Healthparse

V1 Prices Search

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.

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V1 Prices Stats Code

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.

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V1 Providers Enumeration

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.

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V1 Providers Events

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.

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V1 Providers Npi Provider360

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.

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V1 Providers Search

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.

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V1 Screen

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.

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V1 Wages Search

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.

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