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Healthparse · Providers Provider360

by Healthparse

GETBase

$0.25

per call · USD Coin on Base

One-call dossier of everything Healthparse knows about a provider NPI: NPPES identity, taxonomy and practice address; Medicare ordering-and-referring privileges; NPI exclusion screen (OIG LEIE, GSA SAM, state Medicaid, state boards); change-event history; Medicare Part B utilization and Part D prescribing summaries; Open Payments totals by year; hospital affiliations with star ratings; MIPS quality scores. Absent legs say so explicitly. Records as filed; not a consumer report.

Endpoint

GET https://api.healthparse.io/v1/providers/:npi/provider360

2

Calls / 30d

1

Unique payers / 30d

Sep 4

Last called

exact

Payment scheme

Call this service

TypeScript · @x402/fetch
import { wrapFetchWithPayment } from "@x402/fetch";
import { privateKeyToAccount } from "viem/accounts";

const account = privateKeyToAccount(process.env.PRIVATE_KEY);
const fetchWithPay = wrapFetchWithPayment(fetch, account);

const res = await fetchWithPay("https://api.healthparse.io/v1/providers/:npi/provider360", {
  method: "GET",
});
const data = await res.json();
cURL
curl -X GET \
  "https://api.healthparse.io/v1/providers/:npi/provider360" \
  -H "X-PAYMENT: <signed x402 payment>"

Example response

{
  "change_events": {
    "available": true,
    "events": [],
    "total_events": 0
  },
  "exclusions_screen": {
    "available": true,
    "lists_not_applicable": [
      "ofac_sdn",
      "fda_debarment"
    ],
    "per_list": {
      "fda_debarment": null,
      "gsa_sam": 0,
      "ofac_sdn": null,
      "oig_leie": 0,
      "state_boards": 0,
      "state_medicaid": 0
    },
    "verdict": {
      "clear": true,
      "flagged_lists": [],
      "hits": 0
    }
  },
  "hospital_affiliations": {
    "available": true,
    "facilities": [
      {
        "ccn": "240010",
        "city": "ROCHESTER",
        "facility_name": "MAYO CLINIC HOSPITAL ROCHESTER",
        "facility_type": "Hospital",
        "overall_rating": 5,
        "state": "MN"
      }
    ]
  },
  "identity": {
    "available": true,
    "deactivated": false,
    "entity_type": "I",
    "practice_address": {
      "address": "200 1ST ST SW",
      "city": "ROCHESTER",
      "state": "MN",
      "zip": "55905"
    },
    "provider_name": "PRUTHI, RAJIV",
    "taxonomy_code": "207RH0000X"
  },
  "legs_available": [
    "identity",
    "medicare_order_referring",
    "exclusions_screen",
    "change_events",
    "medicare_utilization",
    "part_d_prescribing",
    "open_payments",
    "hospital_affiliations",
    "quality_mips"
  ],
  "legs_unavailable": [],
  "medicare_order_referring": {
    "available": true,
    "can_order_refer": {
      "dme": true,
      "hha": true,
      "hospice": true,
      "part_b": true,
      "pmd": true
    }
  },
  "medicare_utilization": {
    "available": true,
    "performance_year": 2022,
    "primary_specialty": "Hematology",
    "total_payment": 2049913.51,
    "total_services": 55954
  },
  "npi": "1154300549",
  "open_payments": {
    "available": true,
    "years": [
      {
        "by_nature": [
          {
            "nature_of_payment": "Travel and Lodging",
            "total_amount": 4791.81,
            "total_records": 4
          }
        ],
        "performance_year": 2024,
        "total_amount": 8371.84,
        "total_records": 7
      }
    ]
  },
  "part_d_prescribing": {
    "available": true,
    "years": [
      {
        "opioid_total_claims": 0,
        "performance_year": 2024,
        "total_claims": 36,
        "total_drug_cost": 161808.44
      }
    ]
  },
  "quality_mips": {
    "available": true,
    "years": [
      {
        "final_score": 96.9,
        "payment_adjustment_pct": 6.36,
        "performance_year": 2022
      }
    ]
  },
  "records_notice": "Observational summary of public records as filed with NPPES and CMS program files. Not a consumer report..."
}

Payment details

Pay to0x177ea123a35253ba8869a7e21e717978e482351d
AssetUSD Coin · 0x833589fcd6edb6e08f4c7c32d4f71b54bda02913
NetworksBase
Schemesexact

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