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Claims see what was billed. The Spend Graph sees what was bought.

Ask the Spend Graph.

How fast is the peptide market growing? Where do members go when they pay out of pocket instead of filing a claim? Which categories are underserved in a metro before you site the next clinic? The Spend Graph resolves every query at the transaction level across every merchant in the country, public and private — cash-pay and clinical-adjacent spend the claims record was never going to show you.

Explore the Spend Graph
Health care

How it works.

American Spend works with data providers to build Revere, a realtime model of American commerce. 3.7 billion transactions a month are aggregated and indexed by category, geography, and time.

Claims tell you what the insured population was billed for. The graph tells you what everyone actually paid for — and the gap between them is where the growth and the blind spots live.

Explore Revere
Health care

Who queries it.

Investors tracking obesity drugs and DTC pharma against real retail pull, weeks before earnings. Pharma brands sizing cash-pay categories and watching share of category move. Payers and PBMs measuring where members spend when they go off-formulary or off-plan entirely. Providers reading catchment and competitive pressure before they expand. Research agents pulling consumer-health ground truth as a tool call mid-reasoning.

Talk to our team
Health care

Talk to us early.

Payers, providers, pharmacy, benefits — bring your question about how America spends on care.