Here's where to start.
OpenMedicare analyzes 1.82 million providers across $940B in Medicare payments, with 30,000+ deep-profiled. 500 are ML-flagged for fraud risk.
Search any of 1.7M Medicare providers — 30,000+ have detailed profiles with billing history, specialty comparison, and risk flags.
We flagged 500 providers with statistical billing anomalies. See who's billing impossible volumes.
Our AI model trained on 2,198 confirmed fraudsters found 500 providers who bill like criminals but haven't been caught. AUC: 0.83.
68 data-driven investigations exploring Medicare spending patterns, from drug money to geographic inequality.
State-by-state breakdowns, specialty comparisons, 10-year trends, and more.
Hands-on ways to explore the data yourself.
Jump directly into provider, state, specialty, or procedure data.
Every number on OpenMedicare comes from official CMS data — the Centers for Medicare & Medicaid Services Medicare Provider Utilization and Payment Data. This covers every payment Medicare Part B made to every physician and supplier in the United States from 2014 through 2024.
We process over 96 million rows of billing data to calculate provider-level statistics, specialty comparisons, geographic patterns, and trend analysis. Our AI fraud detection model was trained on the billing patterns of 2,198 confirmed Medicare fraudsters to identify active providers with similar patterns.
This data is public and free. We didn't create it — we made it accessible, searchable, and understandable. CMS publishes this data annually. We clean it, analyze it, and present it in a way that anyone can explore.
Every dollar Medicare Part B has paid to every provider from 2014 through 2024 — fully searchable and analyzed. See where your tax dollars and premiums actually go.
Our machine learning model, trained on 2,198 confirmed fraudsters, has flagged 500 active providers with suspicious billing patterns. Each comes with a detailed risk profile.
Data-driven investigations into Medicare fraud schemes, spending patterns, geographic inequality, and the stories behind the numbers.
Drug spending trends, markup ratios, rural vs urban breakdowns, state-by-state comparisons, and 11-year trend lines — all interactive.
Yes. Every number comes from official CMS (Centers for Medicare & Medicaid Services) public datasets. We process, analyze, and present the data — we don't create it.
No. Our AI identifies statistical patterns that resemble known fraud. It's a signal for further review, not a determination of guilt. Many flagged providers may have legitimate reasons for unusual billing.
Our dataset covers 2014-2024 (11 years). CMS releases data with approximately a 1-2 year lag. The most recent complete year in our dataset is 2024.
Medicare spends $890B+ annually serving 68.5 million Americans. Fraud wastes an estimated $60-100 billion per year. Transparency — knowing where the money goes and who's getting it — is the first step toward accountability.
Every Medicare provider has a unique 10-digit NPI (National Provider Identifier). If you have it, searching by NPI gives you the most precise results. You can find NPIs on medical bills, insurance statements, or the CMS NPPES registry.
Payment amounts show what Medicare actually paid, not what was charged. Providers typically charge 3-4x more than Medicare pays. High payments don't necessarily mean a provider is expensive — it often means they see many Medicare patients.
AI fraud flags are statistical indicators, not accusations. A flagged provider may have perfectly legitimate reasons for unusual billing patterns (e.g., specialized practice, high-volume clinic). Always consider context before drawing conclusions.
Each of our 61 state/territory pages includes top providers, specialty breakdowns, spending trends, and fraud flags specific to that location. Great for understanding Medicare in your area.
Medicare is the largest healthcare payer in the United States, spending over $890 billion annually to serve 68.5 million Americans. That's public money — funded by payroll taxes, premiums, and general revenue. Every taxpayer has a stake in how it's spent.
Yet most Americans have no idea where their Medicare dollars go. Which providers receive the most? Which procedures cost the most? Who's billing suspiciously? CMS publishes this data, but it's buried in massive CSV files that require technical expertise to access.
OpenMedicare makes this data accessible to everyone. Search any provider. Compare costs. Explore spending patterns. Read investigations. The goal is simple: transparency breeds accountability.
Have a tip? Know about suspicious billing?
Report FraudAll data sourced from Centers for Medicare & Medicaid Services (CMS)
Medicare Provider Utilization and Payment Data, 2014-2024
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