Public data, productized faster, priced honestly.
Pouls MedTech Insights builds custom Medicare data products from public CMS, HHS, and NPPES files. Each engagement ships as raw CSV, a custom portal, or both. Built by US-based MedTech professionals.
How we work.
- Source download. We pull public CMS, HHS, and NPPES files directly. No scraping, no resellers.
- Process. We join utilization to facility metadata on CCN, to provider metadata on NPI, and to prescriber metadata on referring NPI for DME-side analyses. The join logic ships with every deliverable 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.
DME-side maps are the same shape as procedure maps but answer a different question: which physicians prescribe a given device or supply, by state, with top prescribers per state on drilldown. The pattern works for any HCPCS DME code that ships through a referring physician. CPAP (HCPCS E0601) is live at /cpapmaps; oxygen, insulin pump, power wheelchair, and diabetic supply maps are scopable on request.
Honest limitations.
Public CMS data excludes Medicare Advantage, Medicaid, and commercial-payer utilization; the full multi-payer market is materially larger and we say so on every cover. CMS publishes new vintages annually; deliverables ship from the most recent public release at scope time. DME-side maps capture every HCPCS DME code that bills through a referring physician; supply-allowance codes billed without one (notably the K0553 / A9276-A9278 CGM family) are not in this file. Supplier-side billing (which manufacturer fulfilled the prescription) lives in a separate file at supplier-aggregate grain, scoped per engagement.
Out of scope, on purpose.
Not an enterprise platform. Not a multi-payer claims database. Not a "DMEPOS landscape" view: every DME map we ship is HCPCS-specific, scoped to one code or a tight family. Not a continuously refreshed pipeline. Not a seat-licensed product: every engagement is site-licensed, no per-seat fees, share with your whole team. If your question requires any of those, an enterprise platform is the right tool.
Is this in scope 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. Site-licensed for your whole team. 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.