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🩺 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.

🕒 Last updated: 2026-05-31 · 📊 33 fields per record · 31,000+ code rows per year · 110 payment localities · 27 years (2000-2026)

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.

📋 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.

🎬 Full Demo

🚧 Coming soon: a 3-minute walkthrough showing a single-code lookup, a full-year export, and a national rate comparison.

⚙️ Input

Example: look up a few common office and imaging codes at the national rate.

{
"hcpcsCodes":"99213, 99214, 70450",
"year":"2026",
"modifier":"all",
"locality":"0000000",
"maxItems":50
}

Example: compare one code across every locality in the country.

{
"hcpcsCodes":"99213",
"year":"2026",
"locality":"ALL",
"maxItems":500
}

⚠️ 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.

📊 Output

Every run produces a flat table of fee schedule rows. One record is one code at one locality and modifier.

🧾 Schema

📦 Sample records

✨ Why choose this Actor

📊 The 2026 schedule alone holds 31,000+ priced code rows across 110 localities, all reachable in one run.

📈 How it compares to alternatives

One run replaces hours of manual code-by-code lookups or raw file wrangling.

🚀 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.

💼 Business use cases

🌟 Beyond business use cases

Data like this powers more than commercial workflows. The same structured records support research, education, civic projects, and personal initiatives.

🔌 Automating CMS Medicare Physician Fee Schedule Scraper

Run the Actor from your own code or on a schedule.

• Node.js: call the Actor with the apify-client package.
• Python: use the apify-client library to trigger runs and read datasets.
• Docs: see the Apify API reference for run, dataset, and webhook endpoints.

Schedules let you refresh the fee schedule automatically. Point a weekly or monthly schedule at the Actor so new conversion factors and code updates land in your dataset without manual runs.

❓ Frequently Asked Questions

🔌 Integrate with any app

• Make - build no-code automations triggered by new runs.
• Zapier - connect fee schedule exports to thousands of apps.
• Google Sheets - push rows straight into a spreadsheet.
• Slack - notify a channel when a run finishes.
• Airbyte - sync datasets into your warehouse.
• Apify API - call runs and read datasets from any backend.

🔗 Recommended Actors

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• 🆔 NPI/NPPES Healthcare Provider Scraper - look up providers, specialties, and practice addresses by NPI.
• 👩‍⚕️ Healthgrades Doctor & Provider Scraper - physician profiles, ratings, and reviews.
• 💊 Cost Plus Drugs Price Scraper - transparent retail drug prices for cost comparison.
• 📂 CMS Open Data Scraper - pull additional public datasets from the CMS open data catalog.

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

🆘 Need Help? Open our contact form

⚠️ 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.