Making Revenue Intelligence Accessible to Every Practice
NPIxray turns publicly available CMS Medicare data into actionable revenue intelligence. No expensive consultants, no lengthy audits — just enter an NPI and see exactly what you're missing.
The Problem We Solve
The average medical practice leaves $50,000–$200,000 per year in uncaptured revenue — from undercoded E&M visits, unenrolled care management programs, and missed preventive services.
Until now, discovering these gaps required expensive billing consultants charging $10,000+ for audits, or months of manual data analysis. Most practices simply never look — and never know what they're missing.
NPIxray changes that. We built a platform that analyzes publicly available CMS data to instantly show any provider their revenue gaps — for free. No login required, no consulting fees, no waiting.
Why This Data Exists
CMS publishes detailed provider-level billing data as part of its transparency initiative. The Medicare Physician & Other Practitioners dataset includes every CPT code each provider bills, how often, and how much they're paid.
This data is freely available to anyone at data.cms.gov. We simply built the intelligence layer on top — comparing individual providers against specialty benchmarks to identify gaps.
No patient information is included. No PHI is ever accessed. Just provider-level aggregate billing data that CMS made public for exactly this kind of analysis.
Built by People Who Understand Healthcare Revenue
NPIxray was created by a team with deep experience in healthcare revenue cycle management, medical billing analytics, and health information technology. We've spent years working with practices that didn't know they were leaving money on the table — and built NPIxray to fix that at scale.
Our analysis engine is grounded in the same CMS datasets used by academic researchers, health policy analysts, and the largest healthcare consulting firms. The difference: we make it free, instant, and accessible to every practice in America.
Every benchmark, every revenue estimate, and every recommendation is derived from real Medicare billing data — not surveys, not estimates, not projections. When we say a specialty has an 8% CCM adoption rate, that number comes from analyzing every provider in that specialty across the entire CMS dataset.
Medicare Providers Analyzed
Every provider in the CMS dataset, across all 50 states and territories
Billing Records Processed
Individual provider-service line items with CPT codes, frequencies, and payments
Specialty Benchmarks
Full E&M distribution, program adoption rates, and revenue benchmarks per specialty
State-Level Reports
City-level drill-downs, provider rankings, and specialty breakdowns per state
Our Methodology
Every NPIxray scan follows a five-step analysis pipeline that transforms raw CMS data into prioritized revenue opportunities.
NPI Lookup
We query the NPPES Registry to identify the provider — name, specialty, location, and taxonomy code. This is the same free, public registry that CMS maintains for all healthcare providers.
CMS Data Analysis
We analyze the provider's Medicare billing patterns from the CMS Physician & Other Practitioners dataset — including every CPT code billed, service frequency, and payment amounts.
Specialty Benchmarking
We compare the provider's billing patterns against specialty-specific benchmarks derived from the full CMS dataset — covering 1.2M+ providers and 10M+ billing records.
Gap Identification
Our engine identifies specific gaps in E&M coding, care management programs (CCM, RPM, BHI), and preventive services (AWV) — quantifying each opportunity in dollars.
Action Plan Generation
We generate a prioritized 90-day roadmap ranked by revenue impact and implementation difficulty — so practices know exactly what to do first for the biggest return.
Data Sources
Every number in an NPIxray report is derived from authoritative CMS datasets. Here's exactly where the data comes from.
NPPES NPI Registry
7M+ NPIsProvider identification, specialty, location, and taxonomy codes. Updated monthly by CMS.
https://npiregistry.cms.hhs.gov
Medicare Physician & Other Practitioners
10M+ recordsIndividual provider-level billing data — CPT codes, frequencies, charges, and payments. Published annually by CMS.
https://data.cms.gov
Specialty Benchmarks
15+ specialtiesNational averages for E&M code distribution, care management adoption rates, and program revenue by specialty.
Medicare Fee Schedule
Updated annuallyOfficial CMS reimbursement rates for all CPT/HCPCS codes used in revenue calculations.
Trust & Privacy
We take data privacy seriously. NPIxray is designed from the ground up to use only public data — never patient information.
No Patient Data
We never access, store, or process any Protected Health Information (PHI). Every data point comes from publicly available CMS datasets.
Full Transparency
Our methodology is open. We show you exactly which benchmarks we use, how gaps are calculated, and where the data comes from.
HIPAA Non-Applicable
Because we use only public CMS data (no PHI), HIPAA regulations do not apply to our scanner. No BAA required.
Secure Infrastructure
Hosted on Vercel's enterprise infrastructure with HTTPS everywhere, encrypted storage, and SOC 2 compliant hosting.
1.2M+
Providers Indexed
10M+
Billing Records
15+
Specialties Covered
$0
Cost to Scan
Frequently Asked Questions
What data does NPIxray use?
NPIxray uses publicly available CMS Medicare Physician & Other Practitioners data — the same dataset published by the Centers for Medicare & Medicaid Services for transparency. This includes provider-level billing patterns, CPT codes, frequencies, and payment amounts. No patient data (PHI) is ever accessed.
How accurate are the revenue estimates?
Revenue estimates are based on specialty benchmarks calculated from the full CMS dataset of 1.175M+ providers. While actual revenue depends on payer mix, patient panel, and documentation practices, our benchmarks represent real national averages — not surveys or projections.
Is NPIxray HIPAA compliant?
HIPAA does not apply to NPIxray because we never access, store, or process Protected Health Information (PHI). All data used is publicly available government data published by CMS. No Business Associate Agreement (BAA) is needed.
Who built NPIxray?
NPIxray was built by a team with deep experience in healthcare revenue cycle management, medical billing analytics, and health information technology. Our analysis uses the same CMS datasets relied upon by academic researchers and major healthcare consulting firms.
How often is the data updated?
The underlying CMS Medicare Physician & Other Practitioners dataset is published annually by CMS. NPIxray processes each new release to update benchmarks, provider data, and specialty statistics. NPI Registry data is updated more frequently.
Can I use NPIxray for competitive analysis?
Yes. Because NPIxray uses public CMS data, you can look up any provider's NPI to see their Medicare billing patterns. This is commonly used for competitive benchmarking, practice acquisition due diligence, and group practice performance comparisons.
Important Disclaimer
NPIxray revenue estimates are illustrative projections based on publicly available CMS Medicare data and specialty benchmarks. Actual revenue will vary based on payer mix, patient panel composition, documentation practices, and local market factors.
NPIxray does not provide medical, legal, or financial advice. Revenue estimates should be validated with your billing team and compliance officer before making operational changes. All CPT codes and reimbursement rates are based on national Medicare averages and may differ by locality.
Ready to See Your Revenue Gaps?
Enter any NPI number to get an instant, free revenue analysis. No login, no credit card, no strings attached.