Live Verification Overview
- Audit Frequency: Automated CMS API checks run every 24 hours; manual spot reviews occur weekly.
- Current Accuracy: 99.56% match rate across 8,079 surgeons and three primary joint replacement codes (27130, 27447, 23472).
- Data Window: Medicare Provider Utilization & Payment Data (2013β2023 service years).
How the Audit Pipeline Works
- Ingest the latest CMS release and normalize surgeon names, NPIs, and practice locations.
- Compare each surgeonβs procedure counts against the prior baseline to detect anomalies or missing records.
- Validate totals for hip, knee, and shoulder replacements individually to confirm CPT-level accuracy.
- Log & Alert discrepancies greater than 1% so the data team can review within 24 hours.
- Publish updated rankings, regenerate sitemaps, and timestamp the audit history for reference.
Transparency Commitments
- Significant discrepancies trigger a correction notice and public changelog entry.
- Full audit logs (timestamp, NPI, procedure category, variance) are retained for internal review.
- Users may request clarification or raw Medicare excerpts for any surgeon profile.
Accuracy Snapshot (2025-09)
Metric | Value |
---|---|
Surgeons Verified | 13,091 |
Hip Replacement Accuracy | 99.56% |
Knee Replacement Accuracy | 99.62% |
Shoulder Replacement Accuracy | 99.71% |
When Issues Occur
If an automated audit flags a material difference:
- The record is temporarily withheld from rankings if patient safety could be impacted.
- The underlying Medicare entry is cross-checked against the CMS source file.
- Corrections (name changes, merged practices, billing anomalies) are documented and deployed within one business day.
Need More Detail?
- Review the methodology notes
- Examine the medical sources library
- Contact our data team with any questions or requests for supporting evidence.
We treat data trust as a core product feature. Every fix, audit, and improvement is driven by the expectation that patients deserve clear, validated information before choosing a surgeon.