Build on NPIxray Data
Access Medicare billing intelligence for 1.2M+ providers. Revenue Scores, billing code breakdowns, specialty benchmarks, and market analysis — all through a simple REST API.
Quick Start
$ curl https://npixray.com/api/v1/provider/1306849450
{
"data": {
"name": "JAMES MARTINEZ",
"specialty": "Urology",
"revenue_score": 42,
"total_medicare_payment": 245832.50
}
}No API key required for basic lookups. 100 free requests per day.
What You Can Access
CMS public data enriched with Revenue Scores and opportunity analysis.
1.2M+ Providers
Every Medicare provider in the US with billing data, specialty, and location.
10M+ Billing Records
HCPCS/CPT codes, service counts, payment amounts, and beneficiary data.
Revenue Scores
0-100 score measuring how well each provider captures available revenue.
Specialty Benchmarks
E&M coding rates, care management adoption, and payment benchmarks for 20+ specialties.
Market Intelligence
Aggregate stats by state, city, and specialty. Adoption rates and missed revenue estimates.
Opportunity Analysis
CCM, RPM, BHI, AWV gaps and estimated missed revenue for every provider.
What You Can Build
Every developer who builds on NPIxray becomes a distribution channel.
EHR Integrations
Embed Revenue Scores and benchmarks directly into electronic health record systems. Show providers how their billing compares to peers during documentation.
Display a Revenue Score widget in your EHR sidebar
Billing Software
Build coding suggestions and revenue optimization into your medical billing platform. Flag undercoding patterns and missed care management revenue.
Auto-flag 99213 visits that should be 99214 based on benchmarks
Academic Research
Study Medicare billing patterns at scale. Analyze specialty trends, geographic variation, and care management adoption across 1.2M+ providers.
Compare CCM adoption rates across states and specialties
Analytics Dashboards
Build healthcare market intelligence tools. Visualize provider performance, market opportunities, and competitive landscapes.
Create a heatmap of Revenue Scores by state
Sales Intelligence
Power your healthcare sales team with data. Identify providers with low Revenue Scores as prospects for your billing services, CCM programs, or EHR platform.
Find all Family Medicine providers in FL with score < 40
Patient Care Platforms
Identify practices under-utilizing care management programs. Target providers who would benefit most from CCM, RPM, BHI, and AWV services.
List cardiologists with 0 RPM billing but 500+ patients
Built With NPIxray
Ideas for what you can build. Ship something cool and we'll feature it here.
Revenue Score Widget
Embeddable widget showing a provider's Revenue Score and top opportunities.
React / JavaScriptState Leaderboard
Interactive map showing Medicare revenue metrics by state.
Python / PlotlyBilling Audit Tool
Upload a provider list and get batch Revenue Scores and gap analysis.
R / ShinyAPI Pricing
Free
$0/mo
- 100 requests/day
- Provider lookup + Revenue Score
- Provider search
- Specialty benchmarks
- State aggregate stats
Pro
$49/mo
- 10,000 requests/day
- Everything in Free +
- Full billing breakdowns
- All billing codes per provider
- Multi-provider comparison
- Market intelligence
- Score distributions
Start Building Today
No API key needed for the free tier. Just start making requests.