4.6K | 4.1K |
| 2022 | $1.4K | $276.09 | 5.19x | $1.2K | $327.1K | 1.2K | 1.2K |
| 2023 | $828.98 | $165.71 | 5.00x | $663.27 | $458.4K | 3.6K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74183 | MRI scan of abdomen before and after contrast | 2.6K | $986.2K | $383.59 | 5.94x |
| 72197 | MRI scan of pelvis before and after contrast | 1.4K | $507.6K | $363.89 | 6.35x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.4K | $339.4K | $247.04 | 3.49x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 878 | $242.5K | $276.15 | 5.56x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 645 | $201.9K | $313.01 | 3.22x |
| 74176 | CT scan of abdomen and pelvis | 1.2K | $176.1K | $149.25 | 4.23x |
| 71250 | CT scan chest | 1.5K | $173.8K | $117.14 | 5.19x |
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 107 | $164.1K | $1.5K | 5.54x |
| 74181 | MRI scan of abdomen | 610 | $128.0K | $209.90 | 5.26x |
| 74182 | MRI scan of abdomen with contrast | 253 | $91.7K | $362.39 | 3.81x |
| 71260 | CT scan chest with contrast | 573 | $68.2K | $119.09 | 5.72x |
| 74185 | MRI scan of blood vessels of abdomen | 168 | $59.2K | $352.24 | 4.48x |
| 71275 | CT scan of blood vessels in chest with contrast | 217 | $54.6K | $251.50 | 3.69x |
| 72195 | MRI scan of pelvis | 209 | $53.0K | $253.55 | 4.63x |
| 78816 | Nuclear medicine study with ct imaging whole body | 34 | $51.7K | $1.5K | 6.56x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 123 | $32.2K | $261.89 | 3.66x |
| 75635 | CT scan of abdominal aorta and both leg arteries with contrast | 91 | $30.5K | $335.39 | 4.87x |
| 72196 | MRI scan of pelvis with contrast | 77 | $24.3K | $315.14 | 4.06x |
| 71045 | X-ray of chest, 1 view | 2.9K | $24.0K | $8.36 | 14.05x |
| 82565 | Blood creatinine level | 3.3K | $20.4K | $6.23 | 1.77x |
This provider submits charges 5.22 times higher than what Medicare actually pays.
A markup ratio of 5.22x means for every $100 Medicare pays, this provider initially charges $522. 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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