A timeline of new features, data releases, and investigations.
Incorporated the 2024 Medicare Provider Utilization and Payment Data release. Total coverage now spans 11 years (2014-2024), with cumulative payments exceeding $940 billion across 1.82 million providers. All analysis pages, state breakdowns, and provider profiles updated.
New investigation covering the Inflation Reduction Act's Medicare drug price negotiation program. Covers the first 10 negotiated drugs, $6B in estimated first-year savings, and the 2027 expansion to 15 more drugs.
View →All references updated to reflect 2024 data: $940B+ total payments, 1.82M providers, 68.5M beneficiaries, and $890B+ annual Medicare spending.
Calculator now includes common procedure cost reference table, explanations of Medicare pricing methodology, Part B premium/deductible info for 2026, and tips for managing Medicare costs.
View →Expanded Drug Spending, Rural vs Urban, Markup Analysis, and Deep Analysis pages with additional context, methodology explanations, and key findings. All pages now exceed 300 lines of substantive content.
View →Added investigation disclaimers, unified provider database (30,000+ providers), ML fraud model integration (500 AI-flagged providers), dynamic OG images, 59 investigation articles.
View →Trained on 2,198 confirmed fraudsters, analyzed 1.82M providers, flagged 500 high-risk. Our ML model now combines anomaly detection, peer comparison, and known-fraud pattern matching for the most comprehensive risk scoring in Medicare transparency.
View →New deep dives into Medicare billing anomalies, including AI-flagged provider clusters and emerging fraud patterns identified by our v2 model.
View →Every provider page now features ML-powered risk scores, anomaly breakdowns, and peer comparison charts. See exactly why a provider was flagged.
8 fraud pages including upcoding detection, COVID test tracker, wound care watchlist, impossible numbers analysis, deep-dive profiles, and the fraud reporting hub.
View →Published "The COVID Test Gold Rush," "The Wound Care Industrial Complex," and "The Impossible Doctors" — deep dives into the most egregious billing patterns in Medicare.
View →Provider profiles now include fraud risk badges, services-per-day warnings, and a similar providers comparison section.
Place of Service, Geographic Spending, Cost Adjustment, Payment Gap, and Utilization analysis pages — new ways to explore Medicare data.
Our first wave of data-driven investigations covering markup patterns, specialty spending, geographic variation, and more.
View →OpenMedicare goes live with 2,003 provider profiles, 500 procedure pages, 61 state pages, 105 specialty breakdowns, and full search.
96 million rows of CMS Medicare Provider Utilization and Payment data (2014-2024) processed, analyzed, and loaded.
A deep comparison of Medicare Advantage vs Traditional Medicare spending, enrollment trends, and what the shift means for provider payments.
Compare any two states side-by-side on spending, fraud rates, provider density, and top specialties.
Next-generation fraud detection incorporating temporal patterns, network analysis (provider referral chains), and 2024 billing data for improved accuracy.
A streamlined mobile experience for looking up providers, checking fraud flags, and comparing costs on the go.
OpenMedicare is continuously updated with new investigations, data releases, and features. Bookmark this page to track changes, or check back regularly for new content.
Data releases: CMS publishes new Medicare Provider Utilization data annually, typically in the spring. We process and integrate new data within weeks of release, updating all provider profiles, state pages, and analyses.
Investigations: New data-driven investigations are published regularly, focusing on fraud patterns, spending anomalies, and policy-relevant findings from our analysis of $940B+ in Medicare payments.