---
title: "Medicare utilization + payments by provider (CMS 'Physician..."
method: GET
path: "/api/health/medicare-provider"
tags: ["health"]
---

# Medicare utilization + payments by provider (CMS 'Physician...

`GET /api/health/medicare-provider`

## Request

- Base URL: `https://2s.io`
- URL: `https://2s.io/api/health/medicare-provider`
- Auth: API key in header `PAYMENT-SIGNATURE`

Medicare utilization + payments by provider (CMS 'Physician & Other Practitioners - by Provider' annual dataset). Look up by npi, or filter by lastName (exact last/organization name) + state. Each row: provider NPI, name, credentials, entity type, full address, provider type/specialty, Medicare participation, beneficiary counts, total services, submitted charges, Medicare allowed/payment amounts, plus beneficiary demographic + chronic-condition aggregates — CMS's documented column names (Rndrng_NPI, Tot_Srvcs, Tot_Mdcr_Pymt_Amt, etc). Complements /api/health/open-payments (industry payments to the same NPIs). KYC, healthcare-fraud research, and provider due diligence. For a provider 360 (identity + industry payments + this) by NPI in one call, see /api/health/provider-profile. Public-domain federal data.

## Query parameters

- `npi` string
- `lastName` string
- `state` string
- `limit` integer
- `offset` integer
- `trial` 1

## Other responses

- `200` (unresolved $ref)
- `400`: Invalid request — not charged. error.code: BAD_REQUEST or INVALID_PARAM (parameter validation; error.details.issues lists each problem), MALFORMED_JSON, or a request-specific code. Other client errors: 405 METHOD_NOT_ALLOWED (wrong verb; see the Allow header), 413 PAYLOAD_TOO_LARGE.
- `402`: Payment required. Body is the x402 PaymentRequirements envelope with a multi-network accepts array; the per-call price is in accepts[].amount (and on the operation as x-2s-price). Sign for whichever rail you hold USDC on (EIP-3009 for Base, partial SPL transfer for Solana) and retry with the PAYMENT-SIGNATURE header (X-PAYMENT also accepted for v1 clients). Also PAYMENT_SETTLE_FAILED (error envelope) when a verified payment failed to settle: error.details.chargeStatus is "not_charged" (retry with a fresh payment) or "unknown" (the authorization may still settle before its deadline — check it before retrying).
- `429`: Too many requests — RATE_LIMITED: our per-IP / per-payer limiter. Not charged; retry after Retry-After.
- `5XX`: Server-side failure. 500 INTERNAL: unexpected error; quote error.errorId (also the X-2s-Error-Id header). 502 UPSTREAM_UNAVAILABLE (or another UPSTREAM_* code): the data provider failed — composite endpoints refuse unbilled when every source fails. 503 SERVICE_PAUSED: endpoint paused by the operator kill switch, retry after Retry-After; 503 SPEND_CAP: daily upstream budget exhausted. 504 UPSTREAM_TIMEOUT. Not charged.

---

[API](https://skmtc.dev/2s-io/apis/2s-the-most-everything-api.md) · [All operations](https://skmtc.dev/2s-io/apis/2s-the-most-everything-api/llms.txt) · [OpenAPI document](https://skmtc.dev/2s-io/apis/2s-the-most-everything-api/revisions/da4c5caf686e?raw)