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Healthcare Intelligence Platform
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RIGHT PROVIDER. RIGHT PLACE. RIGHT TIME. RIGHT RATE.

The intelligence layer healthcare has been missing. Negotiated rates, physician cost profiles, referral networks, acquisition targets. All of it — finally in one place.

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$4.5T Healthcare spend exposed
1.2M+ Physicians profiled
49 Specialties benchmarked
53 Metro markets covered
Transparency in Coverage MRF
NPPES Physician Registry
CMS Medicare Claims
MSSP ACO Public Use File
HCRIS Hospital Cost Reports
Part D Prescribing Data
Open Payments Database
No Surprises Act Arbitration
Transparency in Coverage MRF
NPPES Physician Registry
CMS Medicare Claims
MSSP ACO Public Use File
HCRIS Hospital Cost Reports
Part D Prescribing Data
Open Payments Database
No Surprises Act Arbitration
The Problem

YOUR COMPETITORS
ALREADY KNOW.
DO YOU?

73%
of health plans negotiate contracts without knowing what competitors are paying
Payer MRF files have been public since 2022. The plans using them are winning every negotiation. The rest are guessing.
$2.1M
average annual revenue left on the table per physician group that can't benchmark peers
When you don't know where you sit in the cost distribution, you accept what you're offered. ProviderIQ shows you the entire market.
6 MOS
average PE diligence timeline — most of it hunting for data that already exists
Rate positioning, referral concentration, competitive landscape, compliance flags. A complete deal brief — from a single TIN lookup.
The Platform

NINE MODULES.
ONE EDGE.

Built for the three teams that decide where billions flow in healthcare — health plans, provider systems, and PE-backed rollups. Each module purpose-built. Each answer instant.

$ Rate Intelligence
What is every payer actually paying?
Pull negotiated rates by TIN across all major payers. Benchmark against peer groups in your MSA. Know before you negotiate.
TiC Live
Provider Intelligence
What does this physician actually cost?
Full NPI profile — cost per episode, quality scores, peer benchmarks, utilization patterns, payer rate detail.
Live
Network Adequacy
Where are your access gaps?
Upload a roster. Get drive-time isochrones, CMS adequacy scoring, and a ranked gap map by specialty and geography.
ACO Benchmarking
How does your ACO actually rank?
Search 600+ MSSP ACOs. Filter by track, state, size. See benchmark erosion, quality scores, and savings distribution.
MSSP
Rx Part D Prescribing
Who is the outlier — and why?
Flag high-opioid, high-brand, high-cost prescribers. Filter by specialty. Export for credentialing or utilization management.
🏥 Hospital Intelligence
What is the hospital actually earning?
HCRIS-sourced operating margins, payer mix, cost per discharge. Ranked by market. Built for strategy and M&A teams.
M&A Diligence
Is this group worth buying?
Enter a TIN. Get a full deal brief — rate positioning, referral network concentration, competitive landscape, risk flags. Minutes, not months.
PE
VBC Contract Modeler
What will this contract actually pay out?
Live slider model for shared savings and capitation. Downside, base, upside — 5-year projection with benchmark erosion baked in.
Live
Site Selection
Where should the next clinic go?
Score every zip code by provider gap, competitor presence, payer mix, and demographic demand. Greenfield, infill, or rollup.
Who It's For

THREE TEAMS.
ONE TRUTH.

Health Plan
Contracting, Network & Medical Economics
You're negotiating against providers who already know what you're paying everyone else. Now you can see it too — every rate, every payer, every market. Walk into every contract negotiation with the full picture.
Rate Intelligence Network Adequacy Provider Intel VBC Modeler Part D
Provider / System
Strategy, Value-Based Care & Transactions
Your CFO is modeling VBC contracts in Excel with 3-year-old data. Your strategy team is doing M&A diligence by hand. Stop. The data health plans and PE firms are already using is right here.
Provider Intel ACO Benchmarking M&A Diligence VBC Modeler Site Selection
Employer / Benefits
Network Design, Cost Transparency & Access
You're spending $18,000 per employee per year and have no idea if your network is adequate, if your rates are competitive, or which physicians are actually cost-effective. Now you do.
Provider Lookup Network Adequacy Rate Benchmarks Hospital Compare
Live Data Feed

REAL DATA.
RIGHT NOW.

ProviderIQ · Provider Intelligence · Indianapolis-Carmel-Anderson MSA · Internal Medicine
Provider / Group
Cost Index
Quality
vs Peers
Flag
Group A
TIN ██████████ · 87 providers
0.94x
88/100
+12%
EFFICIENT
Group B
TIN ██████████ · 240+ providers
1.18x
82/100
-4%
REVIEW
Group C
TIN ██████████ · 34 providers
1.31x
71/100
-18%
OUTLIER
Group D
TIN ██████████ · 180 providers
1.02x
79/100
+3%
EFFICIENT
Group E
TIN ██████████ · 310 providers
1.22x
68/100
-8%
REVIEW
Get Started

YOU ALREADY
KNOW ENOUGH
TO ACT.

The data is live. The platform is built.
The only question is whether your competitors get there first.

No login required · All modules live · Real data