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🧬Comorbidity

Prospect

🎯Prospecting

🧲Lookalikes

🧰Target Packs

CRM

📋My Providers

🗺️Territory

🚗Day Route

💵Expenses

📅Calendar

Analysis

❗Outlier Detector

📈Trends

⚖️Compare

Admin

🛠️Ops HUD

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👆 Run the tools above yourself to find top billing providers, top billed procedures, drugs, and more — or just ask Doug.

Doug

Ask for a call list, a code, a market read — or drive the tools from the sidebar.

📊 Pipeline

📞 Cadence radar

Provider Search

Search by name or NPI — click any row for full detail

FIND A PROVIDER

Runs on Enter or the Search button · narrow by state, specialty, and HCPCS codes in the bar below

All States

All Specialties

Results

Tier	Provider	NPI	Specialty	Location	Procedures	Services	Medicare Paid	Trend
Enter a search query above

← Back to Providers

Data year

My Providers

Providers you've tracked with notes or status

Tracked Providers

Provider	Specialty	Location	Status	Notes	Last Activity	Team
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Team Report

Your team’s pipeline and field activity

Pipeline

current statuses, all time

Rep	Prospect	Contacted	Meeting	Active	Not interested	⭐ Qualified	Providers touched
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Activity

to

Click a rep for their visited providers. Independent reps show only the providers they share (notes stay private); managed accounts show everything.

Rep	Visits	Providers	Route days	Miles	Status changes	Notes	Follow-ups done
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💵 Expenses

Uses the Activity dates above. Managed accounts show all expenses; independent reps appear only if they’ve turned on expense sharing (notes stay private, provider tags show only for shared providers). Click a rep for their expense rows.

Rep	Expenses	Total	By category
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Ops HUD

Business, Doug, mini capacity, and metered-API headroom

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Day Route

Pick stops from My Providers or Prospecting, get them in drive order, navigate with one tap

🚗 Route Builder

No stops yet — use the ➕ buttons on My Providers or Prospecting rows

Saved Routes

your drive log — miles per day

Date	Name	Stops	Miles
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Expenses

Log field spend as it happens — with the Day Route mileage CSV, it’s your Schedule C paper trail

➕ Add Expense

private to your account

Expense Log

Date	Category	Vendor	Provider	Note	Amount
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Calendar

Your week at a glance — appointments, case coverage, due follow-ups, route days and logged visits in one place

Calendar

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Day

tap a day above to switch

➕ Add appointment

Procedure Explorer

Search HCPCS codes — click any row for pricing detail and trends

FIND A PROCEDURE

Matches codes and descriptions — pick a suggestion to jump to the code, or press Enter to search · code lists and ranges work (e.g. 70450-70553, Q4101)

Procedure presets

Procedures

Data year

Code	Description	Providers	Services	Avg Charge	Avg Allowed	Avg Payment	Fee Sched	Ratio
Pick a preset above or run a search. Searching with an empty box shows the top procedures by volume.

← Back to Procedures

Data year

Outlier Detector

Year-over-year payment, volume, and DME referral swings, plus charge-to-allowed ratio outliers

All Specialties

All States

All Cities

Medicare Paid Increases

Select filters and click Run Analysis

#		Provider	Specialty	Location	Prev Paid	Curr Paid	Gain	Gain %
Select filters and click Run Analysis

Medicare Paid Decreases

Select filters and click Run Analysis

#		Provider	Specialty	Location	Prev Paid	Curr Paid	Drop	Drop %
Select filters and click Run Analysis

🦽 DME Medicare Paid Increases

Select filters and click Run Analysis

#		Provider	Specialty	Location	Prev Paid	Curr Paid	Gain	Gain %
Select filters and click Run Analysis

🦽 DME Medicare Paid Decreases

Select filters and click Run Analysis

#		Provider	Specialty	Location	Prev Paid	Curr Paid	Drop	Drop %
Select filters and click Run Analysis

Biggest Claim Volume Increases

Select filters and click Run Analysis

#		Provider	Specialty	Location	Prev Services	Curr Services	Gain	Gain %	Prev Paid	Curr Paid
Select filters and click Run Analysis

Biggest Claim Volume Drops

Select filters and click Run Analysis

#		Provider	Specialty	Location	Prev Services	Curr Services	Drop	Drop %	Prev Paid	Curr Paid
Select filters and click Run Analysis

🦽 Biggest DME Referral Increases

Select filters and click Run Analysis

#		Provider	Specialty	Location	Prev Services	Curr Services	Gain	Gain %	Prev Paid	Curr Paid
Select filters and click Run Analysis

🦽 Biggest DME Referral Drops

Select filters and click Run Analysis

#		Provider	Specialty	Location	Prev Services	Curr Services	Drop	Drop %	Prev Paid	Curr Paid
Select filters and click Run Analysis

Highest Charge-to-Allowed Ratios

#		Provider	Specialty	Location	HCPCS	Description	Services	Avg Charge	Avg Allowed	Ratio
Select filters and click Run Analysis

Trends

Year-over-year Medicare data across all ingested years — independent of the year filter

Total Medicare Paid by Year (Part B)

$ Paid

Services

Avg Payment

Drill Down — Procedure, Drug, or DME

Source

All Specialties

or

All States

Bundles:

Head-to-Head Compare

Pick two drugs, DME codes, or procedures — side-by-side trend, provider counts, cost per claim, and geography. Scope it to a year or your territory

Source

A

vs

B

Scope

Type to search, then pick from the list — the comparison runs when both sides are set

Panel Lookalikes

Fingerprint the patient panels of providers already billing a product — then find providers whose panels match but who aren't billing it yet

Product presets

Source

Codes identify the product — commas and ranges work · Adopters are found per code's latest data year

All States

All Specialties

Comorbidity Profiles

Pick a chronic condition to profile the Medicare population carried by the practices that treat it — every provider panel weighted by how many of its patients have the condition

Condition

FIND BY DIAGNOSIS

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Prospecting

Find providers by procedure, DME, or drug codes — or by the chronic conditions in their patient panels — ranked for your territory

Code Filter

Source

Enter one or more codes separated by commas · Use a hyphen for ranges (e.g. Q4100-Q4300, 99213, J0585-J0600)

All States

All Cities

All Specialties

Prospect Density

lowhigh

Run a search to map your prospects by zip

Territory

Draw your territory on the map — then search providers within it

My Territories

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Groups

Search practice groups and clinics — combines DAC affiliations, NPPES registry, and CMS direct billing

All States

🗺️ Top Groups in My Territory

Ranks practice groups by Medicare paid to the organization (entity-level billing, all data years) in these zips — each group's profile adds its affiliated providers' billing on top

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Results

#	Group Name	State	City	Providers	Members	Medicare Paid	Source
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← Back

← Back to Groups

Group Lookup

Search groups by name — finds any registered practice, then shows affiliated providers and their individual Medicare billing

Practice Groups

Group Name	ID	State	Providers	City	Members	Source
Enter a group name above

← Back to Group Rollup

DME Explorer

Medicare Durable Medical Equipment — search by HCPCS code or description to see top referring providers

Product presets

Enter one or more codes separated by commas · Use a hyphen for ranges (e.g. E0400-E0600)

All States

All Cities

All Specialties

DME Codes

Code	Description	Category	Providers	Services	Total Paid	Avg Charge	Avg Payment
Enter a code or keyword above

← Back to DME Explorer

Hospitals

Medicare hospital facility volumes — inpatient stays by MS-DRG (2013–2024), outpatient procedures by APC (2015–2024), and patient service areas (2016–2025)

FIND A FACILITY

TOP FACILITIES FOR A SERVICE

Inpatient volume = MS-DRG discharges · Outpatient = APC services · CMS suppresses cells under 11 — a blank outpatient volume means the facility bills that APC at low volume

Surgical Bundles

surgeons + facilities for a product family, in one view

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A bundle ties a product family's surgeon CPTs to its inpatient DRGs and outpatient APC levels — pick one to see top surgeons and top facilities together

🗺️ Hospitals Serving My Territory

Ranks hospitals by Medicare inpatient stays drawn from patients who live in these zips (incl. Medicare Advantage where reported) — catchments cross state lines, so out-of-state hospitals your patients actually use will appear here

← Back to Hospitals

← Back to Hospitals

Surgical Bundle

All States

Pick a bundle on the Hospitals page

← Back

🧰 Target Packs

Multi-source plays for niche markets that Medicare claims data hides

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All States

Pick a target pack above to load its plays

Labs & Diagnostics

Every active CLIA-certified testing site in the country — certificate level, facility type, street address, and phone (CMS Provider of Services file, refreshed quarterly)

A CLIA certificate is a license to test, not Medicare billing volume — most of these sites never appear in billing data, and that's the point: this is the whole universe of testing sites. Waiver sites are the point-of-care call list. For lab billing-volume rankings, use Prospecting's lab presets. 💵 marks sites matched to a Medicare billing organization at the same address — most sites have no badge, and that's expected.

Directory

#	Facility	Type	Certificate	Address	Phone
Enter territory zips (or pick a state / facility type), then Find Labs

Facility Directory

Every Medicare-certified facility in the country — nursing homes, home health, hospice, ASCs, dialysis, and 10 more settings — with star ratings, chains, hospital-system ownership, and utilization trends (CMS POS 2026-Q1 · Care Compare · PECOS · PAC PUFs 2014–2023)

FIND A FACILITY

include closed

The whole certified universe, honestly labeled: facilities that terminated Medicare certification stay listed with a CLOSED badge — check "include closed" to see them. Stars are each setting's headline Care Compare rating; hospital system ownership is PECOS-derived. Home health and hospice have no chain source in CMS data, so a blank chain there is correct, not missing.

Directory

#	Facility	Location	⭐	Chain / System	Beds / ORs	Notes
Pick a facility type chip (add territory zips or a state to localize), then Browse

Utilization Rankings

Ranks Medicare fee-for-service utilization from the PAC PUFs (2014–2023) using the territory zips / state above. 🩹 Wound episodes (PDGM) and 🦴 surgical stay mix (PDPM) exist 2020 onward — earlier years auto-adjust. City and "include closed" apply to the directory only. CMS suppresses providers under 11 patients.

#	Facility	Location	⭐	Chain / System	Patients
Pick a setting and a sort (🩹 wound episodes finds the skin-substitute HHA call list), then Rank

← Back

Open Payments

Industry payments to clinicians (Sunshine Act) — consulting, royalties, speaker fees, meals, research funding, and ownership, by manufacturer

FIND A MANUFACTURER / PRODUCT

Payments reported by manufacturers and group purchasing organizations under the Sunshine Act · a reported payment is a disclosure, not an endorsement or wrongdoing · buyout-style items (acquisitions, debt forgiveness) are shown but excluded from totals and rankings

Browse by Therapeutic Area

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Areas are normalized from manufacturer-reported product categories · counts are distinct clinicians paid on the area’s products that year

← Back

Product

Industry payments manufacturers linked to this product under the Sunshine Act — which companies pay on it, and who they pay

Open a product from a Payment Mix card

← Back

Therapeutic Area

Top products manufacturers pay clinicians on in this therapeutic area (Sunshine Act) — click any product for its payers and top-paid clinicians

Pick an area from the Open Payments page

Products

Drug & device product intelligence — who pays on a product and who gets paid (Sunshine Act), plus billing codes, FDA label, device record, recalls, and Medicare coverage-policy mentions

FIND A PRODUCT

Covers products manufacturers report payments on in Open Payments (2019–2025) — a product with no reported industry payments won’t appear here · one payment can be linked to several products, so product figures don’t sum

Browse by Therapeutic Area

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Areas are normalized from manufacturer-reported product categories · counts are distinct clinicians paid on the area’s products that year

What’s on a Product Page

💰 which manufacturers pay on it + the top-paid clinicians, filterable to your state or territory · 💊 top Part D prescribers of the molecule · 🧾 Part B / DMEPOS billing codes and what Medicare pays · 📋 FDA label — class, form, indications · 🔩 device record (GUDID) with premarket clearances · ⚠️ active FDA recalls · 📜 Medicare coverage-policy mentions (LCD / NCD)

Payments ≠ utilization — a reported payment is a disclosure, not evidence a clinician uses the product

Part D Explorer

Medicare Part D prescriptions — search by drug brand or generic name to see top prescribers

FIND A DRUG

Matches brand and generic names — pick a suggestion to jump to the drug, or press Enter to search the list · Data: Medicare Part D prescriber claims 2013–2024

Drug class shortcuts

All States

All Cities

All Specialties

Drugs

Brand	Generic	Prescribers	Claims	Beneficiaries	Total Cost	Cost/Claim
Enter a drug name above, or search with no name for top drugs

← Back to Part D Explorer

← Back

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Doug

Knows your products & territory · answers can take a minute