Straight answers, including the ones that don't flatter us. If yours isn't here, email [email protected] and you'll get a real reply from the person who built this.
Prospect 811 is a prospecting tool that turns Medicare's public billing data into a searchable territory map for medical sales reps. You type in the procedure codes or drugs you sell, and it shows every provider who bills them, ranked by volume, with billing history, contact info, and a heatmap of your territory. It runs in your browser, costs $79 a month, and there's no sales call to sit through. You sign in and start searching.
The answer has been sitting in public data the whole time: CMS publishes what every provider in the country bills Medicare, by procedure code and by drug, every year. Most reps never touch it, because it ships as raw government files that take real data skills to work with. So they guess instead: asking around, Googling clinics, and burning windshield time on offices that turn out to be low volume. Prospect 811 exists to close that gap. It makes the data searchable by a rep in the truck, not just an analyst at a desk.
Yes. Search any provider by name or NPI and you get their Medicare billing history, year over year. The codes they bill, how many services, and the Medicare dollars behind them, plus their specialty, group affiliation, practice address, and phone number. It's the fastest way to walk into an office already knowing whether they're worth your time.
Anything reimbursed by Medicare: devices, DME, diagnostics, biologics, and drugs. If your product maps to HCPCS or CPT codes, the Part B and DME data shows who bills those codes. If you sell pharma, the Part D side shows every prescriber's drug-level claim counts, brand and generic. If you sell into surgery, the hospital files add facility-level case volumes by DRG and APC. If you sell wound care or into post-acute, the numbers are already ranked: in 2023 alone, 2,437 home health agencies billed 585,254 wound-care episodes, and the facility directory puts 121,712 certified facilities across 15 care settings on your map. Under the hood it's 535 million billing, prescribing, and industry-payment records across thirty datasets, covering 2013 through 2025, including Open Payments, which shows which clinicians already take manufacturer money.
Yes. Labs are covered three ways: who bills the testing, every CLIA-certified site in your territory, and what Medicare pays per test. Prospecting has five one-click lab family presets that rank the labs and in-office testers billing each family's codes; if you sell in one of those niches, you'll recognize yours inside the app in about ten seconds. The Labs directory lists all 302,287 active CLIA-certified testing sites (physician office labs, pharmacies, nursing facilities, reference labs) with street address, phone, and certificate level, filterable to your zips and exportable. Over 245,000 are CLIA-waived sites: the point-of-care call universe. And every lab code's page shows the national CLFS rate, with waived versions flagged. One honest caveat: billing data shows who performs tests, not who orders them. For ordering clinicians, patient-panel targeting answers that.
Medicare's DMEPOS data names the ordering clinician on every collagen dressing claim, and Prospect 811 ranks them by volume. In 2023, 2,732 clinicians ordered collagen dressings and wound fillers (HCPCS A6021–A6024, A6010/A6011) for their Medicare patients, mostly family practice, internal medicine, nurse practitioners, and podiatry. The free state-by-state rankings at /top/collagen-dressings name the top 5 ordering providers in each state; inside the app the same search runs on any DME code, down to the zip codes you actually cover, with phone numbers and ordering history.
The free state rankings at /top/clinical-labs name the top Medicare-billing clinical laboratories in each state. 2,690 clinical laboratories billed Medicare Part B in 2024, and each state page ranks them by service volume with estimated Medicare payments. Inside the app you can re-rank them by any specific test code, and the CLIA directory adds the other side: every certified testing site in your zips (302,287 of them) with addresses and phone numbers.
Over 9,400 providers billed Medicare for drug testing in 2024 across presumptive screens (CPT 80305–80307) and definitive panels (G0480–G0483), and the free rankings at /top/drug-testing name the top billers state by state. Toxicology reps use the app to run the same ranking on their exact territory zips, see year-over-year volume, and pull phone numbers for the practices and labs behind the numbers.
Doug is the AI assistant built into Prospect 811. Ask him in plain English ("who are the top wound care billers in my territory I haven't visited?") and he runs the searches, cross-references your pipeline, and hands back a ranked list. He can also log your field notes and pull your activity reports. He's included on every plan.
Straight from public CMS and HHS releases: thirty datasets, 535 million billing, prescribing, and industry-payment records, 2013 through 2025. The core is Medicare's own provider-level files: 107 million Part B billing records, 304 million Part D prescribing records, and 17.6 million DME records, alongside the federal registries that identify and locate every provider. Prospect 811 organizes and connects these sources; it doesn't add to or alter the underlying numbers. The full table, with names, row counts, and vintages for every dataset, is on the data page. Not affiliated with or endorsed by CMS.
Yes. These are public files that CMS publishes specifically so the public can see how Medicare dollars are spent. They contain no patient information at all: CMS suppresses any line with fewer than 11 beneficiaries (10 or fewer claims on the prescription side) before release, so what's published is provider-level aggregates only. Using it to figure out which providers to call on is exactly the kind of use public data exists for.
No. This is traditional Medicare fee-for-service data: Part B, DME, and Part D. No commercial payers, no Medicare Advantage. That's a real limitation and we'd rather tell you than have you find out later. Here's the other side of it: if you're selling a newer product, Medicare is usually where your first customers are, because private payers rarely cover a product before Medicare does. The slice this data covers is the slice most reps prospect first. The full honest picture is on the data page.
Yes. Type a diagnosis code like E11.621, or plain words like "diabetic foot ulcer", and Prospect 811 resolves it to the chronic-condition class behind Medicare's patient-panel data, then ranks the providers whose panels carry that condition in your territory. 73,000+ searchable codes resolve into the 25 chronic-condition classes Medicare tracks covering diabetes, kidney disease, heart failure, COPD, behavioral health, and more. One honest caveat, stated in the product too: public data counts providers whose patients carry the condition class, not who billed that exact code. Exact per-provider diagnosis volumes don't exist in any public dataset.
Yes. Prospect 811 includes the federal Open Payments (Sunshine Act) data: every payment drug and device manufacturers reported for physicians and other clinicians, program years 2019 through 2025. Search any manufacturer and see exactly who they pay in your territory: consulting fees, royalties, speaker programs, meals, travel, research funding, even ownership stakes. Related entities are grouped by corporate family, so “all of Medtronic” is one view, not a scavenger hunt across every name it reports under. Prospect lists carry a 💰 badge on providers taking industry money, and it cuts both ways: spot the providers already deep in a competitor’s program, or work the list of high-volume providers with no industry ties at all. One honest caveat, stated in the product too: a reported payment is disclosure data, not proof the clinician uses that company’s products.
2024 is the newest Medicare data that exists: Part B, DME, and Part D all run through 2024, and new years load in as CMS releases them. Nobody has newer Medicare data at any price, because CMS holds each year's file until every claim reaches final action, with all adjustments resolved. Every number you see is settled, not a snapshot of claims still in flight. Commercial feeds are faster; they're also still moving. They're faster, we're final. For prospecting, the vintage matters less than it sounds: billing patterns are stable, and the provider who billed your code heavily last year is almost always still the right door to knock this year. What the release schedule costs you is spotting a brand-new practice in its first months. What it gets you is settled numbers at a price an individual rep can pay, because public data is free to build on.
They're built for the company. Prospect 811 is built for the rep. Definitive Healthcare and AcuityMD are serious enterprise platforms, sold on annual contracts through sales teams, and in practice the data usually lives with an analyst or a sales ops person who slices it and hands reps a spreadsheet. Prospect 811 flips that: the rep gets the data directly, self-serve, at $79 a month on a personal card. We wrote up the full side-by-side, including where they genuinely beat us, on the comparison page.
Yes, they do, and we're not going to pretend otherwise. Both license commercial claims data from aggregators, which gets them private-payer coverage and fresher numbers. Fresher comes with a catch, though: those feeds are snapshots of claims still moving through adjustments and reversals, while every number here is a final-action claim from CMS, with all adjustments resolved. What we'd point out is what that difference is actually worth to a rep: commercial claims matter most on mature products with broad payer coverage, and new products live on Medicare first. And more data behind an analyst you have to wait on is worth less than enough data in your own hands today.
Ask yourself one question: can you personally log in and run a search right now? If yes, you're covered, and we'd honestly tell you to use it. Most reps can't. The license belongs to the company, an analyst runs the queries, and the rep gets a static list every quarter. If that's you, $79 a month puts the data in your own hands, on your schedule, with nobody between you and the answer.
Prospect 811 isn't trying to replace it. The field log is where you capture what happens in the field: statuses, visit notes, contacts, and follow-ups, sitting right next to the billing data that put the provider on your list. Keep everything here if you're independent, or push target lists and statuses into HubSpot, Salesforce, or Zoho: Team plans sync in one click, and every plan exports import-ready CSVs. Your company's CRM stays the system of record. This is the tool that fills it with better doors.
For an individual rep or a small team prospecting on Medicare data: yes, that's exactly what Prospect 811 is. $79 a month, self-serve, no contract, no demo call, cancel anytime. What you give up is commercial-payer claims and the enterprise feature set, which is a trade that makes sense for a rep and doesn't for a Fortune 500 data team. The comparison page lays out who should pick which.
$79 per month for a single rep, or $63 a month billed annually. Teams run $119 per rep per month ($95 annual, 3-seat minimum) and add a manager view, territory assignment, team roll-ups, and one-click CRM sync to HubSpot, Salesforce, and Zoho. Every plan gets the entire dataset and every tool from the first seat. The data is never the upgrade. Full details on the pricing page.
No free trial. There is a $9 Day Pass instead, plus a 14-day money-back guarantee on every plan.
No. It's priced so you don't have to ask anybody. Sign up with a personal card, self-serve, no procurement, no demo call. Plenty of reps expense it afterward, and when your company wants in, the Team plan is the upgrade path. You bringing the tool to the team meeting is how that usually happens.
Yes. Your statuses, notes, and contacts are scoped to your login. On a solo plan, nobody else sees them, period. On a Team plan, manager visibility is explicit and disclosed: reps who joined independently choose which providers they share with the team, and accounts created by a company are told exactly what the manager can see at first login. No silent surveillance either way.
Cancel anytime, yourself, from the billing portal. No email, no phone call, no retention script. And if it's not right for you, email us within 14 days of your first charge and we refund it in full, no questions asked. We can offer that because the product either earns its seat in your first two weeks of prospecting or it doesn't deserve your money. Details in the refund policy.
Sign in with Google or a magic link at prospect811.com, pick a code you sell, and search. There's nothing to install and no onboarding call. If you want to see what the data can do before signing up, grab the free guide: it teaches you how to pull the same answers out of the raw CMS files yourself, no purchase required.
Pick one code you sell, draw your territory, and see who's billing it. That search answers more than any FAQ can.
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