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PECOS Enrollment Exodus Search
x402
PECOS Enrollment Exodus Search is a paid API for AI agents from api.govparse.io, paid per call via x402, $1.25/call, status unknown (last checked 2026-09-15).
Anti-joins two CMS PECOS quarterly snapshots to identify clinicians who dropped Medicare enrollment, aggregated by state and specialty, with filters for org, specialty, and minimum drop count.
Price / call$1.25
Success—
StatusUnknown
How this service works
Where are clinicians dropping off Medicare enrollment? Anti-joins two PPEF quarterly snapshots: enrollments present earlier but gone in the latest, aggregated per state × specialty. Filter by state, specialty, org, individuals_only, min_dropped, or a since baseline snapshot. Returns dropped_count and sample dropped NPIs — a backfill-demand tell for clinician staffing. CMS public-domain records.
Output
Returns rows aggregated by state and specialty, each with a dropped_count (number of enrollments present in the baseline snapshot but absent in the latest) and a sample list of dropped NPIs, enabling identification of geographies and specialties with elevated clinician attrition from Medicare.
Example use cases
Clinician staffing backfill demand signal
“I need to find where psychiatrists are dropping out of Medicare enrollment across all states, minimum 10 dropped per state, for individuals only — use a baseline snapshot from 2025-01-01 so I can figure out where we need to recruit.”
State-level specialty attrition for a health system
“Which states are losing the most Medicare-enrolled primary care providers? Show me enrollments that disappeared since 2024-07-01, individuals only, with at least 5 dropped per state.”
Org-specific enrollment exodus tracking
“Are any clinicians affiliated with 'Health First' organizations dropping their Medicare enrollment? Pull dropped enrollments filtered to that org name, minimum 3 dropped, across all specialties.”
Technical details
Endpoint
GEThttps://api.govparse.io/v1/pecos/enrollment-exodus/searchWhen to prefer
Choose this endpoint when you need to identify geographic or specialty-level clinician attrition from Medicare — specifically when the question is about who has *left* or *dropped* enrollment, not who is currently enrolled. It is the right tool for backfill demand analysis, workforce gap detection, or market intelligence around Medicare provider exodus. Prefer this over the general PECOS enrollment search when the temporal delta (enrollments lost between two snapshots) is what matters, not the current enrollment roster.
Side effects
- Invalid state code returns empty results or validation error
- since date format not YYYY-MM-DD causes parse error
- min_dropped as non-numeric string may cause query failure
- No matching snapshot data for the given baseline date returns empty result set
- Specialty fragment with no matches returns zero rows
- Exceeding limit cap of 100 silently truncates or returns error
Input
Schema · Request body
| Field | Type | Description |
|---|---|---|
| input | object |
Tags
x402
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