{"source_count": 188, "active_sources": 183, "stale_sources": 5, "critical_sources": 0, "sources": [{"source_id": "co_dora", "display_name": "Colorado DORA Professional and Occupational Licenses", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "daily", "accuracy_class": "authoritative_for_co_license_status", "last_loaded_at": "2026-10-19T11:48:05.533954+00:00", "last_record_count": 1555957, "primary_url": "https://data.colorado.gov/Regulations/Professional-and-Occupational-Licenses-in-Colorado/7s5z-vewr", "notes": "Official DORA license export on data.colorado.gov (dataset 7s5z-vewr), refreshed daily. All DORA professions; the loader keeps individuals and normalizes clinical types (DR/ME physicians with MD-vs-DO from the degrees field, PA, APN incl. CNM subcategory, RN/PN, DEN, PHA, PSY and behavioral, OT/PT/SLP, CHR, OPT, POD). File repeats a license row per disciplinary action; programaction/casenumber/discipline dates load into license_disciplinary_actions for NPI-matched licensees (full-refresh per run). No NPI; backfilled from NPPES via digit + last-name match.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "daily", "stale_threshold_days": 2, "critical_threshold_days": 8, "detail": "0d old; within daily window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ct_dph", "display_name": "Connecticut eLicense State Licenses and Credentials", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "daily", "accuracy_class": "authoritative_for_ct_license_status", "last_loaded_at": "2026-10-19T11:38:19.685778+00:00", "last_record_count": 795315, "primary_url": "https://data.ct.gov/Business/State-Licenses-and-Credentials/ngch-56tr", "notes": "Official CT eLicense export on data.ct.gov (dataset ngch-56tr), refreshed daily. Covers every state licensing agency; the loader filters to DPH health professions (numeric credential-type codes: physicians, PAs, APRNs, RNs/LPNs, dentists, podiatrists, optometrists, psychologists, counselors, and more) plus DCP pharmacy credentials (PCT/PTN/PCI) and MSW, individuals only. Statuses derive from the (status, statusreason) pair; disciplinary reasons (revoked/suspended/surrendered/probation) override the base status. Includes licensee mailing address. No NPI; backfilled from NPPES via digit + last-name match. Disciplinary detail beyond status lives in the DPH eLicense lookup documents (future scraper).", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "daily", "stale_threshold_days": 2, "critical_threshold_days": 8, "detail": "0d old; within daily window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "wa_doh", "display_name": "Washington DOH Health Care Provider Credential Data", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "daily", "accuracy_class": "authoritative_for_wa_license_status", "last_loaded_at": "2026-10-19T11:22:10.161622+00:00", "last_record_count": 2462666, "primary_url": "https://data.wa.gov/Health/Health-Care-Provider-Credential-Data/qxh8-f4bd", "notes": "Official WA DOH credential file on the state Socrata portal (dataset qxh8-f4bd). All DOH-regulated professions: physicians, osteopathic physicians, PAs, ARNPs, RNs/LPNs, dentists, pharmacists, and ~200 more credential types. Updated daily at 10:00 a.m. Pacific; DOH calls it a primary source for verification. Contains an ActionTaken yes/no disciplinary flag only \u2014 disciplinary detail lives in the Provider Credential Search document system (future scraper). No addresses, no NPI; NPI backfilled from NPPES taxonomy_license via prefix+digits normalization.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "daily", "stale_threshold_days": 2, "critical_threshold_days": 8, "detail": "0d old; within daily window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "price_transparency_rules", "display_name": "Price transparency: hospital rule and enforcement, Transparency in Coverage, and the machine-readable schema repositories", "source_type": "archive", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-19T08:26:33.855345+00:00", "last_record_count": 61, "primary_url": "https://www.cms.gov/priorities/key-initiatives/hospital-price-transparency", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W1", "W3"], "archive_file_count": 61, "last_fetch_at": "2026-10-19T08:26:33.852763+00:00", "last_change_at": "2026-10-19T08:26:33.852763+00:00", "latest_publisher_version": "2026-10-19", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "nsa_rules", "display_name": "No Surprises Act: CMS rules, guidance, FAQs, and federal IDR process documents", "source_type": "archive", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-19T08:24:48.041685+00:00", "last_record_count": 73, "primary_url": "https://www.cms.gov/initiatives/no-surprise-billing/overview/policies-resources/overview-rules-fact-sheets", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 73, "last_fetch_at": "2026-10-19T08:24:48.037498+00:00", "last_change_at": "2026-10-19T08:24:48.037498+00:00", "latest_publisher_version": "2026-10-14", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "icd10cm_nchs", "display_name": "ICD-10-CM code files FY2016 to FY2020 (CDC NCHS)", "source_type": "archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": null, "last_loaded_at": "2026-10-19T08:22:29.664497+00:00", "last_record_count": 420, "primary_url": "https://ftp.cdc.gov/pub/Health_Statistics/NCHS/Publications/ICD10CM/2016/", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "0d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 420, "last_fetch_at": "2026-10-19T08:22:29.659688+00:00", "last_change_at": "2026-10-16T02:35:17.800159+00:00", "latest_publisher_version": "2021-12-16", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "fda_ndc_directory", "display_name": "FDA National Drug Code Directory database files (zip per file, per changed day)", "source_type": "archive", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-19T08:19:58.932571+00:00", "last_record_count": 67, "primary_url": "https://www.fda.gov/drugs/drug-approvals-and-databases/national-drug-code-directory", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W1"], "archive_file_count": 67, "last_fetch_at": "2026-10-19T08:19:58.929223+00:00", "last_change_at": "2026-10-19T08:19:58.929223+00:00", "latest_publisher_version": "2026-10-16", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "sam_exclusions", "display_name": "SAM.gov exclusions, public extract V2 (federal debarment and exclusion records)", "source_type": "archive", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-19T08:16:34.479737+00:00", "last_record_count": 22, "primary_url": "https://sam.gov/api/prod/fileextractservices/v1/api/listfiles?domain=Exclusions/Public%20V2&privacy=Public", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W0"], "archive_file_count": 22, "last_fetch_at": "2026-10-19T08:16:34.475147+00:00", "last_change_at": "2026-10-19T08:16:34.475147+00:00", "latest_publisher_version": "2026-10-18", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "dmepos_pa_list", "display_name": "DMEPOS prior authorization: Required Prior Authorization List, Master List, operational guide, program statistics", "source_type": "archive", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-19T08:15:31.509511+00:00", "last_record_count": 29, "primary_url": "https://www.cms.gov/data-research/monitoring-programs/medicare-fee-service-compliance-programs/prior-authorization-and-pre-claim-review-initiatives/prior-authorization-process-certain-durable-medical-equipment-prosthetics-orthotics-and-supplies", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 29, "last_fetch_at": "2026-10-19T08:15:31.504949+00:00", "last_change_at": "2026-10-14T06:43:31.690285+00:00", "latest_publisher_version": "2026-08-26", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "cms_pos_modifiers_mac_map", "display_name": "Place of Service code set and the DME MAC jurisdiction map", "source_type": "archive", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-19T08:14:20.114909+00:00", "last_record_count": 11, "primary_url": "https://www.cms.gov/medicare/coding-billing/place-of-service-codes/code-sets", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W1", "W3"], "archive_file_count": 11, "last_fetch_at": "2026-10-19T08:14:20.111166+00:00", "last_change_at": "2026-10-19T08:14:20.111166+00:00", "latest_publisher_version": "2026-10-19", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "hcpcs_level2", "display_name": "HCPCS Level II quarterly code files (alpha-numeric HCPCS file)", "source_type": "archive", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": null, "last_loaded_at": "2026-10-19T08:13:04.628690+00:00", "last_record_count": 238, "primary_url": "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "0d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W1", "W2", "W3"], "archive_file_count": 238, "last_fetch_at": "2026-10-19T08:13:04.625051+00:00", "last_change_at": "2026-10-14T06:42:40.610971+00:00", "latest_publisher_version": "2026-09-23", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "oig_exclusions", "display_name": "HHS OIG List of Excluded Individuals/Entities (LEIE)", "source_type": "hhs_oig_leie", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": "authoritative_for_federal_exclusions", "last_loaded_at": "2026-10-19T08:11:42.553387+00:00", "last_record_count": 84001, "primary_url": "https://oig.hhs.gov/exclusions/", "notes": "Providers excluded from participation in federal health programs. Source for license_disciplinary_actions joins.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W0"], "archive_file_count": 333, "last_fetch_at": "2026-10-19T08:11:42.538258+00:00", "last_change_at": "2026-10-13T21:49:49.327345+00:00", "latest_publisher_version": "2026-10-09", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_drug_recalls", "display_name": "openFDA drug recalls (FDA enforcement reports)", "source_type": "fda_bulk", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": "authoritative", "last_loaded_at": "2026-10-19T08:07:41.301151+00:00", "last_record_count": 18009, "primary_url": "https://open.fda.gov/apis/drug/enforcement/", "notes": "FDA recall enforcement reports for drugs: classification, status, recalling firm, reason, dates, and distribution pattern. NDCs are extracted from the openFDA block, the product description, and the code info, then matched against the current NDC directory; the match is fuzzy because product descriptions are free text and older recalls cite discontinued NDCs.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_costplus", "display_name": "Mark Cuban Cost Plus Drug Company public price list", "source_type": "web_public_catalog", "license": "public_web_content", "update_cadence": "weekly", "accuracy_class": "observed", "last_loaded_at": "2026-10-19T08:07:33.859109+00:00", "last_record_count": 2398, "primary_url": "https://www.costplusdrugs.com/medications/", "notes": "Products discovered from the public sitemap (robots.txt allows /medications/*). Prices captured as change-only dated snapshots with the page URL and a content hash. Not affiliated with Cost Plus Drugs.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_fda_shortages", "display_name": "FDA Drug Shortages (openFDA)", "source_type": "openfda_api", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": "authoritative", "last_loaded_at": "2026-10-19T08:04:43.237276+00:00", "last_record_count": 1580, "primary_url": "https://open.fda.gov/apis/drug/drugshortages/", "notes": "Current and resolved shortages with reason, company, and package NDC.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_nadac", "display_name": "CMS National Average Drug Acquisition Cost (NADAC)", "source_type": "medicaid_gov_bulk", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": "survey", "last_loaded_at": "2026-10-19T08:04:41.075815+00:00", "last_record_count": 3547132, "primary_url": "https://data.medicaid.gov/dataset/dfa2ab14-06c2-457a-9e36-5cb6d80f8d93", "notes": "Weekly retail pharmacy acquisition cost survey. Stored as change-only history per NDC and effective date, 2013 to present.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "asc", "display_name": "CMS Ambulatory Surgical Center Compare", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": "authoritative_for_asc_quality", "last_loaded_at": "2026-10-19T08:00:31.523756+00:00", "last_record_count": 6541, "primary_url": "https://data.cms.gov/provider-data/topics/ambulatory-surgical-centers", "notes": "Quality measures, patient experience. ~24K facilities.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "0d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "clinicians", "display_name": "CMS Doctors and Clinicians (MIPS)", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative_for_clinician_mips", "last_loaded_at": "2026-10-19T08:00:28.868715+00:00", "last_record_count": 1082166, "primary_url": "https://data.cms.gov/provider-data/topics/doctors-clinicians", "notes": "MIPS scores, measures across 70 quarters. 1M+ clinicians.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 0, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "0d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "cfr_42_annual", "display_name": "Title 42 CFR part 424, annual CFR editions (govinfo), 2015 and 2016", "source_type": "archive", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-16T18:23:19.257003+00:00", "last_record_count": 2, "primary_url": "https://www.govinfo.gov/content/pkg/CFR-2015-title42-vol3/xml/CFR-2015-title42-vol3-part424.xml", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "3d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W0"], "archive_file_count": 2, "last_fetch_at": "2026-10-16T18:23:19.104514+00:00", "last_change_at": "2026-10-16T18:23:19.104514+00:00", "latest_publisher_version": "2016", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "partd_prescriber_summary", "display_name": "CMS Medicare Part D Prescribers by Provider (summary)", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_drug_prescribing", "last_loaded_at": "2026-10-16T16:33:05.674501+00:00", "last_record_count": 14636994, "primary_url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-part-d-prescribers/medicare-part-d-prescribers-by-provider", "notes": "CMS per-prescriber totals per data year, 2013 onward: claims, 30-day fills, drug cost, beneficiaries, brand and generic, opioid and antibiotic claims. Counts the drugs CMS suppresses from the by-provider-and-drug detail (fewer than 11 claims), so totals can exceed the detail. Shown beside the detail in /provider/{npi}.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "3d old; within annual window", "latest_release_available": "2024", "latest_release_loaded": "2024", "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": "2024", "latest_release_loaded": "2024", "release_checked_at": "2026-10-19T12:30:49.953262+00:00"}, {"source_id": "physician_utilization_summary", "display_name": "CMS Medicare Physician & Other Practitioners by Provider (summary)", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_medicare_billing", "last_loaded_at": "2026-10-16T16:25:50.336368+00:00", "last_record_count": 13528933, "primary_url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners/medicare-physician-other-practitioners-by-provider", "notes": "CMS per-provider totals per data year, 2013 onward: HCPCS codes, beneficiaries, services, submitted charges, allowed, paid and standardized amounts, drug and medical splits. Counts the services CMS suppresses from the by-provider-and-service detail (fewer than 11 beneficiaries), so totals can exceed the detail. Shown beside the detail in /provider/{npi}.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "3d old; within annual window", "latest_release_available": "2024", "latest_release_loaded": "2024", "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": "2024", "latest_release_loaded": "2024", "release_checked_at": "2026-10-19T12:30:49.975227+00:00"}, {"source_id": "qpp_mips_tin", "display_name": "CMS QPP Participation Status (NPI to practice and APM entity)", "source_type": "cms_qpp_api", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": "authoritative_for_npi_apm_entity", "last_loaded_at": "2026-10-16T16:23:32.622103+00:00", "last_record_count": 1563474, "primary_url": "https://qpp.cms.gov/api/eligibility/docs", "notes": "CMS Quality Payment Program participation status, read per NPI from the public eligibility API. For each NPI and performance year CMS states the practices the clinician bills under (practice name, city, state) and the APM entity it places the clinician in (MSSP ACO or ACO REACH entity, with the track). The TIN in the public answer is masked by CMS (\"XXXXXXXXXX\") and is stored as served; there is no public NPI-to-TIN file. Feeds provider_aco_links, served at /provider/{npi}/acos.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "3d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "nca_decision_memos", "display_name": "CMS Coverage API: National Coverage Analyses and lab coding analyses, decision memos, proposed decision memos and tracking sheets", "source_type": "archive", "license": "cms_mcd_terms", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-16T09:50:36.025755+00:00", "last_record_count": 744, "primary_url": null, "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "3d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 744, "last_fetch_at": "2026-10-16T09:50:36.016971+00:00", "last_change_at": "2026-10-16T09:50:36.016971+00:00", "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "mcd_coverage_api_ab", "display_name": "CMS Coverage API, current text of every A/B and HHH MAC LCD and Article", "source_type": "archive", "license": "cms_mcd_terms", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-16T09:33:56.753251+00:00", "last_record_count": 2985, "primary_url": null, "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "3d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 2985, "last_fetch_at": "2026-10-16T09:33:56.728594+00:00", "last_change_at": "2026-10-16T09:33:56.728594+00:00", "latest_publisher_version": "5", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "qpp_experience_puf", "display_name": "Quality Payment Program Experience public use file (MIPS clinician-level participation, scores and payment adjustment, one file per performance year)", "source_type": "archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": null, "last_loaded_at": "2026-10-16T09:08:41.985151+00:00", "last_record_count": 8, "primary_url": null, "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "3d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W0"], "archive_file_count": 8, "last_fetch_at": "2026-10-16T09:08:41.982233+00:00", "last_change_at": "2026-10-16T09:08:41.982233+00:00", "latest_publisher_version": "2024-04-30", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "mcd_ab_mac", "display_name": "MCD Archive, every archived version of every A/B and HHH MAC LCD and Article (all jurisdictions)", "source_type": "archive", "license": "cms_mcd_terms", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-16T09:07:43.482588+00:00", "last_record_count": 34032, "primary_url": null, "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "3d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 34032, "last_fetch_at": "2026-10-16T09:07:43.448965+00:00", "last_change_at": "2026-10-16T09:07:43.448965+00:00", "latest_publisher_version": "20", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "physician_utilization", "display_name": "CMS Medicare Physician & Other Practitioners by Provider and Service", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_medicare_billing", "last_loaded_at": "2026-10-16T08:30:02.794800+00:00", "last_record_count": 48533285, "primary_url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-physician-other-practitioners", "notes": "Per-NPI billing patterns: HCPCS codes, allowed charges, service counts. 29.1M rows.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "3d old; within annual window", "latest_release_available": "2024", "latest_release_loaded": "2024", "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": "2024", "latest_release_loaded": "2024", "release_checked_at": "2026-10-19T12:30:49.907608+00:00"}, {"source_id": "mcd_coverage_ncd", "display_name": "CMS Coverage API, current text of every National Coverage Determination (NCD)", "source_type": "archive", "license": "cms_mcd_terms", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-16T08:15:38.209150+00:00", "last_record_count": 928, "primary_url": null, "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "3d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 928, "last_fetch_at": "2026-10-16T08:15:38.192355+00:00", "last_change_at": "2026-10-09T08:17:36.339332+00:00", "latest_publisher_version": "8", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "mcd_archive", "display_name": "MCD Archive, every archived version of every DME MAC LCD and Article", "source_type": "archive", "license": "cms_mcd_terms", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-16T08:08:45.985131+00:00", "last_record_count": 1496, "primary_url": null, "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "3d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 1496, "last_fetch_at": "2026-10-16T08:08:45.979688+00:00", "last_change_at": "2026-10-02T08:16:58.632823+00:00", "latest_publisher_version": "40", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "mcd_coverage_api", "display_name": "CMS Coverage API, current text and revision history of every DME MAC LCD and Article", "source_type": "archive", "license": "cms_mcd_terms", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-16T08:06:34.548754+00:00", "last_record_count": 417, "primary_url": null, "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "3d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 417, "last_fetch_at": "2026-10-16T08:06:34.533430+00:00", "last_change_at": "2026-10-09T03:03:29.608063+00:00", "latest_publisher_version": "160", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "mcd_coverage_reports", "display_name": "CMS Coverage API report endpoints (all final LCDs, all Articles, all NCDs)", "source_type": "archive", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-16T08:03:04.904410+00:00", "last_record_count": 11, "primary_url": "https://api.coverage.cms.gov/v1/reports/local-coverage-final-lcds", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "3d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 11, "last_fetch_at": "2026-10-16T08:03:04.900426+00:00", "last_change_at": "2026-10-16T08:03:04.900426+00:00", "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "mcd_full_download", "display_name": "Medicare Coverage Database full downloads (LCDs, Articles, NCDs with all metadata tables)", "source_type": "archive", "license": "cms_mcd_terms", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-16T08:01:31.769684+00:00", "last_record_count": 461, "primary_url": "https://www.cms.gov/medicare-coverage-database/downloads/downloads.aspx", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "3d old; within weekly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 461, "last_fetch_at": "2026-10-16T08:01:31.763188+00:00", "last_change_at": "2026-10-16T08:01:31.763188+00:00", "latest_publisher_version": "2026-10-15", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "partd_prescriber", "display_name": "CMS Medicare Part D Prescriber", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_drug_prescribing", "last_loaded_at": "2026-10-16T06:10:28.865587+00:00", "last_record_count": 130850223, "primary_url": "https://data.cms.gov/provider-summary-by-type-of-service/medicare-part-d-prescribers", "notes": "Per-NPI drug prescribing patterns. 102.9M rows.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "3d old; within annual window", "latest_release_available": "2024", "latest_release_loaded": "2024", "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": "2024", "latest_release_loaded": "2024", "release_checked_at": "2026-10-19T12:30:49.931107+00:00"}, {"source_id": "open_payments", "display_name": "CMS Open Payments (Sunshine Act)", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "good_for_pharma_relationships", "last_loaded_at": "2026-10-16T05:26:28.613486+00:00", "last_record_count": 75823944, "primary_url": "https://openpaymentsdata.cms.gov/", "notes": "Pharma manufacturer payments to physicians + teaching hospitals.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "3d old; within annual window", "latest_release_available": "2025", "latest_release_loaded": "2025", "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": "2025", "latest_release_loaded": "2025", "release_checked_at": "2026-10-19T12:30:49.751516+00:00"}, {"source_id": "bpci_advanced", "display_name": "CMS Innovation Center: BPCI Advanced", "source_type": "cmmi_files", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_model_participation", "last_loaded_at": "2026-10-16T04:37:08.297590+00:00", "last_record_count": 414435, "primary_url": "https://www.cms.gov/priorities/innovation/innovation-models/bpci-advanced", "notes": "Bundled Payments for Care Improvement Advanced (ended 2025). CMS publishes participant lists per model year (xlsx, BPID with role and participant type) and a data crosswalk (zip) that maps each episode initiator to its anchor hospital CCN and anchor attending and operating NPIs. We load the participant lists and the crosswalk NPIs. CMS publishes no financial or quality results for this model.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "3d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "team", "display_name": "CMS Innovation Center: Transforming Episode Accountability Model (TEAM)", "source_type": "cmmi_files", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_model_participation", "last_loaded_at": "2026-10-16T04:34:47.228141+00:00", "last_record_count": 721, "primary_url": "https://www.cms.gov/priorities/innovation/innovation-models/team-model", "notes": "TEAM (active, PY1 2026-01-01 to PY5 2030-12-31). Mandatory for acute care hospitals in the CBSAs CMS selected, plus voluntary participants. CMS publishes the participant list (xlsx: participation type, CCN, hospital name, CBSA, participation start and end dates), updated quarterly. We load the list; CMS publishes no NPIs and no results yet.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "3d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "dmepos_cbp_spa", "display_name": "DMEPOS Competitive Bidding (CBIC): round documents and single payment amounts", "source_type": "archive", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": null, "last_loaded_at": "2026-10-16T02:39:23.573660+00:00", "last_record_count": 1190, "primary_url": "https://www.dmecompetitivebid.com/cbic/cbic2028.nsf/DocsCat/Home", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 3, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "3d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W1"], "archive_file_count": 1190, "last_fetch_at": "2026-10-16T02:39:23.403673+00:00", "last_change_at": "2026-10-16T02:39:23.403673+00:00", "latest_publisher_version": "2021-04-13", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "dmepos_list_fr_notices", "display_name": "Federal Register notices and rules that create or change the DMEPOS Required Prior Authorization List, Master List and Face-to-Face/WOPD List", "source_type": "archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": null, "last_loaded_at": "2026-10-15T22:26:24.448118+00:00", "last_record_count": 21, "primary_url": "https://www.govinfo.gov/content/pkg/FR-2015-12-30/pdf/2015-32506.pdf", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 4, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "4d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W3"], "archive_file_count": 21, "last_fetch_at": "2026-10-15T22:26:24.316868+00:00", "last_change_at": "2026-10-15T22:26:24.316868+00:00", "latest_publisher_version": "2026-07-30", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "dmepos_cbp_cms_page", "display_name": "CMS DMEPOS Competitive Bidding Program page (the page that states the temporary gap period)", "source_type": "archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": null, "last_loaded_at": "2026-10-15T22:26:07.414235+00:00", "last_record_count": 1, "primary_url": "https://www.cms.gov/medicare/payment/fee-schedules/dmepos-competitive-bidding", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 4, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "4d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W1"], "archive_file_count": 1, "last_fetch_at": "2026-10-15T22:26:07.198601+00:00", "last_change_at": "2026-10-15T22:26:07.198601+00:00", "latest_publisher_version": "2026-10-15", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "aco_pc_flex", "display_name": "CMS Innovation Center: ACO Primary Care Flex", "source_type": "cmmi_files", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_model_participation", "last_loaded_at": "2026-10-15T17:27:58.168744+00:00", "last_record_count": 47, "primary_url": "https://www.cms.gov/priorities/innovation/innovation-models/aco-primary-care-flex-model", "notes": "ACO PC Flex model (active, inside the Medicare Shared Savings Program). CMS publishes the participating ACOs per performance year (PDF: ACO ID, name, track, service area). We load the lists; aco_id joins mssp_acos. No results are published yet.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 4, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "4d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "making_care_primary", "display_name": "CMS Innovation Center: Making Care Primary (MCP)", "source_type": "cmmi_files", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_model_participation", "last_loaded_at": "2026-10-15T17:27:09.234574+00:00", "last_record_count": 117, "primary_url": "https://www.cms.gov/priorities/innovation/innovation-models/making-care-primary", "notes": "MCP model (performance period ended 2025). CMS publishes the participant list (xlsx: organization, address, state). We load it. CMS publishes no NPIs and no financial or quality results for this model.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 4, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "4d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "primary_care_first", "display_name": "CMS Innovation Center: Primary Care First (PCF)", "source_type": "cmmi_files", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_model_participation", "last_loaded_at": "2026-10-15T17:27:07.291859+00:00", "last_record_count": 41003, "primary_url": "https://www.cms.gov/priorities/innovation/innovation-models/primary-care-first-model-options", "notes": "PCF model (performance period ended 2025). CMS publishes the practice list in the Innovation Center Model Participants dataset and practice-level quality results for PY2022 to PY2024 (benchmark deciles per measure, risk group) with region summaries. We load both. No NPIs or practice-level payment amounts are published.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 4, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "4d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "kcc", "display_name": "CMS Innovation Center: Kidney Care Choices (KCC)", "source_type": "cmmi_files", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_model_participation", "last_loaded_at": "2026-10-15T17:27:00.173552+00:00", "last_record_count": 22035, "primary_url": "https://www.cms.gov/priorities/innovation/innovation-models/kidney-care-choices-kcc-model", "notes": "KCC model (active). CMS publishes a PY2022 public use file (entities, participating providers by name, finance, quality and alignment), reconciliation results workbooks for PY2022 to PY2024, and participant lists for PY2024 to PY2026 (PDF). We load all of them. CMS publishes participating providers by name only; no NPIs.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 4, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "4d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "cjr", "display_name": "CMS Innovation Center: Comprehensive Care for Joint Replacement (CJR)", "source_type": "cmmi_files", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_model_participation", "last_loaded_at": "2026-10-15T17:26:46.052981+00:00", "last_record_count": 30900, "primary_url": "https://www.cms.gov/priorities/innovation/innovation-models/cjr", "notes": "CJR model (performance years 1 to 8, ended 2024). CMS publishes the participant hospital list (xlsx, by CCN) and the final reconciliation payments workbook for PY1 to PY7 (quality performance category, episode counts, initial and final reconciliation amounts). We load both. No NPIs are published.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 4, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "4d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "dmepos_fee_schedule_pages", "display_name": "DMEPOS fee schedule item pages (the CMS page that states the dates a revised file covers)", "source_type": "archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": null, "last_loaded_at": "2026-10-15T16:36:47.762789+00:00", "last_record_count": 1, "primary_url": "https://www.cms.gov/medicaremedicare-fee-service-paymentdmeposfeescheddmepos-fee-schedule/dme22-r", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 4, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "4d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": ["W1"], "archive_file_count": 1, "last_fetch_at": "2026-10-15T16:36:47.609432+00:00", "last_change_at": "2026-10-15T16:36:47.609432+00:00", "latest_publisher_version": "2026-10-15", "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "fr_cms_rules", "display_name": "Federal Register: CMS rules and proposed rules, the GPO PDF of each document", "source_type": "archive", "license": "public_domain", "update_cadence": "weekly", "accuracy_class": null, "last_loaded_at": "2026-10-15T13:17:43.835888+00:00", "last_record_count": 24, "primary_url": "https://www.federalregister.gov/api/v1/documents.json?conditions[agencies][]=centers-for-medicare-medicaid-services&conditions[type][]=RULE&conditions[type][]=PRORULE&per_page=1000&order=oldest&fields[]=document_number&fields[]=publication_date&fields[]=type&fields[]=title&fields[]=pdf_url&fields[]=page_length", "notes": null, "is_active": true, "freshness": {"freshness": "fresh", "age_days": 4, "cadence": "weekly", "stale_threshold_days": 10, "critical_threshold_days": 21, "detail": "4d old; 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Case mix index (transfer-adjusted, by current MS-DRG grouper version), wage index, DSH patient percentage, resident-to-ADC ratio. New FY published each August with the IPPS final rule.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "18d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "hrrp", "display_name": "Hospital Readmissions Reduction Program (HRRP)", "source_type": "government", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative", "last_loaded_at": "2026-10-01T10:11:25.410733+00:00", "last_record_count": 18133, "primary_url": "https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/hospital-readmissions-reduction-program-hrrp", "notes": "IPPS Final Rule HRRP Supplemental Data Files, FY2021+. Payment adjustment factors, per-condition excess readmission ratios, peer groups. New FY published each August with the IPPS final rule.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "18d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "vbc_aco", "display_name": "CMS Shared Savings Program ACOs (MSSP / REACH / NGACO / HAC)", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_aco_participation", "last_loaded_at": "2026-10-01T10:11:12.273124+00:00", "last_record_count": 1821702, "primary_url": "https://data.cms.gov/medicare-shared-savings-program", "notes": "MSSP ACO directory + participants + SNF affiliates + beneficiaries; MSSP financial and quality results PY2013-PY2024 (benchmarks, expenditures, shared savings and losses, quality scores); ACO REACH entities, financials and participants PY2021-PY2026; NGACO performance; HAC reduction measures.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "18d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "hsaf", "display_name": "CMS Hospital Service Area File (HSAF)", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_hospital_service_area", "last_loaded_at": "2026-10-01T10:07:27.556534+00:00", "last_record_count": 9817990, "primary_url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-service-type-reports/hospital-service-area-file", "notes": "Market share by ZIP for inpatient services. 9.8M rows across 10 years.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "18d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "medicare_geo_variation", "display_name": "CMS Medicare Geographic Variation Public Use File", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_medicare_per_capita", "last_loaded_at": "2026-10-01T10:07:27.088500+00:00", "last_record_count": 36970, "primary_url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-geographic-comparisons", "notes": "Per-capita Medicare spending and utilization by county/state.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "18d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "dartmouth_crosswalk", "display_name": "Dartmouth Atlas of Health Care \u2014 ZIP / HRR / HSA Crosswalk", "source_type": "academic_dataset", "license": "dartmouth_atlas_research_use", "update_cadence": "static", "accuracy_class": "authoritative_for_hrr_hsa_geography", "last_loaded_at": "2026-10-01T10:06:45.820091+00:00", "last_record_count": 40866, "primary_url": "https://www.dartmouthatlas.org/", "notes": "40.9K ZIPs \u2192 306 Hospital Referral Regions \u2192 3,436 Hospital Service Areas. Used for regional analytics. Cadence audit 2026-08-17: multi-year reference crosswalk; Dartmouth updates rarely.", "is_active": true, "freshness": {"freshness": "exempt", "age_days": 18, "cadence": "static", "stale_threshold_days": 0, "critical_threshold_days": 0, "detail": "static reference data; publisher updates rarely", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "cdc_places", "display_name": "CDC PLACES (Local Data for Better Health)", "source_type": "cdc_data", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_community_health", "last_loaded_at": "2026-10-01T10:06:27.924676+00:00", "last_record_count": 1400861, "primary_url": "https://www.cdc.gov/places/", "notes": "40 health outcome, prevention, and risk-factor measures at county and ZCTA level. 1.4M rows.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "18d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "cbsa_crosswalk", "display_name": "Census / OMB Core-Based Statistical Area Crosswalk", "source_type": "census_omb", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_metro_geography", "last_loaded_at": "2026-10-01T10:00:37.885051+00:00", "last_record_count": 29974, "primary_url": "https://www.census.gov/programs-surveys/metro-micro.html", "notes": "OMB-defined ZIP \u2192 CBSA (metro / micro area) mapping used for market geography. 30K rows.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "18d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_drugsfda", "display_name": "Drugs@FDA (FDA approved drug applications, products, submissions)", "source_type": "fda_bulk", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative", "last_loaded_at": "2026-10-01T09:56:08.745730+00:00", "last_record_count": 29367, "primary_url": "https://www.fda.gov/drugs/drug-approvals-and-databases/drugsfda-data-files", "notes": "FDA-approved drug applications (NDA, ANDA, BLA) with their products, submission history, marketing status, and therapeutic equivalence codes, from the FDA's own Drugs@FDA data files (not openFDA's copy). 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The public file does not link plants to NDCs; linkage is by labeler and registrant name.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_purple_book", "display_name": "FDA Purple Book (licensed biologics, biosimilars, interchangeables)", "source_type": "fda_bulk", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative", "last_loaded_at": "2026-10-01T09:55:47.082380+00:00", "last_record_count": 2242, "primary_url": "https://purplebooksearch.fda.gov/downloads", "notes": "Monthly full database: 351(a) reference products and 351(k) biosimilars with reference product, licensure, and exclusivity dates.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_orange_book", "display_name": "FDA Orange Book (approved drug products, patents, exclusivity)", "source_type": "fda_bulk", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative", "last_loaded_at": "2026-10-01T09:55:44.646994+00:00", "last_record_count": 48761, "primary_url": "https://www.fda.gov/drugs/drug-approvals-and-databases/orange-book-data-files", "notes": "NDA and ANDA products with therapeutic equivalence codes, listed patents with expiry, and exclusivity periods. Feeds rx.v_generic_launch_radar.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_rxnorm", "display_name": "NLM RxNorm (current prescribable content)", "source_type": "nlm_bulk", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative", "last_loaded_at": "2026-10-01T09:52:00.759076+00:00", "last_record_count": 429126, "primary_url": "https://www.nlm.nih.gov/research/umls/rxnorm/docs/rxnormfiles.html", "notes": "Prescribable subset only; no UMLS license required. NDC-to-RXCUI links and ingredient relationships.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_ndc_directory", "display_name": "FDA National Drug Code Directory", "source_type": "fda_bulk", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative", "last_loaded_at": "2026-10-01T09:50:22.319770+00:00", "last_record_count": 218602, "primary_url": "https://www.fda.gov/drugs/drug-approvals-and-databases/national-drug-code-directory", "notes": "Product and package listings for all listed drugs. Package NDCs normalized to 11-digit 5-4-2.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "wy_medicaid_exclusions", "display_name": "Wyoming Medicaid Provider Exclusion List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_wy_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:49:37.981744+00:00", "last_record_count": 116, "primary_url": "https://health.wyo.gov/healthcarefin/medicaid/", "notes": "Dated PDF discovered from the landing page. No NPI published; state Medicaid provider number only.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "wv_medicaid_exclusions", "display_name": "West Virginia Medicaid Provider Exclusions and Terminations", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_wv_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:49:36.457264+00:00", "last_record_count": 168, "primary_url": "https://www.wvmmis.com/SitePages/Medicaid%20Provider%20SanctionedExclusion", "notes": "PDF behind a SharePoint RadGrid; the loader rebuilds the SharepointDownload URL from the grid row. NPI and addresses published.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "wa_medicaid_exclusions", "display_name": "Washington HCA Provider Termination and Exclusion List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_wa_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:49:32.757894+00:00", "last_record_count": 245, "primary_url": "https://www.hca.wa.gov/billers-providers-partners/become-apple-health-provider/provider-termination-and-exclusion-list", "notes": "Two stable-URL XLSX files (HCA list + DSHS list). NPI cell mixes NPI and P1 IDs; only valid NPIs are kept as NPI. Multi-NPI cells split into one row per NPI.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "tx_medicaid_exclusions", "display_name": "Texas HHSC OIG Exclusions", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_tx_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:49:31.757721+00:00", "last_record_count": 13438, "primary_url": "https://oig.hhsc.state.tx.us/oigportal2/Exclusions", "notes": "Legacy .xls via ASP.NET form postback (loader replays __VIEWSTATE). Carries NPI, license, reinstatement dates. US-geofenced.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "tn_medicaid_exclusions", "display_name": "Tennessee TennCare Terminated Providers", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_tn_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:49:28.388323+00:00", "last_record_count": 21, "primary_url": "https://www.tn.gov/tenncare/fraud-and-abuse/program-integrity.html", "notes": "JSON endpoint behind the page's data table component. Small list with NPI, effective date, reason.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "sc_medicaid_exclusions", "display_name": "South Carolina Medicaid Sanctioned Providers", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_sc_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:49:27.785975+00:00", "last_record_count": 1385, "primary_url": "https://www.scdhhs.gov/fraud", "notes": "Dated XLSX discovered from the landing page. Carries NPI, city/state/zip, excluded-vs-terminated marker, action date.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "pa_medicaid_exclusions", "display_name": "Pennsylvania Medicheck Precluded Providers", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_pa_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:49:26.724113+00:00", "last_record_count": 6747, "primary_url": "https://www.humanservices.dhs.pa.gov/providers/Providers/Pages/Medicheck-List.aspx", "notes": "Direct CSV (Medchk endpoint). Carries NPI, FEIN, begin/end dates, structured name parts.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "or_medicaid_exclusions", "display_name": "Oregon OHA Medicaid Provider Exclusions", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_or_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:49:24.993296+00:00", "last_record_count": 132, "primary_url": "https://www.oregon.gov/oha/FOD/PIAU/Pages/Provider-Exclusion.aspx", "notes": "SharePoint list via the public Lists.asmx SOAP endpoint. Names + per-person exclusion-letter PDF URLs only \u2014 no dates, no NPI, no provider type. Letter URLs kept in raw_payload.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "oh_medicaid_exclusions", "display_name": "Ohio Medicaid Provider Exclusion and Suspension List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_oh_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:49:24.125300+00:00", "last_record_count": 2136, "primary_url": "https://medicaid.ohio.gov/resources-for-providers/enrollment-and-support/provider-enrollment/provider-exclusion-and-suspension-list", "notes": "Dated XLSX discovered from the landing page. Two sheets (Individuals + Organizations); multi-NPI cells split into one row per NPI.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ny_medicaid_exclusions", "display_name": "New York OMIG Medicaid Exclusions", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_ny_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:49:07.366146+00:00", "last_record_count": 9121, "primary_url": "https://omig.ny.gov/medicaid-fraud/medicaid-exclusions", "notes": "Direct XLSX export (apps.omig.ny.gov/exclusions/exporttoexcel.aspx). ~9K rows with NPI and license number.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "nv_medicaid_exclusions", "display_name": "Nevada Medicaid Master Exclusion List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_nv_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:49:04.247998+00:00", "last_record_count": 1316, "primary_url": "https://www.omig.nv.gov/provider-enrollment--termination/provider-exclusions-sanctions-and-press-releases/", "notes": "Dated PDF discovered from the landing page. Parsed positionally \u2014 three sanction columns share a header. Federal-authority rows load with oig_reciprocal = TRUE.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ne_medicaid_exclusions", "display_name": "Nebraska NMEP Medicaid Excluded Providers", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_ne_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:52.109575+00:00", "last_record_count": 1438, "primary_url": "https://dhhs.ne.gov/Pages/Medicaid-Program-Exclusions.aspx", "notes": "Stable-URL PDF. NPI, coded provider type / reason / sanction / duration columns kept as published.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "nd_medicaid_exclusions", "display_name": "North Dakota Medicaid Provider Exclusion List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_nd_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:36.399047+00:00", "last_record_count": 192, "primary_url": "https://www.hhs.nd.gov/healthcare/medicaid/provider/compliance/fraud-and-abuse", "notes": "Stable-URL XLSX. Reason \"Reciprocal to OIG Exclusion\" loads with oig_reciprocal = TRUE.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "nc_medicaid_exclusions", "display_name": "North Carolina Medicaid State Excluded Provider List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_nc_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:35.224910+00:00", "last_record_count": 181, "primary_url": "https://medicaid.ncdhhs.gov/providers/excluded-providers", "notes": "Stable download path, XLSX. Pure-FEDERAL rows load with oig_reciprocal = TRUE; OIG/STATE rows keep their state action.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "mt_medicaid_exclusions", "display_name": "Montana Medicaid Terminated/Excluded Providers", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_mt_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:34.544986+00:00", "last_record_count": 179, "primary_url": "https://dphhs.mt.gov/montanahealthcareprograms/terminatedexcludedproviders", "notes": "Dated XLSX discovered from the landing page. Rows marked State Termination vs OIG Exclusion; OIG rows load with oig_reciprocal = TRUE.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ms_medicaid_exclusions", "display_name": "Mississippi Medicaid Sanctioned Providers", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_ms_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:32.862693+00:00", "last_record_count": 211, "primary_url": "https://medicaid.ms.gov/providers/provider-terminations/", "notes": "Dated XLSX discovered from the landing page. Structured org/individual split, NPI, term dates, sanction-type codes. ME (Medicare Exclusion) rows load with oig_reciprocal = TRUE.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "mo_medicaid_exclusions", "display_name": "Missouri MMAC Provider Sanction List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_mo_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:31.129258+00:00", "last_record_count": 280, "primary_url": "https://mmac.mo.gov/providers/provider-sanctions/", "notes": "Dated XLSX discovered from the landing page. Name + NPI + term/letter dates + reason.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "mi_medicaid_exclusions", "display_name": "Michigan Medicaid Sanctioned Provider List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_mi_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:28.556775+00:00", "last_record_count": 4082, "primary_url": "https://www.michigan.gov/mdhhs/doing-business/providers/providers/billingreimbursement/list-of-sanctioned-providers", "notes": "XLSX discovered from the landing page. Two sanction date/source pairs per row; the earliest date is the exclusion date.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "md_medicaid_exclusions", "display_name": "Maryland Medicaid Sanctioned Providers", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_md_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:25.485929+00:00", "last_record_count": 1618, "primary_url": "https://health.maryland.gov/mmcp/provider/Pages/sanctioned_list.aspx", "notes": "XLSX discovered from the landing page. Sanction-type codes kept as published (MDH, LB, ...).", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "la_medicaid_exclusions", "display_name": "Louisiana LDH Adverse Actions (Exclusions)", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_la_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:24.154431+00:00", "last_record_count": 5972, "primary_url": "https://adverseactions.ldh.la.gov/SelSearch/", "notes": "Direct CSV export (SelSearch/GetCsv). Rows typed State vs OIG; OIG rows load with oig_reciprocal = TRUE.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ky_medicaid_exclusions", "display_name": "Kentucky Medicaid Terminated and Excluded Providers", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_ky_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:21.452199+00:00", "last_record_count": 402, "primary_url": "https://www.chfs.ky.gov/agencies/dms/dpi/pe/Pages/default.aspx", "notes": "Direct XLSX (KYMedicaidTerminationList.xlsx). Carries NPI and license.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ks_medicaid_exclusions", "display_name": "Kansas KMAP Provider Termination List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_ks_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:20.143909+00:00", "last_record_count": 211, "primary_url": "https://www.kdhe.ks.gov/172/Medicaid", "notes": "Stable DocumentCenter XLSX. Multi-NPI cells split into one row per NPI.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "in_medicaid_exclusions", "display_name": "Indiana Medicaid/CHIP Provider Terminations", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_in_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:19.238562+00:00", "last_record_count": 113, "primary_url": "https://www.in.gov/fssa/ompp/provider-information/termination-of-provider-participation-in-medicaid-and-chip/", "notes": "Stable-URL XLSX (OMPP_Terminations.xlsx). Name + NPI + city/state + termination date.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ia_medicaid_exclusions", "display_name": "Iowa Medicaid Excluded Individuals and Entities", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_ia_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:18.153552+00:00", "last_record_count": 1310, "primary_url": "https://hhs.iowa.gov/programs/welcome-iowa-medicaid/provider-services/excluded-individuals-and-entities", "notes": "XLSX behind a media download link (resolved by content type). Federal Exclusion rows load with oig_reciprocal = TRUE.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "hi_medicaid_exclusions", "display_name": "Hawaii Med-QUEST Provider Exclusion/Reinstatement List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_hi_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:16.633647+00:00", "last_record_count": 213, "primary_url": "https://medquest.hawaii.gov/en/plans-providers/provider-exclusion-reinstatement-list.html", "notes": "Dated PDF discovered from the landing page. No NPI published; reinstatement dates tracked.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "de_medicaid_exclusions", "display_name": "Delaware DMAP Sanctioned Providers", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_de_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:48:13.014848+00:00", "last_record_count": 1808, "primary_url": "https://medicaidpublications.dhss.delaware.gov/docs/Search?Command=Core_Download&EntryId=1671", "notes": "Stable download URL, PDF. NPI, taxonomy, license, DEA, reinstatement dates. OIG-typed rows load with oig_reciprocal = TRUE.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "co_medicaid_exclusions", "display_name": "Colorado Medicaid Provider Terminations for Cause", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_co_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:47:58.115288+00:00", "last_record_count": 356, "primary_url": "https://hcpf.colorado.gov/provider-termination", "notes": "Two dated XLSX files discovered from the landing page: terminations for cause, plus reinstated providers (loaded with reinstatement_date set and is_currently_excluded = FALSE).", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ca_medicaid_exclusions", "display_name": "California Medi-Cal Suspended & Ineligible Provider List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_ca_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:47:57.153978+00:00", "last_record_count": 22547, "primary_url": "https://mcweb.apps.prd.cammis.medi-cal.ca.gov/references/sandi", "notes": "DHCS S&I list (~22K rows). XLSX behind the Medi-Cal reference portal; loader resolves the file through the portal's public Directus CMS API (token published in the site's environment.js).", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "az_medicaid_exclusions", "display_name": "Arizona AHCCCS Provider Suspensions and Terminations", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_az_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:47:44.297094+00:00", "last_record_count": 210, "primary_url": "https://www.azahcccs.gov/Fraud/Downloads/ProviderSuspensionsTerminations.pdf", "notes": "Stable-URL PDF. Name, NPI, action type, effective date.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ar_medicaid_exclusions", "display_name": "Arkansas DHS Excluded Provider List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_ar_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:47:41.551026+00:00", "last_record_count": 2231, "primary_url": "https://humanservices.arkansas.gov/divisions-shared-services/medical-services/helpful-information-for-providers/excluded-provider-list/", "notes": "Direct CSV (dhs.arkansas.gov exclusions publicsearch Download). Name/city/state/zip only \u2014 no NPI, no dates.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "al_medicaid_exclusions", "display_name": "Alabama Medicaid Suspended Providers", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_al_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:47:38.999731+00:00", "last_record_count": 2085, "primary_url": "https://medicaid.alabama.gov/content/8.0_Fraud/8.7_Suspended_Providers.aspx", "notes": "Dated XLSX discovered from the landing page. Name + suspension date + initiating agency, grouped under profession section headers. No NPI published.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ak_medicaid_exclusions", "display_name": "Alaska Medicaid Excluded Provider List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_ak_medicaid_exclusions", "last_loaded_at": "2026-10-01T09:47:36.482178+00:00", "last_record_count": 299, "primary_url": "https://health.alaska.gov/en/office-of-the-commissioner/medicaid-program-integrity/", "notes": "Dated PDF discovered from the landing page. No NPI published. OIG-authority rows load with oig_reciprocal = TRUE.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "pecos_reassignment", "display_name": "CMS PECOS Medicare Billing Reassignment", "source_type": "cms_dac_derived", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative_for_billing", "last_loaded_at": "2026-10-01T09:47:26.281434+00:00", "last_record_count": 1767885, "primary_url": "https://data.cms.gov/provider-data/dataset/mj5m-pzi6", "notes": "NPI-to-organization billing relationship per Medicare. Includes voluntary attendings, locums, employed staff \u2014 does not distinguish W-2 employment.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "dac_providers", "display_name": "CMS DAC National Downloadable File", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative_for_practice_location", "last_loaded_at": "2026-10-01T09:32:19.752639+00:00", "last_record_count": 3112644, "primary_url": "https://data.cms.gov/provider-data/dataset/mj5m-pzi6", "notes": "Practice location, specialty, group size, hospital affiliations for Medicare-enrolled clinicians.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "nppes", "display_name": "CMS NPPES NPI Registry", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative_for_identity", "last_loaded_at": "2026-10-01T09:13:56.038634+00:00", "last_record_count": 9811519, "primary_url": "https://npiregistry.cms.hhs.gov/", "notes": "National Provider Identifier registry \u2014 provider identity, taxonomy, address.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "medicare_enrollment", "display_name": "CMS Medicare Monthly Enrollment", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative_for_medicare_enrollment_counts", "last_loaded_at": "2026-10-01T09:02:44.906131+00:00", "last_record_count": 567095, "primary_url": "https://data.cms.gov/summary-statistics-on-beneficiary-enrollment", "notes": "County-level enrollment, MA penetration, demographics. 567K rows.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "hospital_enrollments", "display_name": "CMS Hospital Enrollment Data (PECOS)", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative_for_hospital_ccn", "last_loaded_at": "2026-10-01T09:00:49.697882+00:00", "last_record_count": 9161, "primary_url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "notes": "PECOS hospital enrollment records linking CCNs to associate IDs.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "hpsa", "display_name": "HRSA Health Professional Shortage Areas (HPSA)", "source_type": "hrsa_data", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative_for_shortage_areas", "last_loaded_at": "2026-10-01T09:00:46.419119+00:00", "last_record_count": 168922, "primary_url": "https://data.hrsa.gov/data/download", "notes": "Federally designated primary care / dental / mental health shortage areas. 163K rows.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 18, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "18d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "irf", "display_name": "CMS Inpatient Rehab Facility (IRF) Compare", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_irf_quality", "last_loaded_at": "2026-09-28T08:00:46.726199+00:00", "last_record_count": 1463, "primary_url": "https://data.cms.gov/provider-data/topics/inpatient-rehabilitation-facilities", "notes": "Quality measures. 28 quarters of history.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 21, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "21d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ltch", "display_name": "CMS Long-Term Care Hospital (LTCH) Compare", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_ltch_quality", "last_loaded_at": "2026-09-28T08:00:27.129131+00:00", "last_record_count": 406, "primary_url": "https://data.cms.gov/provider-data/topics/long-term-care-hospitals", "notes": "Quality measures. 27 quarters of history.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 21, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "21d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_dailymed", "display_name": "DailyMed drug labels (official SPL record)", "source_type": "nih_bulk", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative", "last_loaded_at": "2026-09-21T09:33:59.165090+00:00", "last_record_count": 52571, "primary_url": "https://dailymed.nlm.nih.gov/dailymed/spl-resources-all-drug-labels.cfm", "notes": "Human prescription labels from DailyMed, the official Structured Product Labeling record (not openFDA's copy): set_id, version, effective date, title, labeler, and the boxed warning, indications, dosage and administration, and contraindications sections by LOINC code, with the official SPL-to-RxNorm and pharmacologic class mapping files. Every label URL is pinned to the stored version.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 28, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "28d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_fmp_company_financials", "display_name": "SEC EDGAR company financials for PBM parents and generic manufacturers (via FMP)", "source_type": "sec_edgar_via_fmp", "license": "commercial_feed_of_public_filings", "update_cadence": "quarterly", "accuracy_class": "authoritative", "last_loaded_at": "2026-09-11T23:24:16.146335+00:00", "last_record_count": 496, "primary_url": "https://www.sec.gov/edgar", "notes": "Segment revenue and income statements for CVS, Cigna, UnitedHealth, Humana, and generic manufacturers. Figures are as filed with the SEC; the feed is a parsing convenience. Published surfaces cite EDGAR.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 38, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "38d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "dol_5500", "display_name": "DOL Form 5500 (ERISA retirement plan filings)", "source_type": "dol_efast2", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_w2_employee_count_and_plan_assets", "last_loaded_at": "2026-09-11T22:56:07.831041+00:00", "last_record_count": 1193974, "primary_url": "https://www.efast.dol.gov/", "notes": "EFAST2 bulk annual download. Filtered to healthcare NAICS codes 621xxx/622xxx/623xxx. active_participants_total summed across an EIN's plans = floor on W-2 employee count. Anchor for accuracy benchmarking.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 38, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "38d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_meps", "display_name": "AHRQ MEPS-HC Prescribed Medicines (with Full-Year Consolidated)", "source_type": "ahrq_puf", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "survey", "last_loaded_at": "2026-09-11T21:56:57.514376+00:00", "last_record_count": 1825370, "primary_url": "https://meps.ahrq.gov/mepsweb/data_stats/download_data_files.jsp", "notes": "Fill-level prescription events with 11-digit NDC, quantity, payer splits, and person weights, 2018 to the latest release. Joined to the consolidated file for age and insurance coverage; person_segment separates the privately insured under 65 (the employer population) from Medicare-age, public-only, and uninsured.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 38, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "38d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_costplus_history", "display_name": "Cost Plus Drugs catalog history (Internet Archive Wayback Machine)", "source_type": "web_archive", "license": "public_web_content", "update_cadence": "monthly", "accuracy_class": "observed", "last_loaded_at": "2026-09-11T21:34:59.848953+00:00", "last_record_count": 42, "primary_url": "https://web.archive.org/web/*/costplusdrugs.com/sitemap.xml", "notes": "Monthly presence of each medication slug in archived sitemaps since January 2022, plus first and last archived capture of each medication page. Yields the month a drug entered the Cost Plus catalog. Months without a usable capture are gaps, not removals.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 38, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "38d old; within monthly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_cms_spending", "display_name": "CMS Medicare Part D, Part B, and Medicaid Spending by Drug", "source_type": "cms_data_api", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative", "last_loaded_at": "2026-09-11T21:12:51.532732+00:00", "last_record_count": 288571, "primary_url": "https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug", "notes": "Annual spending, units, claims, and beneficiaries by brand, generic, and manufacturer, unpivoted to one row per year. Includes the quarterly Part D file and Part D by geography and drug.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 38, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "38d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ga_medicaid_exclusions", "display_name": "Georgia DCH OIG Exclusions List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_ga_medicaid_exclusions", "last_loaded_at": "2026-09-01T09:14:54.823989+00:00", "last_record_count": 1375, "primary_url": "https://dch.georgia.gov/office-inspector-general/georgia-oig-exclusions-list", "notes": "XLSX behind a Drupal document link. NPI column sparsely populated; SANCDATE is YYYYMMDD.", "is_active": true, "freshness": {"freshness": "stale", "age_days": 48, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "48d old; past monthly refresh window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "hospice", "display_name": "CMS Hospice Compare", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_hospice_quality", "last_loaded_at": "2026-08-31T08:00:28.681562+00:00", "last_record_count": 8517, "primary_url": "https://data.cms.gov/provider-data/topics/hospice-care", "notes": "Quality measures, patient experience. 30 quarters of history.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 49, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "49d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "npdb_puf", "display_name": "NPDB Public Use Data File (adverse actions)", "source_type": "federal_bulk_download", "license": "public_dua_restricted", "update_cadence": "quarterly", "accuracy_class": "benchmark_only_deidentified", "last_loaded_at": "2026-08-18T17:20:42.663658+00:00", "last_record_count": 1378478, "primary_url": "https://www.npdb.hrsa.gov/resources/publicData.jsp", "notes": "De-identified by statute: no names, no NPIs; never joins to provider data and is never exposed through a public endpoint. Internal benchmark for state discipline coverage. Download requires a click-through DUA, so the quarterly refresh is manual: scripts/load_npdb.py --file <zip>. Adverse-action subset (RECTYPEs A/C).", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 62, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "62d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "irs_990", "display_name": "IRS Form 990 (Schedules R, J)", "source_type": "irs_990_xml", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_nonprofit_org_chart_and_compensation", "last_loaded_at": "2026-08-18T09:12:35.945642+00:00", "last_record_count": 3554, "primary_url": "https://projects.propublica.org/nonprofits/", "notes": "Schedule R (related orgs) + Schedule J (top compensated employees) deep-parsed in Loop 2. Schedule R supersedes hand-curated nonprofit_subsidiary_crosswalk seed. Schedule J names fuzzy-matched to NPIs where possible.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 62, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "62d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "nj_medicaid_exclusions", "display_name": "New Jersey OSC Medicaid Debarment/Disqualification List", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "monthly", "accuracy_class": "authoritative_for_nj_medicaid_exclusions", "last_loaded_at": "2026-08-18T03:35:56.969453+00:00", "last_record_count": 4030, "primary_url": "https://www.nj.gov/comptroller/doc/nj_debarment_list.pdf", "notes": "PDF table (~129 pages) parsed with pdfplumber (bundled in the pipeline runtime since 2026-08-18). Carries NPI, address, action type, effective/expiration dates.", "is_active": true, "freshness": {"freshness": "stale", "age_days": 62, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "62d old; past monthly refresh window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ca_medical_board", "display_name": "California Medical Board License Database (via CA Open Data)", "source_type": "state_open_data_api", "license": "public_domain", "update_cadence": "monthly", "accuracy_class": "authoritative_for_ca_license_status", "last_loaded_at": "2026-08-17T16:00:29.291978+00:00", "last_record_count": 5208667, "primary_url": "https://www.mbc.ca.gov/Resources/Statistics/Public-Information.aspx", "notes": "California Medical Board licensee data. Not currently loaded from primary source \u2014 see docs/STATE_MEDICAL_BOARD_ROLLOUT.md. Real path is (a) MBC bulk file via ToS-gated BOX file share, or (b) DCA Search API for MBC + Osteopathic + PA + BRN in one integration. data.ca.gov path from earlier notes yields Physician Survey aggregates, not the licensee roster. Freshness follows the monthly NPPES reload (data is NPPES-derived until a real CA loader ships).", "is_active": true, "freshness": {"freshness": "stale", "age_days": 63, "cadence": "monthly", "stale_threshold_days": 45, "critical_threshold_days": 100, "detail": "63d old; past monthly refresh window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "dialysis", "display_name": "CMS Dialysis Facility Compare", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_dialysis_quality", "last_loaded_at": "2026-08-14T03:43:07.012881+00:00", "last_record_count": 8635, "primary_url": "https://data.cms.gov/provider-data/topics/dialysis-facilities", "notes": "Star ratings, quality measures, patient experience. 30 quarters of history.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 66, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "66d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "home_health", "display_name": "CMS Home Health Compare", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_hh_quality", "last_loaded_at": "2026-08-14T03:42:47.307032+00:00", "last_record_count": 14702, "primary_url": "https://data.cms.gov/provider-data/topics/home-health-services", "notes": "Star ratings, patient experience. 30 quarters of history.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 66, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "66d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "cms_pos", "display_name": "CMS Provider of Services File (Hospital & Other)", "source_type": "government", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative", "last_loaded_at": "2026-08-13T22:56:45.906955+00:00", "last_record_count": 583212, "primary_url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities", "notes": "Quarterly CMS Provider of Services file. Service-line availability (~50 clinical service flags), accreditation agency/dates, medical school affiliation/teaching status, bed counts, legal business name. Loaded via scripts/enrichment/enrich_from_pos.py, run manually each quarter when CMS publishes a new extract (not yet on the automated pipeline cadence).", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 67, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "67d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "clinical_trials", "display_name": "ClinicalTrials.gov", "source_type": "government", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative", "last_loaded_at": "2026-08-13T06:41:01.629930+00:00", "last_record_count": 194386, "primary_url": "https://clinicaltrials.gov/data-api/api", "notes": "ClinicalTrials.gov API v2, all studies with at least one US-located site (~194K as of 2026-07). Site-to-facility and investigator-to-NPI matching is approximate (normalized name + location) and conservative \u2014 unmatched does not mean unaffiliated.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 67, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "67d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "hcris", "display_name": "CMS Hospital Cost Report Information System (HCRIS)", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_hospital_financials", "last_loaded_at": "2026-08-13T06:32:16.014958+00:00", "last_record_count": 52090, "primary_url": "https://www.cms.gov/data-research/statistics-trends-and-reports/cost-reports", "notes": "Hospital cost reports \u2014 revenue, expenses, margins. 42K rows.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 67, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "67d old; within quarterly window", "latest_release_available": null, "latest_release_loaded": "2025", "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": "2025", "release_checked_at": null}, {"source_id": "ahrq_sdoh", "display_name": "AHRQ Social Determinants of Health Database", "source_type": "ahrq_data", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_sdoh", "last_loaded_at": "2026-06-26T18:56:01.666755+00:00", "last_record_count": 38795, "primary_url": "https://www.ahrq.gov/sdoh/data-analytics/sdoh-data.html", "notes": "Census-tract-level SDOH indicators: income, insurance, housing, education, language. 38.8K rows.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 115, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "115d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "sec_10k", "display_name": "SEC EDGAR Form 10-K (annual reports)", "source_type": "sec_filings_via_fmp", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_public_company_financials", "last_loaded_at": "2026-06-17T21:25:23.399804+00:00", "last_record_count": 30, "primary_url": "https://www.sec.gov/edgar.shtml", "notes": "Annual reports for ~50 public healthcare services (HCA, Tenet, UHS, Surgery Partners, etc.) via Financial Modeling Prep parsed feed. Income statement + balance sheet per fiscal year. Segment breakdown where disclosed.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 124, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "124d old; within annual window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "sec_8k", "display_name": "SEC EDGAR Form 8-K (M&A Events)", "source_type": "sec_filings_via_fmp", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative_for_material_corporate_events", "last_loaded_at": "2026-06-17T21:25:20.105704+00:00", "last_record_count": 781, "primary_url": "https://www.sec.gov/edgar.shtml", "notes": "Item 1.01 (Material Definitive Agreement) and Item 2.01 (Completion of Acquisition or Disposition) are SEC-mandated M&A disclosure items. Public healthcare services file these in real time. Our /ma-events/* surface aggregates them. Cadence audit 2026-08-17: loads with the quarterly SEC/FMP pass.", "is_active": true, "freshness": {"freshness": "stale", "age_days": 124, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "124d old; past quarterly refresh window", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "physician_employer_systems", "display_name": "Verzi-curated employer typology crosswalk", "source_type": "internal_curation", "license": "verzi_proprietary", "update_cadence": "manual", "accuracy_class": "high_for_top_300_systems", "last_loaded_at": "2026-06-11T04:01:48.529120+00:00", "last_record_count": 1057, "primary_url": null, "notes": "Hand-curated mapping of PECOS PAC IDs to parent systems with employer_type classification (hospital_system, pe_platform, payer_vertical, etc.). Cadence audit 2026-08-17: hand-curated, no refresh clock.", "is_active": true, "freshness": {"freshness": "exempt", "age_days": 130, "cadence": "manual", "stale_threshold_days": 0, "critical_threshold_days": 0, "detail": "hand-curated; refreshes when curation happens, not on a clock", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "ma_stars", "display_name": "CMS Medicare Advantage & Part D Star Ratings", "source_type": "cms_archive", "license": "public_domain", "update_cadence": "annual", "accuracy_class": "authoritative_for_ma_plan_quality", "last_loaded_at": "2026-04-29T18:21:40.887156+00:00", "last_record_count": 4187, "primary_url": "https://www.cms.gov/medicare/health-plans/medicareadvtgspecratestats/data", "notes": "MA / Part D plan star ratings by contract.", "is_active": true, "freshness": {"freshness": "fresh", "age_days": 173, "cadence": "annual", "stale_threshold_days": 400, "critical_threshold_days": 550, "detail": "173d old; within annual window", "latest_release_available": null, "latest_release_loaded": "2025", "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": "2025", "release_checked_at": null}, {"source_id": "docs_resources", "display_name": "Verzi Methodology + Resource Library", "source_type": "verzi_published_documents", "license": "verzi_published", "update_cadence": "manual", "accuracy_class": "methodology_reference", "last_loaded_at": null, "last_record_count": null, "primary_url": "https://api.healthcaredata.io/resources", "notes": "Published methodology docs: API Style Guide, Accuracy Benchmark, HCA Case Study, License Intelligence, Employment Reconciliation, Financial Intelligence. Surfaced at /resources for customer audit. Cadence audit 2026-08-17: refreshes with docs deploys, not on a clock.", "is_active": false, "freshness": {"freshness": "exempt", "age_days": null, "cadence": "manual", "stale_threshold_days": 0, "critical_threshold_days": 0, "detail": "hand-curated; refreshes when curation happens, not on a clock", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "fl_medical_board", "display_name": "Florida MQA Practitioner Licensure Database", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "pending", "accuracy_class": "authoritative_for_fl_license_status", "last_loaded_at": null, "last_record_count": null, "primary_url": "https://data-download.mqa.flhealthsource.gov/", "notes": "Florida Department of Health Medical Quality Assurance (MQA) public data portal. Bulk practitioner licensure file covers all ~200 MQA-regulated professions (MD, DO, PA, APRN, RN, LPN, dentist, pharmacist, etc.) on a single feed. Pipe-delimited or CSV, refreshed daily. Requires free MQA account (Google sign-in OK) to download. Disciplinary actions available in a separate MQA download. Cadence audit 2026-08-17: loader written, awaiting MQA account; redeclare daily at activation.", "is_active": false, "freshness": {"freshness": "exempt", "age_days": null, "cadence": "pending", "stale_threshold_days": 0, "critical_threshold_days": 0, "detail": "declared but not yet live; no load expected", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "google_geocoding", "display_name": "Google Maps Geocoding API", "source_type": "commercial_api", "license": "google_maps_platform_tos", "update_cadence": "as_needed", "accuracy_class": "authoritative_for_coordinates", "last_loaded_at": null, "last_record_count": null, "primary_url": "https://developers.google.com/maps/documentation/geocoding", "notes": "Latitude / longitude for 60K facilities (98.6% coverage). Used under Google Maps Platform Terms of Service. Coordinates cached locally \u2014 Google data not redistributed.", "is_active": false, "freshness": {"freshness": "exempt", "age_days": null, "cadence": "as_needed", "stale_threshold_days": 0, "critical_threshold_days": 0, "detail": "runs only when new inputs appear; quiet is normal", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "rx_sdud", "display_name": "CMS Medicaid State Drug Utilization Data (SDUD)", "source_type": "medicaid_gov_bulk", "license": "public_domain", "update_cadence": "quarterly", "accuracy_class": "authoritative", "last_loaded_at": null, "last_record_count": null, "primary_url": "https://www.medicaid.gov/medicaid/prescription-drugs/state-drug-utilization-data", "notes": "NDC by state by quarter units, prescriptions, and reimbursement. Loaded from 2019 forward.", "is_active": false, "freshness": {"freshness": "never", "age_days": null, "cadence": "quarterly", "stale_threshold_days": 100, "critical_threshold_days": 200, "detail": "never loaded", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}, {"source_id": "tx_medical_board", "display_name": "Texas Medical Board Practitioner Roster (ORSSP)", "source_type": "state_bulk_download", "license": "public_records_permissive", "update_cadence": "pending", "accuracy_class": "authoritative_for_tx_license_status", "last_loaded_at": null, "last_record_count": null, "primary_url": "https://orssp.tmb.state.tx.us/", "notes": "Texas Medical Board Open Records Self-Service Portal (ORSSP). Predefined monthly reports for physicians (PHY), physician assistants (PA), and physicians-in-training (PIT). Fixed-width text and Excel; refreshed on the first business day of each month. Requires a paid ORSSP account. Field layout PDFs public at /layouts/{code}_layout.pdf. Disciplinary actions live in a separate SearchBA scraping surface, not in ORSSP. Cadence audit 2026-08-17: loader written, awaiting ORSSP account; redeclare monthly at activation.", "is_active": false, "freshness": {"freshness": "exempt", "age_days": null, "cadence": "pending", "stale_threshold_days": 0, "critical_threshold_days": 0, "detail": "declared but not yet live; no load expected", "latest_release_available": null, "latest_release_loaded": null, "release_lag": false}, "warrants": null, "archive_file_count": null, "last_fetch_at": null, "last_change_at": null, "latest_publisher_version": null, "latest_release_available": null, "latest_release_loaded": null, "release_checked_at": null}], "meta": {"as_of": "current"}}