🩺 CMS Medicare Physician Fee Schedule Scraper

🚀 Export Medicare physician fee schedule rates in seconds. Look up RVUs, GPCIs, and reimbursement amounts by CPT/HCPCS code and locality. No API key, no registration, no manual CSV wrangling.

The CMS Medicare Physician Fee Schedule Scraper pulls the official reimbursement data that drives every Medicare Part B claim. For any CPT or HCPCS code you give it, the actor returns the Work, Practice Expense, and Malpractice RVUs, the geographic practice cost indices (GPCIs) for the locality you pick, and the calculated non-facility and facility payment amounts plus their limiting charges. The pricing math mirrors the public CMS look-up tool exactly: RVUs are multiplied by the matching locality GPCIs and the annual conversion factor, so the numbers line up with what Medicare actually pays.

Medical billers and coders normally type codes one at a time into the cumbersome government search page. This actor turns that into a single bulk export. Pass a list of codes, a whole-year sweep, or a single locality, and receive clean CSV, Excel, JSON, or XML ready for spreadsheets, claim scrubbers, or reimbursement models. It covers all 110 Medicare localities, every year from 2000 through 2026, and surfaces the payment policy indicators (global period, multiple surgery, assistant surgery, supervision rules) that decide how a code is allowed to bill.

🎯 Target Audience	💡 Primary Use Cases
Medical billing specialists and coders	Verify reimbursement rates before submitting claims
Health insurance agents and analysts	Benchmark procedure rates for premium and network pricing
Healthcare administrators and RCM teams	Build fee schedules and appeal underpaid denials
Health-tech and data teams	Power reimbursement calculators and analytics tools

📋 What the CMS Medicare Physician Fee Schedule Scraper does

• 🔢 Look up any CPT/HCPCS code. Pass a single code, a comma-separated list, or leave it blank to export every code for the year.
• 📍 Pick a locality or sweep them all. Choose NATIONAL for the unadjusted rate, one of 110 GPCI localities, or ALL to compare a code across the country.
• 💵 Get calculated payment amounts. Non-facility and facility prices, plus limiting charges, computed from RVUs, GPCIs, and the annual conversion factor.
• 📊 Read the full RVU breakdown. Work, practice expense, and malpractice RVUs alongside each locality GPCI component.
• 🗂️ Filter by modifier. Pull the global rate, professional component (26), technical component (TC), or discontinued (53) pricing.
• 📅 Reach back 27 years. Compare current rates against any year from 2000 to 2026, including the 2026 dual conversion factor for APM participants.

Each record describes one code at one locality: the code and short description, procedure status, the three RVU components, the three GPCI components, the conversion factor, both payment amounts and limiting charges, and the payment policy indicators that govern billing. The 2026 schedule additionally flags whether a row uses the standard or the APM qualifying conversion factor.

💡 Why it matters: Medicare sets the benchmark that most private insurers follow. Having the full schedule in a spreadsheet means faster claims, stronger appeals, and accurate patient cost estimates without re-typing codes into a slow web form.

📊 Data fields

Each record includes: assistantSurgery, bilateralSurgery, coSurgery, conversionFactor, diagnosticImagingFamily, facilityLimitingCharge, facilityPeRvu, facilityPrice, global, hcpcsCode, locality, localityName, mac, macName, malpracticeGpci, malpracticeRvu, modifier, multipleSurgery, nonFacilityLimitingCharge, nonFacilityPeRvu, nonFacilityPrice, peGpci, physicianSupervision, procStatus, qppPriceIndicator, scrapedAt, shortDescription, teamSurgery, url, workGpci, workRvu, year. All 32 field names come from a real production run, so what you see here is what lands in your dataset.

⚠️ Good to Know: A code can return several rows per locality, one for each modifier and, in 2026, one for each conversion factor (standard vs APM qualifying). Use the modifier and qppPriceIndicator fields to tell them apart.

🚀 How to use

1. 🔐 Sign up. Create a free Apify account at console.apify.com.
2. 🔎 Open the Actor. Find the CMS Medicare Physician Fee Schedule Scraper in your console.
3. ⚙️ Set your input. Enter codes, pick a year, modifier, and locality, then set a max items cap.
4. ▶️ Run it. Start the Actor and watch rows stream into the dataset.
5. 📥 Export. Download as CSV, Excel, JSON, or XML, or pull from the API.

⏱️ Total time: about two minutes from sign-up to your first export.

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💡 Pro Tip: browse the complete ParseForge collection for more healthcare and public-data scrapers.

⚠️ Disclaimer: This is an independent tool and is not affiliated with or endorsed by CMS or the U.S. government. It collects only publicly available data from the CMS Physician Fee Schedule data service for lawful use.

🆘 Need Help?

If you hit a bug, have questions about setup, or need a scraper we haven't built yet, open our contact form or write to parseforge@protonmail.com. We also take on paid custom data projects.

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