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OpenMedicare

Independent Medicare data journalism

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  • OpenMedicaid
  • OpenFeds
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Fraud Analysis

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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data

New to OpenMedicare?

Here's where to start.

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Step 1

Welcome — The Big Picture

OpenMedicare analyzes 1.7 million providers across $854.8B in Medicare payments, with 2,938 deep-profiled. 500 are ML-flagged for fraud risk.

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Step 2

Check Your Doctor

Search any of 1.7M Medicare providers — 2,938 have detailed profiles with billing history, specialty comparison, and risk flags.

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Step 3

Explore the Fraud Analysis

We flagged 500 providers with statistical billing anomalies. See who's billing impossible volumes.

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Step 4

Still Out There

Our AI model trained on 2,198 confirmed fraudsters found 500 providers who bill like criminals but haven't been caught. AUC: 0.83.

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Step 5

Read Our Investigations

64 data-driven investigations exploring Medicare spending patterns, from drug money to geographic inequality.

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Step 6

Dive Into the Data

State-by-state breakdowns, specialty comparisons, 10-year trends, and more.

Step 7: Interactive Tools

Hands-on ways to explore the data yourself.

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Compare Providers
🧮
Cost Calculator
💵
Your Medicare Dollar

Step 8: Browse the Data

Jump directly into provider, state, specialty, or procedure data.

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Providers
📍
States
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Specialties
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Procedures

Have a tip? Know about suspicious billing?

Report Fraud