Enquirer Consulting Group

Reachable Buyer Map

Prepared for Prem Kumar, Encipher Health · August 2026
Here is the map Ana promised. You have built coding for specific settings, anesthesia, radiology, GI, evaluation and management, home health, which means your market is not one audience, it is a set of facility types that each buy differently. The useful part is that almost every one of them is enumerated in a federal file with an address attached, so this page can show you real counts instead of estimates. Below is who sits in each lane, who actually signs, and how fast each one moves. It maps the market around what you have built, not your operations, and there is nothing to buy at the end of it.
Home health agencies
The largest count on this page, and the lane where the coding is its own discipline rather than a variation on everything else. The sequencing rules and the assessment paperwork make it a specialist job, which is precisely why a general coding tool does not satisfy it and why a purpose-built one has an argument to make. Most agencies are small, so the distance between interest and decision is short.
Who signs: the owner or administrator at most agencies; a director of clinical services or a billing manager runs the evaluation where the agency is large enough to separate the two.
12,460
home health agencies on the federal provider register, counted this week
Hospitals and health systems
The deepest volume and the slowest decision. Coding sits inside health information management, the money sits with revenue cycle, and the two do not always speak the same language about the same problem. Worth the patience because a single system carries many facilities behind one contract, but this lane is measured in quarters and it usually wants a reference before it wants a demonstration.
Who signs: a coding or health information manager evaluates and champions; a revenue cycle vice president or the finance office signs.
5,419
hospitals on the federal hospital register, counted this week
Ambulatory surgery centers
Where anesthesia and gastroenterology volume actually concentrates, which makes it the closest fit on this page to what you have already built for those two specialties. Many centers are single-site or physician-owned, so the person who tests it is often the person who buys it. The fastest lane here by some distance.
Who signs: the administrator or the physician owner at single-site centers; a revenue cycle lead where a management company runs several sites.
More than 5,700
centers in the federal quality reporting program, counted this week; the full population including centers outside that program is larger, so treat this as a floor
Provider organizations that carry risk
The shared savings groups and the practices inside them. What makes this lane different from the plan side is that the exposure arrived recently and the people doing the coding were mostly not hired to do risk adjustment. The gap between what the documentation supports and what gets captured is a finance problem for these organizations, and they know it well before they know what to do about it.
Who signs: a chief medical officer or a vice president of population health sponsors it; a risk adjustment lead runs it where the organization has appointed one.
More than 500
shared savings organizations running in 2026, plus a smaller set in the newer risk model; a named list rather than a broad market
Medical billing and revenue cycle companies
The multiplier lane. These firms code at volume on behalf of many provider clients at once, so one relationship can put a platform behind far more facilities than a direct sale ever reaches. They also buy differently: they are evaluating whether it changes their own margin, not whether it changes their clinical day. Short list, long memories, and technical substance in every conversation.
Who signs: a chief operating officer or a vice president of coding operations; the founder at the smaller firms.
No reliable public count
this population is not enumerated anywhere public, only ranked in curated lists; the list here is built by name, not bought

Where the openings are

1
Two products, two rooms. Coding automation is a revenue cycle purchase and risk adjustment is a population health purchase. Same logo on the door, different budget holder, different vocabulary, different proof required. A single message built to reach both usually lands with neither, and separating them is the cheapest improvement available on this page.
2
The owner-signed lanes buy fastest. Home health agencies and single-site surgery centers are where the person who evaluates is frequently the person who signs. That is weeks rather than quarters, and it is where the setting-specific work you have already done has the least explaining to do. Proof built there is what the hospital lane asks for later.
3
Risk exposure has moved downstream. Risk adjustment used to be a conversation held almost entirely on the plan side. With more than 500 shared savings organizations running this year, a large share of that exposure now sits with provider groups whose coding staff were hired for something else. That is a different buyer with the same underlying problem, and far less competition for their attention.
4
Everything above is a finite list. Each facility type on this page is enumerated in a federal file, with an address, updated on a schedule. That is unusual and it is worth more than it sounds: the account list can be built in full and worked to the end, rather than sampled and guessed at, which is the difference between a pipeline you refill and a market you finish.
Built from the federal registers of hospitals, home health agencies and ambulatory surgery centers, all counted on 24 August 2026, together with the published participation figures for this year's shared savings programs. Counts are register and program anchors rather than market censuses, they are banded deliberately, the surgery center figure is stated as a floor because it counts only the quality reporting program, and the one lane with no credible public number says so rather than showing one.
ENQUIRER CONSULTING GROUP
enquirerconsulting.com