Optimize your Medicare Risk Adjustment simply with our Comprehensive Revenue Impact Analysis report from our HCC RAF Score Analysis and Batch Scoring Tool
Query REST API Web Service with National Provider Identification number, PECOS PAC id, Medicare enrolment id, provider name, taxonomy, or location and get an instant response from our National Provider Identifier database.
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Empowering You with Healthcare Provider Data Products sourced from NPI Registry, and Medicare HCC RAF Score Tools!
Provider Data
Quickly access reliable and accurate healthcare provider provider data from the NPI Database available in easy-to-use formats for direct import into any database. Utilize comprehensive National Provider Identifier (NPI) data, sourced directly, and simplified from NPPES NPI Registry, and other data sources.
Risk Adjustment Tools
Get accurate and reliable Medicare HCC Risk Adjustment Factor (RAF) score in three simplified methods, a user-friendly web interface for HCC RAF Score Analysis, HCC RAF Batch Scoring tool for large set of data, and HCC RAF Score REST API to integrate with any third-party apps very easily and quickly.
REST APIs
Integrate and get healthcare provider data from the NPPES Registry and calculate HCC Risk Adjustment Factor (RAF) scores in real time. Effortlessly access provider data and get the accurate RAF score using REST APIs. Optimize your process by integrating the data from the NPI Database effortlessly in real-time.
Optimize Risk Adjustment Workflows with our Medicare HCC RAF Tools
Medicare HCC RAF Score Analysis
Get accurate HCC RAF score analysis with just a few clicks! Our product allows you to easily input diagnosis codes and demographic information, and receive a comprehensive analysis of your score. Sign up now to enjoy the full benefits of our tool!
Medicare HCC RAF Batch Scoring
Effortlessly get RAF scores for a batch of diagnosis codes with our easy-to-use tool! Our product simplifies the process of analyzing large numbers of patients, saving you time and improving your workflow. Try it out now and see the results for yourself!
Medicare HCC RAF Score Web Service
Calculate Risk Adjustment Factor (RAF) scores effortlessly and in real time. Analyze patient’s demographic and diagnosis data with ease, ensuring accurate RAF score calculation. Try it now and revolutionize your HCC medical coding process!
Explore Our Extensive Range of Healthcare Provider Data Solutions
Complete US Provider Data
Up-to-date data of US healthcare individual and organizational providers with National Provider Identifier number, including legal entity, locations, taxonomies, and other identifiers, which is refreshed every month.
Medicare Enrolled Provider Data
Monthly updated Medicare Enrolled Provider Data linked with NPI Data from the NPPES database in a user-friendly format and it includes key identifiers from PECOS and LEIE, locations, specialties, and contact details.
State-wise Provider Data
National Provider Identifier (NPI) Database and it is as submitted to the NPPES database by Healthcare Providers for 50 states, Washington DC, and Puerto Rico. Provider data is available in CSV format.
Clinical Specialty-wise Provider Data
Healthcare provider data split by specialty, and it is available for dentists, home care, physicians, caregiving nurses, pharmacists, chiropractic, podiatric, respiratory, speech, vision providers and DME suppliers.
I can't express how valuable the NPI Database from NPI Data Services has been for my medical practice. The NPI Registry and NPPES Registry access they provide is unmatched, making our administrative tasks a breeze. Thanks to their comprehensive tools, we have seen significant improvements in our operations and processes!
Chief Operating Officer
Healthcare Recruitment Firm in Michigan
NPI Data Services has truly simplified our healthcare data needs. Their provider data sourced from the NPI Database and NPI Registry are indispensable, and their easy formats for provider data simplified from the NPPES Registry have been a game-changer.
Director of Data and Analytics
Leading RCM Company in Texas
In the highly competitive world of healthcare recruitment, having provider data sourced reliably from the NPI Database and NPPES Registry is very cost-effective for us. NPI Data services have genuinely helped us consistently identify and place top talent with their provider data from the NPI Registry, resulting in satisfied clients.
Director of Provider Enrolment System
IT Services Provider for State Medicaid Agency
Subscription Plans & Pricing
Try Risk Adjustment Tools and REST API web services free for 30 days. No credit card required
| PRICE PLANS | TRIAL FREE | STARTER $100/month | PRO $200/month |
|---|---|---|---|
|
Duration
|
1-month | 12-months | 12-months |
|
Hits/ Days
|
100 | 1000 | 2000 |
|
NPI Search
|
 | | |
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PECOS PAC ID Search
|
| | |
|
PECOS ENRL ID Search
|
| | |
|
Provider Name Search
|
|  | |
|
Taxonomy Code Search
|
| | |
|
Price
|
FREE | $100/month | $200/month |
| Price Plans | Trial Free | Starter $20/month | Pro $25/month |
|---|---|---|---|
Duration |
1-month | 12-months | 12-months |
No. of User Account |
1 | 1 | 1 |
Searches/day |
10 | 50 | 75 |
No. of RAF Scores/day |
300 | 2500 | 3750 |
| Revenue Impact Analysis | |||
Post-Prospective HCC Coding |
| | |
Pre-Prospective HCC Coding |
| | |
Post-Retrospective HCC Coding |
| | |
Pre-Retrospective HCC Coding |
| | |
Post-Concurrent HCC Coding |
| | |
| CMS-HCC Risk Model | |||
Continuing Enrollee |
| | |
New Enrollee |
| | |
C SNP |
| | |
| RxHCC Risk Model | |||
Continuing Enrollee |
| | |
New Enrollee |
| | |
| ESRD Risk Mode | |||
Continuing Enrollee |
| | |
New Enrollee |
| | |
Price |
Free | $20/month | $25/month |
| Price Plans | Trial Free | Starter $125/month | Pro $225/month |
|---|---|---|---|
Duration |
1-month | 12-months | 12-months |
No. of User Account |
1 | 1 | 1 |
No. of Designated User Account |
0 | 1 | 2 |
No of De identified ID/month |
100 | 75000 | 150000 |
No of RAF Scores/month |
2000 | 3750000 | 7500000 |
| Revenue Impact Analysis | |||
Post-Prospective HCC Coding |
| | |
Pre-Prospective HCC Coding |
| | |
Post-Retrospective HCC Coding |
| | |
Pre-Retrospective HCC Coding |
| | |
Post-Concurrent HCC Coding |
| | |
| CMS-HCC Risk Model | |||
Continuing Enrollee |
| | |
New Enrollee |
| | |
C SNP |
| | |
| RxHCC Risk Model | |||
Continuing Enrollee |
| | |
New Enrollee |
| | |
| ESRD Risk Mode | |||
Continuing Enrollee |
| | |
New Enrollee |
| | |
Price |
Free | $125/month | $225/month |
| Price Plans | Trial Free | Starter $125/month | Pro $225/month |
|---|---|---|---|
Duration |
1-month | 12-months | 12-months |
No. of User Account |
1 | 1 | 1 |
Searches per day |
10 | 200 | 400 |
RAF Scores per day |
300 | 10000 | 25000 |
| Revenue Impact Analysis | |||
Post-Prospective HCC Coding |
| | |
Pre-Prospective HCC Coding |
| | |
Post-Retrospective HCC Coding |
| | |
Pre-Retrospective HCC Coding |
| | |
Post-Concurrent HCC Coding |
| | |
| CMS-HCC Risk Model | |||
Continuing Enrollee |
| | |
New Enrollee |
| | |
C SNP |
| | |
| RxHCC Risk Model | |||
Continuing Enrollee |
| | |
New Enrollee |
| | |
| ESRD Risk Mode | |||
Continuing Enrollee |
| | |
New Enrollee |
| | |
Price |
Free | $125/month | $225/month |
Contact Us
Meet your healthcare data requirements with access to reliable provider data sourced from the NPI Registry, covering hospitals, physicians, nurses, and various healthcare organizations and individuals.
Our data is updated every month, ensuring you have the most accurate and up-to-date information from NPPES Registry.
Don't wait – place your data request now to ask your queries related to data from the NPI Database or anything about our Risk Adjustment and Risk Analytics Tools!