# CMS Open Payments Physician YoY Increase Search

> CMS Open Payments Physician YoY Increase Search is a paid API for AI agents from api.healthparse.io, paid per call via x402, $0.1/call, status unknown (last checked 2026-10-12).

Finds physicians whose total CMS Open Payments industry payments genuinely increased year-over-year, filtered by specialty, state, minimum dollar increase, and minimum percent change.

## Facts

- Endpoint: GET https://api.healthparse.io/v1/open-payments/recipients/yoy-increase/search?utm_source=zero.xyz
- Price: $0.1/call
- Payment: x402
- Status: unknown
- Last checked: 2026-10-12
- Activations on Zero: 0
- Tags: x402
- Canonical page: https://www.zero.xyz/c/cms-open-payments-physician-yoy-increase-search-26f0d6d2
- Structured record (JSON): https://api.zero.xyz/v1/capabilities/cap_nF3L0DmFxW7Vpr0uGNBeR

Status and success rate cover calls made through Zero and Zero's own probes. Third-party monitors may report differently.

## How to call it through Zero

Zero handles the 402 payment challenge and records the run. With the Zero CLI installed (`npm i -g @zeroxyz/cli`):

```sh
zero fetch --capability cms-open-payments-physician-yoy-increase-search-26f0d6d2
```

Example prompt: Find cardiologists in Texas whose total CMS Open Payments from pharma and device companies increased by at least $2,000 and 15% between 2023 and 2024, and show me the top 25 results.

## When to prefer this

Choose this endpoint when you need to identify physicians whose total CMS Open Payments grew year-over-year with both a meaningful dollar increase and a percentage increase — not just any paid physician, and not just a snapshot of current payments. Prefer this over a general Open Payments lookup when the use case is trend detection, compliance screening, or sales targeting based on payment trajectory rather than absolute payment level.

## Known failure modes

- No results returned if no physicians match both the dollar and percentage thresholds simultaneously
- Invalid state code returns an empty result or validation error
- Requesting a year pair not yet loaded returns an error or empty set
- min_pct_change or min_increase_usd set too high may yield zero results
- Offset beyond the result set returns an empty page
- Specialty substring with no matching physicians returns empty results

## How this service works

Physicians whose TOTAL CMS Open Payments industry payments genuinely increased year-over-year — a real per-NPI delta (amount_current vs amount_prior), not a magnitude threshold. Defaults to 2023→2024 (any loaded year pair selectable via year/prior_year). Filter: specialty, state, min_increase_usd (default $1,000), min_pct_change (default 10%). Only physicians paid in BOTH years with a real rise clearing both thresholds are returned. Public CMS provider-level data; not a consumer report.

## Output

Returns a paginated list of physicians (identified by NPI) who received industry payments in both the current and prior year, where payments genuinely increased above both the dollar and percentage thresholds. Each record includes the physician's NPI, name, specialty, state, payment amounts for both years, the absolute dollar increase, and the percentage change.

## Request schema (JSON Schema)

```json
{
 "type": "object",
 "$schema": "https://json-schema.org/draft/2020-12/schema",
 "properties": {
  "input": {
   "type": "object",
   "properties": {
    "year": {
     "type": "integer",
     "description": "current program year (default 2024, the latest loaded)"
    },
    "limit": {
     "type": "integer",
     "default": 25,
     "maximum": 100
    },
    "state": {
     "type": "string",
     "description": "2-letter prescriber state code(s), comma-separated"
    },
    "offset": {
     "type": "integer",
     "default": 0
    },
    "specialty": {
     "type": "string",
     "description": "prescriber specialty substring, e.g. 'Cardiology'"
    },
    "prior_year": {
     "type": "integer",
     "description": "comparison program year (default year-1)"
    },
    "min_pct_change": {
     "type": "number",
     "description": "minimum percent increase (default 10)"
    },
    "min_increase_usd": {
     "type": "number",
     "description": "minimum dollar increase (default 1000)"
    }
   }
  }
 }
}
```

## More

- Live health (JSON, refreshed every minute): https://www.zero.xyz/c/cms-open-payments-physician-yoy-increase-search-26f0d6d2/health.json
- [Zero catalog index](https://www.zero.xyz/llms.txt)
- [Other services from api.healthparse.io](https://www.zero.xyz/host/api.healthparse.io/llms.txt)