{"uid":"cap_POXbE_rCOM39xNzGnGF2g","slug":"pecos-enrollment-exodus-search-b00c64d2","name":"PECOS Enrollment Exodus Search","description":"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.","url":"https://api.govparse.io/v1/pecos/enrollment-exodus/search","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","properties":{"input":{"type":"object","required":[],"properties":{"org":{"type":"string","examples":["Health"],"description":"Organization name fragment (org enrollments)."},"limit":{"type":"integer","examples":[25],"description":"Max rows (default 25, cap 100)."},"since":{"type":"string","examples":["2026-01-01"],"description":"Baseline snapshot: latest vs earliest on/after this date (YYYY-MM-DD)."},"state":{"type":"string","examples":["TX"],"description":"Enrollment state code(s), CSV."},"offset":{"type":"integer","examples":[0],"description":"Rows to skip."},"specialty":{"type":"string","examples":["Psychology"],"description":"Provider-type / specialty fragment."},"min_dropped":{"type":"string","examples":["5"],"description":"Minimum dropped enrollments per state×specialty."},"individuals_only":{"type":"string","examples":["true"],"description":"true = exclude organizational enrollments."}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"1.25","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$1.25/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"1.25","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"1.25","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_w-muoVg7XSXItx_aIp3vx","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"1.25","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"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.","exampleAgentPrompt":"Show me where Medicare enrollments are dropping off for psychologists — filter to Texas, individuals only, with at least 5 dropped enrollments, using a baseline from 2025-01-01.","exampleUseCases":[{"title":"Clinician staffing backfill demand signal","prompt":"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."},{"title":"State-level specialty attrition for a health system","prompt":"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."},{"title":"Org-specific enrollment exodus tracking","prompt":"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."}],"resultDescription":"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.","failureModes":["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"],"whenToPreferThis":"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.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-15T12:56:08.358Z","isFirstParty":false}