The Story Behind RTMD

Company Profile

Founded in 2002 in Birmingham, Alabama, RealTime Medicare Data’s core mission is to provide comprehensive, non-modeled, timely Medicare FFS claims data that allows companies to develop and support strategic business initiatives.

RTMD recognizes that healthcare organizations too often make decisions from incomplete, modeled, or out-of-date data. In order to help remedy this situation, we have established a first-to-market expertise and a working relationship with CMS. We understand data will drive decisions in the future. It’s about value, not volume—accurate and transparent data will fairly position you for the future.

In addition to hospitals, RTMD is currently working with cardiology groups, pharmaceutical companies, device manufacturers, state hospital associations, and other organizations to provide data expertise for all corners of the healthcare field.

Better data. Forward thinking.

At RTMD, we provide access to a comprehensive, AI-ready Medicare Fee-for-Service claims analytics dataset that is delivered to us already in a de-identified form. Our dataset options include both claim-level data (detailed records of individual service events, payments, procedures) and aggregated data summaries (e.g. roll-ups by geography, provider, payer or service category). This dual-layer structure gives you dynamic flexibility: you can analyze specific claim-level events or examine high-level metrics and trends across markets. Included in the dataset are both the full 5-digit beneficiary ZIP and provider ZIP, enabling market- and region-level insight with precise geographic granularity.

Unlike many standard claims-data solutions that are encumbered by restrictive use-agreements or regulatory constraints (such as those from the Research Data Assistance Center, ResDAC or the Qualified Entity Program, QE), our data is free from those mandated constraints—giving you faster, more flexible access for analytics, research, commercial, or operational purposes.

Because the data is delivered in a ready-to-use format, you can focus on what matters: generating actionable insights, benchmarking performance, analyzing granular service-utilization trends and exploring geography-driven analytics—rather than spending time on preprocessing or compliance hurdles.

At RTMD, we are committed to transparency, service and analytic agility. If you’d like to learn more about our data structure—how claim-level and aggregated layers work together, how the beneficiary ZIP and provider ZIP are pivotal, or what types of analytics our datasets support—we’re happy to schedule a demo and provide our full data dictionary and dataset options. To get started, request a demo below.

Better Data Matters

Why Choose RTMD

• Highly current claims data: Our datasets are typically available 90 days post-payment to ensure you’re working with near-real-time Medicare FFS claims—giving you up-to-date insight instead of outdated snapshots.
• Both claim-level and aggregated data options: The claim-level detail empowers granular analysis; the aggregated summaries enable market-level, provider, or service-line strategic views.
• Zip-level geographic insight: With full 5-digit zip codes for both beneficiaries and providers, you gain powerful region and market analytics capabilities.
• Includes 100% of CMS-1500 professional claims detail: By incorporating CMS-1500 claim records,  our datasets enable you to track shifts in care—from primary to specialist, site-of-service migration, referral patterns, and changes in modality or provider over time.
• Single source integrity: Our data comes from a single reliable source, ensuring its accuracy and reliability. Our data is fully transparent and is not forecasted or hidden behind black box algorithms.
• Fewer use constraints: Because our data isn’t subject to the standard regulatory restrictions (e.g., from ResDAC, or QE Program), you get greater access flexibility and faster deployment.
• Focus on analytics not compliance: With the heavy lifting of de-identification and regulatory barrier management handled upstream, you can spend time uncovering insights, not wrestling data prep or regulations.

What You Can Do With Our Data

• Benchmark provider or payer performance across geographies, service lines or peer groups.
• Conduct market sizing and opportunity assessment using zip-level insight plus claim-level events.
• Analyze utilization trends, cost profiling, and service-line dynamics in rich detail.
• Model value-based care initiatives, assess referral patterns and competitive dynamics.
• Support research, policy development, strategic planning — all powered by de-identified claims data with geographic depth.
• Map provider loyalty for specific service lines by ZIP code, enabling targeted outreach or competitive strategy.
• Identify sources of out-of-network referrals and leakage by geography or provider group, to help retain volume and improve network coordination.

Get Started

Whether you’re a hospital system, provider group, payer, life-sciences company or analytics firm, RTMD’s Medicare FFS claims data is designed to support your analytic needs. Contact us below to request a live demo, explore our dataset options and review our documentation and data dictionary. We’ll help you transform data into actionable insights with speed and flexibility. Keep up with recent Medicare trends and developments by subscribing to our newsletter.