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.
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
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.