Physicians whose TOTAL CMS Open Payments industry payments genuinely increased year-over-year — a real per-NPI delta (amount_current vs amount_prior), not a magnitude threshold. Defaults to 2023→2024 (any loaded year pair selectable via year/prior_year). Filter: specialty, state, min_increase_usd (default $1,000), min_pct_change (default 10%). Only physicians paid in BOTH years with a real rise clearing both thresholds are returned. Public CMS provider-level data; not a consumer report.

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