ACO REACH Calculator for Doctors Based on NPI

Technology tools for evaluating physician participation and revenue potential in ACO REACH programs

Published on April 10, 2022

NPI-Based ACO REACH Analysis

As a technology geek in the Medicare space, Jeff Cline developed tools that analyze individual physician National Provider Identifier (NPI) data to evaluate ACO REACH participation potential. This granular analysis helps family offices assess healthcare investments at the provider level.

The Calculator Methodology

Our NPI-based calculator evaluates: attributed beneficiary count and demographics, historical cost patterns against regional benchmarks, quality measure performance trends, risk adjustment accuracy, and projected shared savings opportunity for each participating physician.

Investment Due Diligence Application

For family offices evaluating healthcare deals, NPI-level analysis provides unprecedented transparency into the actual revenue-generating capacity of provider networks. This bottom-up analysis validates or challenges top-down projections presented in pitch decks.

Technology Integration

The calculator integrates with CMS public use files, provider enrollment data, and claims analytics to deliver real-time assessments. This technology-driven approach exemplifies how our Geek Score methodology applies data analysis to investment decisions.

Ready to analyze your next deal?