Exhibit A · real NPI · public federal filings Scored 14 Sep 2026
James Dowdell, M.D.

Orthopaedic Surgery of the Spine · New York, NY · NPI

300 580 740 850
801 A+

vs peer median · NY Orthopaedic Surgery of the Spine · P90

$71,700

Documented reimbursement opportunity a year, to the P90 target

Real Medicare volume · 15,736 indexed rates · 4 payers · modeled, not guaranteed

CPT 23472

+$4,338.25 per unit · 182% above the peer median

▼ His rate $6,718.35  |  Peer median $2,380.10  |  P90 target locked

specialty basis · n 560 · scored 14 Sep 2026 · TiC filings

A real practice from the public record. Not yours until you type yours.

Since 2022, every insurer must publish what it pays every practice.45 CFR 147.212

Paid at the top of his market.See yours free.

A real score, 801 of 850, for a New York spine surgeon. Type any NPI, yours or a client's.

Book a call →

No account. No card. No PHI.

Same filings. Same specialty. Opposite end.

Both surgeons were scored from the same federal files. One is paid at 801. One at 333.

Identity withheld. We do not name a practice its payers underpay. We name the payers.

Score any NPI you hold.

Every client you bill is on this record.

PracticeSTRateScoreGradeDocumented opportunity
Orthopaedic surgery ExampleCA333FVolume modeled, not printed
Pain medicine ExampleCA364F$326,000 to $1,106,200
Anesthesiology ExampleOH632CVolume modeled, not printed
Podiatry ExampleMN702B$3,600 to $67,200
James Dowdell, M.D. ExampleNY801A+$71,700

Real NPIs, public record, not a client book. Dollars print only on real volume: modeled, not guaranteed.

This makes your team look sharper, not late.

Nobody could read these files until now. They are federal filings in a format built for machines. Your client was never going to find this. You are the firm that brings it, before the renewal, with the payer's own published numbers attached.

We never contact your clients. The report carries your brand. We take no payer money. Ever.

Scoped to your book on a call. Never priced inline.

Our competitors charge $75K to $350K to do this. You start free.

We take no payer money. Ever.

Check it on your own NPI for $0 →

No PHI required No card CSV in, CSV out. Nothing to install.

We grade the payers too.

PayerScore: a modeled index from the federal IDR record. Full board →

314M+ records · 500+ payers · 50 states · 9.2M+ NPIs. The universe we index toward.

Know your number.

No account. No card. No PHI.

Book a discovery call30 MIN
Loading the live calendar
Book a call