Medicare Gpci Lookup
medicare_gpci_lookupWhat are the Medicare geographic adjustment indices (GPCIs) for a place — with NO procedure code needed? Returns the work, practice-expense and malpractice GPCI for a Medicare payment locality (or every locality in a state), for a calendar year. Answers "GPCI for Rest of Florida locality 99", "Medicare geographic practice cost index for San Francisco", "work GPCI Manhattan 2025", "which Medicare localities does California have". Medicare pays by LOCALITY, not state (California has nine), so a state or ambiguous name returns every matching locality rather than one chosen quietly, and the resolution is stated. The work GPCI is the floored value CMS pays on (1.0 floor where it applies). Pass state ("FL" or "Florida"), a locality name ("Bakersfield"), and/or locality_number ("99"); year defaults to the newest loaded and is stated. For the FQHC-specific adjustment see medicare_fqhc_gaf; for a dollar payment see medicare_physician_payment. Sourced from the CMS Physician Fee Schedule geographic practice cost indices.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| year | No | Calendar year, e.g. 2025. Omit for the newest loaded year (stated in the response). | |
| state | No | Optional state code or name; combine with locality_number to pin one locality. | |
| locality | No | State code ("FL"), state name ("Florida"), or Medicare locality name ("Bakersfield", "Manhattan", "Rest of Florida"). | |
| locality_number | No | Optional Medicare locality number, e.g. "99" (Rest of Florida) — needs state or locality to say which state. |
Output Schema
| Name | Required | Description | Default |
|---|---|---|---|
| hint | No | ||
| note | No | ||
| year | No | ||
| found | No | ||
| reason | No | ||
| source | No | ||
| data_as_of | No | ||
| localities | No | ||
| loaded_years | No | ||
| locality_count | No | ||
| work_gpci_note | No | ||
| year_was_defaulted | No |