{"uid":"cap_yOqapHvuBqjleYC8EyFnD","slug":"cms-pecos-provider-exodus-search-medical-group-clinician-churn-b85d056b","name":"CMS PECOS Provider Exodus Search — Medical Group Clinician Churn","description":"Which medical groups are losing clinicians? Windows two CMS reassignment snapshots (individual→group affiliation): per group, clinicians (NPIs) affiliated in the prior snapshot but gone in the latest. Filter by state, specialty, org (group name), group_id, min_dropped, or a since baseline. Returns net churn per org + the dropped NPIs — the facility-losing-clinicians backfill tell. CMS public-domain records.","url":"https://api.govparse.io/v1/pecos/provider-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":["Medical Group"],"description":"Group legal-business-name fragment."},"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":["FL"],"description":"Group state code(s), CSV."},"offset":{"type":"integer","examples":[0],"description":"Rows to skip."},"group_id":{"type":"string","examples":["I20090810000434"],"description":"Group PECOS enrollment id(s), CSV."},"specialty":{"type":"string","examples":["Podiatry"],"description":"Dropped clinician specialty fragment."},"min_dropped":{"type":"string","examples":["3"],"description":"Minimum clinicians lost per group."}}}}},"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_rKF_maQsF6I3arLbCr8z8","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":"Identifies medical groups losing clinicians by windowing two CMS PECOS reassignment snapshots and returning net churn counts plus dropped NPI lists per organization.","exampleAgentPrompt":"Which medical groups in Florida have lost at least 3 clinicians since January 2025? Show me up to 50 results, and filter for groups losing podiatrists specifically.","exampleUseCases":[{"title":"Staffing backfill opportunity targeting","prompt":"Find medical groups in Texas and Florida that have lost at least 5 clinicians in the last two CMS snapshots — I want to know which orgs are hemorrhaging providers so I can prioritize outreach for locum tenens placements."},{"title":"Specialty-specific workforce departure analysis","prompt":"Which Medicare-enrolled medical groups have been losing oncologists since early 2025? Give me the top 25 by number of dropped clinicians, along with the NPIs of the providers who left."},{"title":"Single org clinician retention audit","prompt":"Pull the clinician exodus data for the group with PECOS enrollment ID I20090810000434 — I want to see how many providers they've lost across the last two CMS snapshots and exactly which NPIs departed."}],"resultDescription":"Returns a list of medical groups ranked by clinician churn, including the group name, PECOS/group ID, state, net count of dropped clinicians, and the individual NPIs of clinicians who were affiliated in the prior CMS snapshot but absent in the latest one. Supports pagination via limit and offset.","failureModes":["No results returned when filters are too narrow (e.g., rare specialty in small state with high min_dropped threshold)","Invalid state code returns empty or error response","Malformed date in since parameter causes query failure","group_id not found in PECOS data returns empty result set","Rate limiting or payment failure on x402 protocol returns 402 or 429 status"],"whenToPreferThis":"Use this endpoint when you need to identify which specific medical groups are experiencing clinician departure trends using CMS PECOS public data, particularly for workforce intelligence, backfill targeting, or staffing market analysis. Prefer over general PECOS enrollment search when the goal is churn detection rather than current affiliation lookup. Best when you need the actual NPIs of departed clinicians, not just enrollment counts.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-15T00:44:03.992Z","isFirstParty":false}