What we hold is live, joined, and working. What we are indexing is listed.
This is the estate behind the standard: what each dataset is in plain language, what it makes possible, and who it serves. Everything joins on the same keys: provider, organization, geography, procedure, payer. That joining is the moat.
One payer’s monthly disclosure arrived as 4.75 GB of machine-readable JSON. Inside it, a few hundred rows priced one real practice. We streamed the whole file to find them, verified them to the provider’s NPI, and put them on one page. That asymmetry is the company: the files are public and unreadable. The reading is ours.
The live estate
Held, populated, and serving today. Live counters are fetched at load; fixed figures are from the verified estate inventory.
Commercial negotiated rates (TiC MRFs)
Every commercial payer's actual negotiated price, by provider and procedure, from the federal Transparency-in-Coverage files. The core asset: we verified it to real provider identity and stripped the ghost rates.
Powers RateScore, every memo and exhibit, the Atlas, and every index. Serves providers negotiating contracts, PE and lenders underwriting deals, researchers and press citing real prices, and employers checking what care costs.
rows, live from the estate
Provider-verified rate rows
The clean per-provider projection of the corpus: one verified rate per provider, payer, and procedure. This is the row a negotiation actually stands on.
The evidence layer under every RateScore, counteroffer memo, and verified exhibit. Serves providers and billing firms directly; gives dealmakers a per-target revenue-quality read.
rows, live from the estate
The provider registry spine (NPPES)
Every provider in America: identity, specialty, geography, organization type. The join that turns anonymous price files into named, local, comparable markets.
Identity verification for every surface. Serves anyone who needs to know who practices where: recruiters, real estate, lenders, researchers.
rows, live from the estate
Group practice affiliation graph (DAC)
Which clinicians bill under which group, with group sizes and specialties: the org chart of American medicine, 1.77M affiliations across 82,817 groups.
Turns per-clinician rates into per-practice truth (the unit that matters). Serves M&A target mapping, roll-up analysis, and multi-location group intelligence.
verified 07-2026 estate inventory
Medicare fee schedule engine (PFS + GPCI)
The locality-correct Medicare allowed amount for every procedure in every one of 110 localities: RVUs, geographic adjusters, and conversion factors, self-consistent.
The shared denominator: every commercial rate is expressed as a multiple of Medicare. Serves negotiation, policy analysis, and every cross-market comparison.
verified 07-2026 estate inventory
Medicare utilization: provider by service
What every provider actually performed and billed to Medicare, by procedure: 19M+ rows of real volume, charges, and payments.
Weights opportunity by real volume (never guessed volume). Serves practice valuation, whitespace analysis, and per-code opportunity math.
rows, live from the estate
Provider profiles + 5-year trends
One row per provider per year: panel size, risk scores, condition prevalence, and a five-year trendline for 468K providers.
Succession signals, growth reads, and patient-mix context. Serves lenders, acquirers, and market analysts.
verified 07-2026 estate inventory
Geographic Medicare benchmarks (state by service)
Medicare allowed amounts by state and procedure, standardized: the honest coloring dimension for national variation maps.
Feeds the Atlas and the hero field on this site right now. Serves press, policy, and site selection.
verified 07-2026 estate inventory
Coding edit engine (NCCI PTP + MUE)
CMS's complete bundling and max-units rulebook: 4.5M code-pair edits plus per-code daily limits.
Makes every memo and exhibit coding-defensible; powers downcode and clawback defense. Serves providers, billing firms, and RCM software.
rows, live from the estate
Hospital price transparency files
Hospital-disclosed rates, including real Medicare Advantage negotiated dollars parsed from hospital filings across 49 states. Coverage is early and published honestly: 51 hospitals held of 6,000+ targeted.
The facility-side complement to the professional corpus. Serves employers, researchers, and market comparisons.
rows, live from the estate
Medicare Advantage market structure
County-level MA penetration and carrier mix, plus 52.8M prior-authorization determinations with denial and overturn rates by carrier.
Tells a practice which payers dominate a county and how they behave. Serves contract strategy, expansion planning, and journalism.
verified 07-2026 estate inventory
Drug + supply pricing (ASP, DMEPOS)
Quarterly buy-and-bill drug payment limits with NDC crosswalks, plus the national DME/prosthetics/supplies fee schedule.
Margin math for infusion, specialty, and DME. Serves practices, suppliers, and pharma market access.
verified 07-2026 estate inventory
The market geography spine
County, metro, and ZIP crosswalks with centroids for every provider in the registry. This is the definition of a local market.
Defines every local peer median (the heart of RateScore). Serves everything on this site: no local market, no local truth.
rows, live from the estate
Small-area health measures (CDC PLACES)
40 chronic-disease and health measures at county, ZIP, and tract level: 4.35M rows of demand context.
Weights markets by real disease burden. Serves site selection, whitespace, and public-interest reporting.
rows, live from the estate
Shortage areas + care access (HRSA HPSA)
Every designated health-professional-shortage area in America, all disciplines: 21,133 designations.
Finds the rate deserts and underserved markets. Serves policy, expansion strategy, and recruitment.
verified 07-2026 estate inventory
Market demographics (Census ACS)
Population and demographic context by geography, joined to every market. Income and coverage dimensions are expanding.
The denominator for per-capita reads. Serves every market surface; published with honest coverage notes.
verified 07-2026 estate inventory
Behavioral-health facility map (SAMHSA)
Every substance-use and mental-health treatment facility, geocoded: 21,213 facilities.
Competitive density for behavioral health, one of the fastest-moving specialties. Serves operators and investors.
verified 07-2026 estate inventory
Specialty taxonomy engine
The complete taxonomy-to-specialty crosswalk, normalized to 701 canonical specialties so peers compare apples to apples.
The reason a RateScore compares you to true peers. Serves every scoring and benchmark surface.
verified 07-2026 estate inventory
Payer renewal windows
Real payer rate-filing renewal and effective dates from state insurance filings: when contracts actually move.
Powers Renewal Season: the wedge that tells a practice when leverage exists. Exists in no public benchmark.
verified 07-2026 estate inventory
Indexing next
The acquisition roadmap is public on purpose: coverage honesty is a trust signal. In motion now: out-of-network allowed amounts, hospital cost reports, lab fee schedules, referral graphs, Open Payments, ownership registries, litigation and arbitration records, employer benefits filings, and state Medicaid schedules.