healthparse.io

Hospital capital-expenditure jump signals from CMS cost reports (Worksheet A-7): hospitals whose major movable equipment purchases hit at least $1M and at least 2x the prior fiscal year — an observational marker that a hospital reported a step-up in equipment spend. Answers: which hospitals just bought equipment? Includes purchase dollars by asset class and the prior-year comparison. Filter by state, min_amount (movable-equipment dollars), since; keyset cursor pagination.

CMS Care Compare quality record by CCN for a snf. Answers: what are the quality ratings and performance measures for this facility? Source: CMS Care Compare.

CMS Care Compare quality record by CCN for a dialysis. Answers: what are the quality ratings and performance measures for this facility? Source: CMS Care Compare.

Newly-enumerated NPIs with their EXACT Provider Enumeration Date and taxonomy detail, from the CMS NPPES full monthly file joined to the NPPES directory. Answers: which providers/organizations of a given taxonomy were newly issued an NPI in my state since a date? Precise new-provider dating (enumerated_since) that sharpens the existing NPPES event feed. Filter: enumerated_since/before, taxonomy, state, license_state, entity_type, active_only; sort by enumeration_date.

Multi-year financial history for one hospital by CCN: beds, discharges, revenues, net income per fiscal year, up to 15 years. Source: CMS cost reports.

CMS Care Compare quality record by CCN for a home health. Answers: what are the quality ratings and performance measures for this facility? Source: CMS Care Compare.

CMS Care Compare quality record by CCN for a hospice. Answers: what are the quality ratings and performance measures for this facility? Source: CMS Care Compare.

CMS Care Compare quality record by CCN for a hospitals. Answers: what are the quality ratings and performance measures for this facility? Source: CMS Care Compare.

Hospital cost-report record by CMS Certification Number (CCN). Answers: what are the financial and operational metrics for this hospital across fiscal years? Includes identity, beds, discharges, revenues, net income, operating margin.

Nonprofit health organization Form 990 filing history by EIN. Answers: what are the revenues, expenses, and trends for this nonprofit across fiscal years? Source: IRS Form 990 e-filings.

Which manufacturers pay a given physician specialty in a territory, and how much — CMS Open Payments rolled up to the paying company. Answers: which pharma/device companies already reach cardiologists in Texas, and which are the small/emerging ones (max_total_spend) to partner with or compete against? Filter: specialty, state, performance_year (defaults to latest), max_total_spend/min_total_spend, min_physicians; sort by matched_amount or manufacturer_total_spend (asc = smallest first).

Provider change-event feed over 7 federal sources: new NPI enumerations, newly billing Medicare, enrollment pending, address changes, deactivations, CLIA lab certificates, ownership changes (CHOW), mammography facility cert changes, and hospital capex jumps. Answers: what changed in my territory since I last looked? Filter by type (comma-separated), state, since (YYYY-MM-DD), npi, ccn; page via next_cursor (keyset). 85k+ events, refreshed twice-weekly to quarterly by source.

One-call dossier of everything Healthparse knows about a provider NPI: NPPES identity, taxonomy and practice address; Medicare ordering-and-referring privileges; NPI exclusion screen (OIG LEIE, GSA SAM, state Medicaid, state boards); change-event history; Medicare Part B utilization and Part D prescribing summaries; Open Payments totals by year; hospital affiliations with star ratings; MIPS quality scores. Absent legs say so explicitly. Records as filed; not a consumer report.

Screen a provider (name and/or NPI) against all federal and state exclusion lists in one call — OIG LEIE, GSA SAM, OFAC SDN, FDA debarment, state Medicaid exclusions, and licensing-board sanctions from 13 states. Returns an attested clear/flagged verdict with per-list counts. NPI-only screens (no name) cover 4 of 6 lists — OFAC SDN and FDA debarment need a name; see lists_checked/lists_not_applicable. For hiring, credentialing, and vendor-onboarding agents.

Screen physicians industry is already paying — the recipient side of the CMS Open Payments (Sunshine Act) file, ranked by total reported payment amount. Filter by specialty, state, nature_of_payment, and min_amount. Prescriber name / specialty / state / city are resolved by joining the NPI to the CMS Part D Prescribers file (Open Payments carries none of them). Public CMS provider-level data; not a consumer report.

Find Medicare Part D prescribers of a specific DRUG or therapeutic CLASS at NPI level — the core pharma targeting query. Filter by drug_class (GLP-1, SGLT2, DPP-4, Statin, from partd_drug_class) or a single drug (brand or generic, e.g. 'Ozempic'), plus specialty, state, min_claims, min_beneficiaries, year. Each hit carries the drug's claim/cost volume and the prescriber's specialty/state/city. Public CMS provider-level data; not a consumer report.

Search snf quality data by state, city, ZIP, or CMS star rating. Answers: which snf meet quality thresholds in a market? Source: CMS Care Compare, monthly refresh.

Search US hospitals by state, city, type, control, beds, discharges, revenues, or operating margin. Answers: which hospitals in a market match a financial or operational profile? Source: CMS cost reports (HCRIS 2552-10).

Search hospice quality data by state, city, ZIP, or CMS star rating. Answers: which hospice meet quality thresholds in a market? Source: CMS Care Compare, monthly refresh.

Screen Medicare Part D prescribers by specialty, state, and claim volume — the per-prescriber roster a pharma / device team targets. Optional drug_category (brand | opioid | opioid_long_acting | antibiotic) selects the matching CMS *_total_claims column for BOTH the min_claims threshold and the ranking (else total_claims). Returns one row per NPI with the CMS claim rollups. Public CMS provider-level data; not a consumer report.

Search the OIG List of Excluded Individuals/Entities (LEIE) by name, NPI, state, or exclusion type. Answers: is this provider excluded from federal healthcare programs? Monthly refresh.

Search hospital price-transparency negotiated rates by billing code (CPT/HCPCS/MS-DRG), state, payer, hospital CCN, or rate type. Answers: what do payers actually pay for this procedure at these hospitals? Source: hospital-published MRFs.

Search hospitals quality data by state, city, ZIP, or CMS star rating. Answers: which hospitals meet quality thresholds in a market? Source: CMS Care Compare, monthly refresh.

Look up a prescriber by NAME (or exact NPI) and get identity plus a Medicare Part D prescribing summary. Matches the NPPES directory by name prefix (first/last), optionally narrowed by state and specialty, then rolls up that NPI's latest-year Part D claims: top drug, distinct drugs, beneficiaries, and tracked class flags (GLP-1/SGLT2/DPP-4/Statin) with a new-to-class signal. Provide name or npi. Public CMS + NPPES provider-level data; not a consumer report.

Search home health quality data by state, city, ZIP, or CMS star rating. Answers: which home health meet quality thresholds in a market? Source: CMS Care Compare, monthly refresh.

Find HRSA Health Professional Shortage Areas (Primary Care / Dental / Mental Health) by state, discipline, minimum shortage score, or FTE shortage — a mapped staffing-demand signal. Answers: where is the designated shortage most severe, and how many practitioner FTEs are needed? Powers medical & travel-nurse staffing. Defaults to currently-designated areas. Filter: state, discipline, min_score, min_fte, rural_status, designated_since, status; sort by hpsa_score or hpsa_fte.

Discover FQHC / Look-Alike health-center SITES from the HRSA roster by state, type, county, name, or newly-added-to-scope date (added_since = new-site trigger). Answers: which FQHC sites exist in my territory, and which are new? Each site is entity-resolved into NPPES (matched_npi / match_method). Powers pharma-sales 340B, medical-device, and medical/travel-nurse staffing targeting. Filter: state, health_center_type, status, name, county, added_since, resolved_only.

Physicians whose TOTAL CMS Open Payments industry payments genuinely increased year-over-year — a real per-NPI delta (amount_current vs amount_prior), not a magnitude threshold. Defaults to 2023→2024 (any loaded year pair selectable via year/prior_year). Filter: specialty, state, min_increase_usd (default $1,000), min_pct_change (default 10%). Only physicians paid in BOTH years with a real rise clearing both thresholds are returned. Public CMS provider-level data; not a consumer report.

Search nonprofit health organizations by state, NTEE code, revenue or expense range, or name. Answers: which nonprofit hospitals/health orgs match this financial profile? Source: IRS Form 990 e-filings.

Manufacturers/GPOs whose TOTAL Open Payments spend genuinely increased year-over-year — a real per-manufacturer delta (amount_current vs amount_prior), not a magnitude threshold. Defaults to 2023→2024 (any loaded year pair via year/prior_year). Filter: specialty, state, min_increase_usd (default $10,000), min_pct_change (default 10%). NOTE: op_manufacturer_payments holds only PY2024 today — real, returns total_matched=0 (never fabricated) until a prior year is imported; see stage1b-report.md.

Search ambulatory surgical centers (ASCs) by state, CCN, or name. Answers: which ASCs are in a given market? Source: CMS ASC cost data.

Search Medicare providers by NPI, state, specialty, service volume, beneficiaries, or payments. Answers: which providers in a market match this specialty, volume, or beneficiary profile? Source: CMS Medicare claims.

Search HRSA 340B OPAIS covered entities + child sites by state, entity type (FQHC/DSH/CAH/RHC/…), or name — the 340B buyer/pharmacy roster. Answers: which 340B-eligible entities operate in my territory, and which have an NPI to join into the provider graph? Powers pharma-sales (340B pharmacies) targeting. Filter: state, entity_type, name, has_npi, parents_only.

Search dialysis quality data by state, city, ZIP, or CMS star rating. Answers: which dialysis meet quality thresholds in a market? Source: CMS Care Compare, monthly refresh.

Healthcare wage benchmarks by SOC occupation and area (national, state, metro): median, mean, and P25–P90 percentiles plus employment. Answers: what does this role pay in this market? Source: BLS OEWS.

Discover pharma & device MANUFACTURERS from CMS Open Payments by name, total-spend band, or year of first appearance — the emerging/small-brand filter (low total_spend and/or recent first_seen_year) plus optional specialty/state activity. Answers: which small or new manufacturers pay physicians in my category and territory? Entity-resolved company dimension (DBA/subsidiary variants merged). Filter: name, max_total_spend, first_seen_year_min/max, specialty, state.

Search nonprofit hospital executive compensation: officers and key employees by organization (EIN), name, or compensation range. Answers: who are the executives at this nonprofit health org and what do they earn? Source: IRS Form 990 Schedule J.

National price statistics for a billing code (CPT/HCPCS/MS-DRG) from hospital price-transparency files: median and spread of payer-negotiated rates. Answers: what is a fair price for this procedure? Shape varies: a code under one billing_code_type (common case) returns the flat row shown below; a code ambiguous across types instead returns { billing_code, stats_by_type: [...] } — check for a top-level stats_by_type array to tell them apart.