U.S. Department of Health & Human Services

Medicare Durable Medical Equipment

Medicare data details the usage, payments, and submitted charges for Durable Medical Equipment, Devices, and Supplies. Each record includes the supplier National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code, and a supplier rental indicator.

Example records
Namelegal entityCityaddressStateaddressZIP CodeaddressStreet AddressaddressFull Namelegal entitySuplr NpiregistrationSuplr Prvdr MipersonSuplr Prvdr CrdntlsroleSuplr Prvdr Ent CdclassificationSuplr Prvdr St2addressSuplr Prvdr State FIPSgeographic
Northwest Indiana Eye Associates, PcCrown PointIN46307297 W. Franciscan Dr.Northwest Indiana Eye Associates, Pc1992999106OSuite 10118
Northwest Indiana Eye Associates, PcCrown PointIN46307297 W. Franciscan Dr.Northwest Indiana Eye Associates, Pc1992999106OSuite 10118
Northwest Indiana Eye Associates, PcCrown PointIN46307297 W. Franciscan Dr.Northwest Indiana Eye Associates, Pc1992999106OSuite 10118
Use cases

DME Supplier Billing Anomaly Screening

A fraud investigator at a health plan or government contractor reviews DME suppliers where submitted charges are far above Medicare allowed amounts across high patient volumes, flagging entities whose markup ratios and claim counts fall outside norms for their specialty and equipment category.

Suplr NpiNameSuplr Sbmtd ChrgsSuplr Mdcr Alowd AmountSuplr Prvdr Spclty Description

DME Supplier KYB Verification for Vendor Onboarding

A fintech lender or healthcare GPO onboarding a DME supplier as a vendor or borrower cross-references the NPI against Medicare payment history to confirm the business is actively billing, has a consistent address, and operates in a specialty aligned with its stated product lines.

Suplr NpiNameStreet AddressCityState

Geographic Market Sizing for DME Product Sales

A medical device manufacturer's sales team maps total Medicare payment volume and beneficiary counts by HCPCS code and state to identify underpenetrated markets where competitor suppliers are collecting significant reimbursement for a product category the manufacturer sells.

Hcpcs CdHcpcs DescriptionStateTot Suplr BenesSuplr Mdcr Pymt Amount
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