{"source_count":83,"active_sources":59,"stale_sources":0,"critical_sources":0,"sources":[{"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":"2026-08-22T12:00:20.664226+00:00","last_record_count":2446491,"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 — 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"}},{"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":"2026-08-22T11:50:18.323710+00:00","last_record_count":1545905,"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"}},{"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":"2026-08-22T11:27:35.403167+00:00","last_record_count":790736,"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"}},{"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":"2026-08-18T19:55:12.986405+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 — no dates, no NPI, no provider type. Letter URLs kept in raw_payload.","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"}},{"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":3,"cadence":"quarterly","stale_threshold_days":100,"critical_threshold_days":200,"detail":"3d old; within quarterly window"}},{"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":4,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"4d old; within annual window"}},{"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":"2026-08-18T03:55:54.377157+00:00","last_record_count":13404,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:55:44.158679+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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:51:35.054899+00:00","last_record_count":167,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:51:30.360072+00:00","last_record_count":178,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:51:27.740385+00:00","last_record_count":208,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:51:25.182508+00:00","last_record_count":1307,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:51:21.346277+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":"fresh","age_days":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:51:17.230812+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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:51:10.942880+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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:51:04.400438+00:00","last_record_count":1309,"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 — three sanction columns share a header. Federal-authority rows load with oig_reciprocal = TRUE.","is_active":true,"freshness":{"freshness":"fresh","age_days":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:50:56.318598+00:00","last_record_count":1794,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:50:44.678610+00:00","last_record_count":1423,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:50:35.231680+00:00","last_record_count":209,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:37:09.681271+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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:50.100414+00:00","last_record_count":279,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:46.248676+00:00","last_record_count":204,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:41.866675+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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:39.401128+00:00","last_record_count":193,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:36.951441+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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:33.664950+00:00","last_record_count":1367,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:29.534875+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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:26.999123+00:00","last_record_count":355,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:21.595801+00:00","last_record_count":6730,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:12.657851+00:00","last_record_count":2213,"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 — no NPI, no dates.","is_active":true,"freshness":{"freshness":"fresh","age_days":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:07.861776+00:00","last_record_count":403,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:36:04.640732+00:00","last_record_count":5943,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"fresh","age_days":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:35:37.263139+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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:35:32.492079+00:00","last_record_count":1617,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:35:27.945248+00:00","last_record_count":4043,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:35:21.486757+00:00","last_record_count":2117,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:35:16.776556+00:00","last_record_count":9011,"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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T03:34:52.169311+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":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-18T00:28:30.354469+00:00","last_record_count":69840,"primary_url":"https://npiregistry.cms.hhs.gov/","notes":"National Provider Identifier registry — provider identity, taxonomy, address.","is_active":true,"freshness":{"freshness":"fresh","age_days":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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 — 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":"fresh","age_days":4,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"4d old; within monthly window"}},{"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":"2026-08-17T11:06:59.155751+00:00","last_record_count":2012610,"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":5,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"5d old; within monthly window"}},{"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":"2026-08-17T08:00:22.135072+00:00","last_record_count":75,"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":5,"cadence":"weekly","stale_threshold_days":10,"critical_threshold_days":21,"detail":"5d old; within weekly window"}},{"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":"2026-08-17T07:51:51.632361+00:00","last_record_count":1767571,"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 — does not distinguish W-2 employment.","is_active":true,"freshness":{"freshness":"fresh","age_days":5,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"5d old; within monthly window"}},{"source_id":"nursing_homes","display_name":"CMS Nursing Home Compare (Quality)","source_type":"cms_archive","license":"public_domain","update_cadence":"weekly","accuracy_class":"authoritative_for_nh_quality","last_loaded_at":"2026-08-14T07:08:49.767681+00:00","last_record_count":17,"primary_url":"https://data.cms.gov/provider-data/topics/nursing-homes","notes":"Star ratings, quality measures, staffing, penalties. 83 quarters of history.","is_active":true,"freshness":{"freshness":"fresh","age_days":8,"cadence":"weekly","stale_threshold_days":10,"critical_threshold_days":21,"detail":"8d old; within weekly window"}},{"source_id":"clinicians","display_name":"CMS Doctors and Clinicians (MIPS)","source_type":"cms_archive","license":"public_domain","update_cadence":"weekly","accuracy_class":"authoritative_for_clinician_mips","last_loaded_at":"2026-08-14T03:57:28.611263+00:00","last_record_count":8,"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":8,"cadence":"weekly","stale_threshold_days":10,"critical_threshold_days":21,"detail":"8d old; within weekly window"}},{"source_id":"dialysis","display_name":"CMS Dialysis Facility Compare","source_type":"cms_archive","license":"public_domain","update_cadence":"weekly","accuracy_class":"authoritative_for_dialysis_quality","last_loaded_at":"2026-08-14T03:43:07.012881+00:00","last_record_count":6,"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":8,"cadence":"weekly","stale_threshold_days":10,"critical_threshold_days":21,"detail":"8d old; within weekly window"}},{"source_id":"home_health","display_name":"CMS Home Health Compare","source_type":"cms_archive","license":"public_domain","update_cadence":"weekly","accuracy_class":"authoritative_for_hh_quality","last_loaded_at":"2026-08-14T03:42:47.307032+00:00","last_record_count":9,"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":8,"cadence":"weekly","stale_threshold_days":10,"critical_threshold_days":21,"detail":"8d old; within weekly window"}},{"source_id":"hospitals","display_name":"CMS Hospital Compare (Quality)","source_type":"cms_archive","license":"public_domain","update_cadence":"weekly","accuracy_class":"authoritative_for_hospital_quality","last_loaded_at":"2026-08-14T03:42:22.400901+00:00","last_record_count":73,"primary_url":"https://data.cms.gov/provider-data/topics/hospitals","notes":"Star ratings, HCAHPS, HVBP, HAC, mortality, readmissions, HAIs. 31 quarters of history.","is_active":true,"freshness":{"freshness":"fresh","age_days":8,"cadence":"weekly","stale_threshold_days":10,"critical_threshold_days":21,"detail":"8d old; within weekly window"}},{"source_id":"hospice","display_name":"CMS Hospice Compare","source_type":"cms_archive","license":"public_domain","update_cadence":"weekly","accuracy_class":"authoritative_for_hospice_quality","last_loaded_at":"2026-08-14T03:41:51.709095+00:00","last_record_count":8,"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":8,"cadence":"weekly","stale_threshold_days":10,"critical_threshold_days":21,"detail":"8d old; within weekly window"}},{"source_id":"irf","display_name":"CMS Inpatient Rehab Facility (IRF) Compare","source_type":"cms_archive","license":"public_domain","update_cadence":"weekly","accuracy_class":"authoritative_for_irf_quality","last_loaded_at":"2026-08-14T03:41:42.760984+00:00","last_record_count":4,"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":8,"cadence":"weekly","stale_threshold_days":10,"critical_threshold_days":21,"detail":"8d old; within weekly window"}},{"source_id":"ltch","display_name":"CMS Long-Term Care Hospital (LTCH) Compare","source_type":"cms_archive","license":"public_domain","update_cadence":"weekly","accuracy_class":"authoritative_for_ltch_quality","last_loaded_at":"2026-08-14T03:41:26.034326+00:00","last_record_count":3,"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":8,"cadence":"weekly","stale_threshold_days":10,"critical_threshold_days":21,"detail":"8d old; within weekly window"}},{"source_id":"pecos_enrollment","display_name":"CMS PECOS Individual Enrollment (855I)","source_type":"cms_archive","license":"public_domain","update_cadence":"monthly","accuracy_class":"authoritative_for_medicare_enrollment","last_loaded_at":"2026-08-01T09:05:45.447065+00:00","last_record_count":2978925,"primary_url":"https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment","notes":"Medicare provider enrollment, specialty, multi-state. 2.98M records.","is_active":true,"freshness":{"freshness":"fresh","age_days":21,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"21d old; within monthly window"}},{"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":"2026-08-01T09:02:36.607804+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":21,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"21d old; within monthly window"}},{"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":"2026-08-01T09:00:41.607525+00:00","last_record_count":165649,"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":21,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"21d old; within monthly window"}},{"source_id":"oig_exclusions","display_name":"HHS OIG List of Excluded Individuals/Entities (LEIE)","source_type":"hhs_oig_leie","license":"public_domain","update_cadence":"monthly","accuracy_class":"authoritative_for_federal_exclusions","last_loaded_at":"2026-08-01T09:00:26.398837+00:00","last_record_count":83665,"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":21,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"21d old; within monthly window"}},{"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":"2026-08-01T09:00:20.755466+00:00","last_record_count":9162,"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":21,"cadence":"monthly","stale_threshold_days":45,"critical_threshold_days":100,"detail":"21d old; within monthly window"}},{"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":65,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"65d old; within annual window"}},{"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":"2026-06-17T21:12:29.991546+00:00","last_record_count":26188,"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":65,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"65d old; within annual window"}},{"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":null,"last_record_count":null,"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":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"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":null,"last_record_count":null,"primary_url":"https://www.census.gov/programs-surveys/metro-micro.html","notes":"OMB-defined ZIP → CBSA (metro / micro area) mapping used for market geography. 30K rows.","is_active":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"source_id":"cbsa_population","display_name":"Census Bureau CBSA Population Estimates","source_type":"government","license":"public_domain","update_cadence":"annual","accuracy_class":"authoritative","last_loaded_at":null,"last_record_count":null,"primary_url":"https://www.census.gov/programs-surveys/metro-micro/data/datasets.html","notes":"Annual Metropolitan/Micropolitan Statistical Area population estimates (vintage year updates each spring, typically covering the prior July 1 estimate). Source file: cbsa-est{YEAR}-alldata.csv, filtered to CBSA-level rows only (MDIV and STCOU both blank).","is_active":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"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":null,"last_record_count":null,"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":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"source_id":"clinical_trials","display_name":"ClinicalTrials.gov","source_type":"government","license":"public_domain","update_cadence":"quarterly","accuracy_class":"authoritative","last_loaded_at":null,"last_record_count":null,"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 — unmatched does not mean unaffiliated.","is_active":false,"freshness":{"freshness":"never","age_days":null,"cadence":"quarterly","stale_threshold_days":100,"critical_threshold_days":200,"detail":"never loaded"}},{"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":null,"last_record_count":null,"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":false,"freshness":{"freshness":"never","age_days":null,"cadence":"quarterly","stale_threshold_days":100,"critical_threshold_days":200,"detail":"never loaded"}},{"source_id":"dartmouth_crosswalk","display_name":"Dartmouth Atlas of Health Care — 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":null,"last_record_count":null,"primary_url":"https://www.dartmouthatlas.org/","notes":"40.9K ZIPs → 306 Hospital Referral Regions → 3,436 Hospital Service Areas. Used for regional analytics. Cadence audit 2026-08-17: multi-year reference crosswalk; Dartmouth updates rarely.","is_active":false,"freshness":{"freshness":"exempt","age_days":null,"cadence":"static","stale_threshold_days":0,"critical_threshold_days":0,"detail":"static reference data; publisher updates rarely"}},{"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"}},{"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"}},{"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 — 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"}},{"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":null,"last_record_count":null,"primary_url":"https://www.cms.gov/data-research/statistics-trends-and-reports/cost-reports","notes":"Hospital cost reports — revenue, expenses, margins. 42K rows.","is_active":false,"freshness":{"freshness":"never","age_days":null,"cadence":"quarterly","stale_threshold_days":100,"critical_threshold_days":200,"detail":"never loaded"}},{"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":null,"last_record_count":null,"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":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"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":null,"last_record_count":null,"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":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"source_id":"ipps_impact","display_name":"CMS IPPS Impact File (Case Mix Index, Wage Index)","source_type":"government","license":"public_domain","update_cadence":"annual","accuracy_class":"authoritative","last_loaded_at":null,"last_record_count":null,"primary_url":"https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/historical-impact-files-fy-1994-through-present","notes":"IPPS Final Rule Impact Files, FY2023+. 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":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"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":null,"last_record_count":null,"primary_url":"https://www.cms.gov/medicare/health-plans/medicareadvtgspecratestats/data","notes":"MA / Part D plan star ratings by contract.","is_active":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"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":null,"last_record_count":null,"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":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"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":null,"last_record_count":null,"primary_url":"https://openpaymentsdata.cms.gov/","notes":"Pharma manufacturer payments to physicians + teaching hospitals.","is_active":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"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":null,"last_record_count":null,"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":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"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":null,"last_record_count":null,"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":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"}},{"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":null,"last_record_count":null,"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":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"source_id":"qpp_mips_tin","display_name":"CMS Quality Payment Program MIPS Participation (TIN-NPI)","source_type":"cms_qpp_csv","license":"public_domain","update_cadence":"annual","accuracy_class":"authoritative_for_mips_tin_anchor","last_loaded_at":null,"last_record_count":null,"primary_url":"https://data.cms.gov/provider-data/dataset/0ba7-2cgq","notes":"CMS Doctors and Clinicians dataset annual file. Each row links an NPI to the billing TIN (= EIN of billing entity), plus MIPS quality / cost / IA / PI score components. Use TIN as a strong employment signal: CMS confirmed this NPI billed under this EIN during the performance year.","is_active":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}},{"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":null,"last_record_count":null,"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":false,"freshness":{"freshness":"never","age_days":null,"cadence":"quarterly","stale_threshold_days":100,"critical_threshold_days":200,"detail":"never loaded"}},{"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"}},{"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":null,"last_record_count":null,"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":false,"freshness":{"freshness":"never","age_days":null,"cadence":"annual","stale_threshold_days":400,"critical_threshold_days":550,"detail":"never loaded"}}]}