Public data, productized faster, priced honestly.
We build custom data products from publicly available government health records: the same source files that power enterprise healthcare intelligence platforms, turned into the specific deliverable you need. Each engagement ships as raw CSV, a custom portal, or both, with a methodology annex on every cover. Built by US-based MedTech professionals.
What is Medicare public data?
Traditional Medicare publishes anonymized billing tied to physicians and facilities: volumes and estimated Medicare payment for procedures, drugs, and device referrals. For many surgical specialties this captures roughly 30 to 50 percent of procedure volume; the balance is Medicare Advantage, Medicaid, and commercial insurance. We convert those files into the map, ranked list, or summary you requested.
How we work.
- Source download. We pull public CMS, HHS, and NPPES files directly. No scraping, no resellers.
- Process. We match procedure counts to each hospital or clinic, attach each doctor's name, specialty, and unique identifier (NPI) to every row. For device maps we also add the referring NPI to link prescriptions back to the individual physician. The full logic ships as a one-page methodology annex.
- Cite. Every number names its source file and vintage on the cover and in the body.
- Ship. Raw CSV, a custom portal, or both. Cover memo and methodology annex ship with every engagement.
What we use.
- Procedure and drug administration: CMS Medicare Physician & Other Practitioners by Provider and Service. Powers CPT-coded procedure and HCPCS J-code drug maps.
- DME prescriber footprint: CMS Medicare DME by Referring Provider and Service. Powers HCPCS DME maps (CPAP, oxygen, insulin pump, power wheelchair, diabetic supplies); unit is the prescribing physician, not the facility or supplier.
- Inpatient procedure volume: CMS Medicare Inpatient Hospitals by Provider and Service.
- Facility directory and quality measures: CMS Hospital General Information and CMS Care Compare.
- Provider names and specialty taxonomy: NPPES.
Device and supply maps answer which physicians prescribe a given product the most, by state, with the top prescribers on drilldown. Any medical device or supply prescribed through a physician follows this pattern. CPAP equipment is live at /cpapmaps; oxygen concentrators, insulin pumps, power wheelchairs, and diabetic supply maps are available on request.
Honest limitations.
Traditional Medicare only. Medicare Advantage, Medicaid, and commercial insurance claims are not in these files. For most surgical specialties, traditional Medicare represents roughly 30 to 50 percent of total procedure volume (published CMS enrollment inference; share varies by specialty). Stated on every cover and annex. We show where providers concentrate; we do not claim full multi-payer market size. We ship from the latest public release. Device maps cover equipment prescribed through a physician. Some devices go directly to patients without a prescribing-physician claim; certain continuous glucose monitor supplies (K0553 / A9276-A9278) fall into that group and are not in these files. Supplier fulfillment detail is available when needed.
What we do not cover, and why it matters.
Not an enterprise platform. Not a multi-payer claims database. Not a "DMEPOS landscape" view: every DME map is HCPCS-specific, focused on one code or a tight family. Not a continuously refreshed pipeline. One project fee covers your whole team. If your question needs any of those, an enterprise platform is the right tool.
Is this a fit for us?
We deliver focused public-data analyses. We do not replicate enterprise data platforms. Here is the honest line between the two.
| What you're trying to figure out | What we can deliver from public data | What requires an enterprise platform / proprietary data (not us) |
|---|---|---|
| Who are the top providers performing a procedure in your region? | A ranked roster pulled from the most recent public CMS Medicare Physician & Other Practitioners file, joined to NPPES specialty/practice data, exported as CSV with NPI, specialty, service counts, and est. Medicare payment. | Live provider activity feeds, commercial-payer claims, EMR-derived clinical detail, contact data enriched with mobile numbers and personal email. |
| What does the market for one procedure family look like nationally? | A national choropleth + state/facility/provider breakdown for the procedure family, plus a written summary report. The same shape as our live featured example (/kneemaps). | Multi-payer market sizing (Medicare Advantage + Medicaid + commercial), forecasted growth, market-share dashboards refreshed weekly. |
| Which hospitals in [state] do high volume of [CPT] and have a 4+ star CMS rating? | A filtered facility list joining Medicare utilization, CMS Hospital General Information, and (optionally) HAI rates. | Hospital affiliation networks, IDN parent/subsidiary mappings beyond what CMS publishes, financial-strength scoring, and contract-cycle intelligence. |
| What's the inpatient volume picture for [DRG family] in [metro]? | A hospital × DRG report from the CMS Medicare Inpatient Hospitals public file. | Commercial-inpatient case-mix, payor-mix-adjusted volumes, live hospitalization tracking. |
| Which suppliers and referrers drive [DME category]? | A supplier × referring-provider landscape from the CMS DMEPOS files. | Distributor contract data, GPO membership, live supplier activity feeds. |
| Who is using [imaging modality] heavily, and where are they concentrated? | A targeted prospect list (NPI-tagged) ranked by Medicare service volume, exportable to CRM. | Commercial-payer activity for the same providers; embedded sales-engagement tooling; mobile/email enrichment beyond NPPES public address. |
| A one-time market sizing for an investor diligence on [therapy area]. | A bespoke consulting engagement: market view + provider/facility rosters + sensitivity assumptions, all sourced and disclaimer-stamped. | A continuously refreshed deal-room data feed; access to a vendor's proprietary multi-payer claims dataset. |
| A continuously updated platform for my whole sales team. | A per-engagement portal of your dataset, refreshed on the cadence you need. One project price; your whole team can use it. No per-seat fees. | Live multi-payer claims feeds (commercial + Medicare Advantage + Medicaid), live hospitalization tracking, or contract-cycle intelligence. |
| Anything involving Protected Health Information (PHI). | Out of scope. We do not handle PHI under any circumstance. | A covered-entity analytics partner working under a Business Associate Agreement. |
| Anything that requires Medicaid or commercial claims. | Out of scope. Medicare FFS only. | A multi-payer claims vendor (e.g., commercial-claims database providers, state APCDs). |
If most of your needs sit in the middle column, contact is the right next step. If they sit in the right column, an enterprise healthcare-intelligence platform is the right tool for the job.
What are you trying to figure out?
One paragraph and we reply.