Covered recipient · General Payments record

RYAN J SZENDERSKI

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1053538512
CMS profile: 10886934
Location: SYLVANIA, OH

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2025

$2,511.66

142 records · 0 disputed

Summary and payment records

CMS publication 2026-06-30

Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”
— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated

This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Methodology & Data — sourcing, labeling, and limitations.

Data mirrored July 26, 2026. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,451.66	141
Education	$60.00	1

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$298.20	16
ABBVIE INC.	$280.70	16
Novo Nordisk AS	$239.35	16
Amgen Inc.	$195.28	14
PFIZER INC.	$159.73	8
Axsome Therapeutics, Inc.	$148.54	6
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$100.51	5
Kowa Pharmaceuticals America, Inc.	$99.05	7
Lilly USA, LLC	$94.57	6
Astellas Pharma US Inc	$93.86	3
Corium, Inc.	$89.60	6
Boehringer Ingelheim Pharmaceuticals, Inc.	$81.24	4
Exact Sciences Corporation	$75.09	4
Abbott Laboratories	$70.59	4
Lundbeck LLC	$70.28	3
Antares Pharma, Inc.	$59.54	3
HARMONY BIOSCIENCES LLC	$59.21	3
Otsuka America Pharmaceutical, Inc.	$46.44	3
Verona Pharma, Inc.	$38.08	2
GlaxoSmithKline, LLC.	$34.85	2
Merck Sharp & Dohme Corporation	$32.55	2
Sumitomo Pharma America, Inc.	$31.85	2
Phathom Pharmaceuticals, Inc.	$31.14	2
Bayer HealthCare Pharmaceuticals Inc.	$19.29	1
Noven Therapeutics, LLC	$18.35	1
Actelion Pharmaceuticals US, Inc.	$17.03	1
Seqirus USA Inc	$15.29	1
Echosens North America, Inc.	$11.45	1

Payment records · PY2025 (142)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Axsome Therapeutics, Inc.	$24.25	12/19/2025	Food and Beverage	No dispute reported	06/30/2026	1235649953	CMS
AstraZeneca Pharmaceuticals LP	$21.20	12/18/2025	Food and Beverage	No dispute reported	06/30/2026	1206611006	CMS
Abbott Laboratories	$24.70	12/15/2025	Food and Beverage	No dispute reported	06/30/2026	1241011252	CMS
Kowa Pharmaceuticals America, Inc.	$14.91	12/10/2025	Food and Beverage	No dispute reported	06/30/2026	1243155694	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.94	12/09/2025	Food and Beverage	No dispute reported	06/30/2026	1222736833	CMS
Amgen Inc.	$5.97	12/03/2025	Food and Beverage	No dispute reported	06/30/2026	1228767592	CMS
Novo Nordisk Inc	$13.69	12/02/2025	Food and Beverage	No dispute reported	06/30/2026	1188382049	CMS
Verona Pharma, Inc.	$20.94	12/02/2025	Food and Beverage	No dispute reported	06/30/2026	1233768369	CMS
Novo Nordisk Inc	$22.00	11/25/2025	Food and Beverage	No dispute reported	06/30/2026	1188740906	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$28.63	11/24/2025	Food and Beverage	No dispute reported	06/30/2026	1232136438	CMS
Kowa Pharmaceuticals America, Inc.	$14.53	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1243155690	CMS
Axsome Therapeutics, Inc.	$30.04	11/18/2025	Food and Beverage	No dispute reported	06/30/2026	1235592513	CMS
Amgen Inc.	$16.48	11/17/2025	Food and Beverage	No dispute reported	06/30/2026	1228767596	CMS
Echosens North America, Inc.	$11.45	11/12/2025	Food and Beverage	No dispute reported	06/30/2026	1244563363	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.29	11/08/2025	Food and Beverage	No dispute reported	06/30/2026	1225836544	CMS
ABBVIE INC.	$11.45	11/06/2025	Food and Beverage	No dispute reported	06/30/2026	1203697161	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.44	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1222736839	CMS
AstraZeneca Pharmaceuticals LP	$16.64	10/31/2025	Food and Beverage	No dispute reported	06/30/2026	1206879520	CMS
Exact Sciences Corporation	$17.77	10/28/2025	Food and Beverage	No dispute reported	06/30/2026	1235241802	CMS
AstraZeneca Pharmaceuticals LP	$16.37	10/27/2025	Food and Beverage	No dispute reported	06/30/2026	1207179758	CMS
ABBVIE INC.	$28.27	10/23/2025	Food and Beverage	No dispute reported	06/30/2026	1203697155	CMS
Amgen Inc.	$15.08	10/20/2025	Food and Beverage	No dispute reported	06/30/2026	1228767600	CMS
Astellas Pharma US Inc	$60.00	10/16/2025	Education	No dispute reported	06/30/2026	1238591374	CMS
Abbott Laboratories	$15.45	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1240986684	CMS
Novo Nordisk Inc	$15.02	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1188685609	CMS
AstraZeneca Pharmaceuticals LP	$16.88	10/13/2025	Food and Beverage	No dispute reported	06/30/2026	1206432674	CMS
Otsuka America Pharmaceutical, Inc.	$16.28	10/10/2025	Food and Beverage	No dispute reported	06/30/2026	1228008219	CMS
Novo Nordisk Inc	$16.28	10/07/2025	Food and Beverage	No dispute reported	06/30/2026	1188608330	CMS
PFIZER INC.	$15.46	10/06/2025	Food and Beverage	No dispute reported	06/30/2026	1230403417	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.61	10/06/2025	Food and Beverage	No dispute reported	06/30/2026	1232136436	CMS
Verona Pharma, Inc.	$17.14	10/03/2025	Food and Beverage	No dispute reported	06/30/2026	1233768429	CMS
Astellas Pharma US Inc	$14.04	10/01/2025	Food and Beverage	No dispute reported	06/30/2026	1238671155	CMS
AstraZeneca Pharmaceuticals LP	$15.93	09/30/2025	Food and Beverage	No dispute reported	06/30/2026	1206969193	CMS
Novo Nordisk Inc	$18.38	09/26/2025	Food and Beverage	No dispute reported	06/30/2026	1189081070	CMS
Corium, LLC	$6.73	09/24/2025	Food and Beverage	No dispute reported	06/30/2026	1185774846	CMS
ABBVIE INC.	$25.83	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1203697149	CMS
Actelion Pharmaceuticals US, Inc.	$17.03	09/22/2025	Food and Beverage	No dispute reported	06/30/2026	1174272823	CMS
Exact Sciences Corporation	$18.88	09/19/2025	Food and Beverage	No dispute reported	06/30/2026	1235241804	CMS
Kowa Pharmaceuticals America, Inc.	$13.56	09/18/2025	Food and Beverage	No dispute reported	06/30/2026	1243155686	CMS
Lilly USA, LLC	$15.29	09/18/2025	Food and Beverage	No dispute reported	06/30/2026	1187290662	CMS
Amgen Inc.	$7.50	09/17/2025	Food and Beverage	No dispute reported	06/30/2026	1228767575	CMS
Sumitomo Pharma America, Inc.	$15.97	09/16/2025	Food and Beverage	No dispute reported	06/30/2026	1176805807	CMS
GlaxoSmithKline, LLC.	$17.05	09/15/2025	Food and Beverage	No dispute reported	06/30/2026	1190416685	CMS
AstraZeneca Pharmaceuticals LP	$16.48	09/10/2025	Food and Beverage	No dispute reported	06/30/2026	1206350214	CMS
AstraZeneca Pharmaceuticals LP	$18.00	09/02/2025	Food and Beverage	No dispute reported	06/30/2026	1207096321	CMS
Lilly USA, LLC	$17.16	08/29/2025	Food and Beverage	No dispute reported	06/30/2026	1187264945	CMS
Novo Nordisk Inc	$5.45	08/28/2025	Food and Beverage	No dispute reported	06/30/2026	1188837963	CMS
Axsome Therapeutics, Inc.	$25.24	08/25/2025	Food and Beverage	No dispute reported	06/30/2026	1235460252	CMS
Lundbeck LLC	$32.00	08/21/2025	Food and Beverage	No dispute reported	06/30/2026	1251973753	CMS
AstraZeneca Pharmaceuticals LP	$20.65	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1206599136	CMS
AstraZeneca Pharmaceuticals LP	$18.85	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1206260120	CMS
Antares Pharma, Inc.	$20.59	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1235915410	CMS
Amgen Inc.	$17.87	08/15/2025	Food and Beverage	No dispute reported	06/30/2026	1228767619	CMS
AstraZeneca Pharmaceuticals LP	$44.05	08/15/2025	Food and Beverage	No dispute reported	06/30/2026	1207238387	CMS
Merck Sharp & Dohme LLC	$18.89	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1238058599	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.62	08/13/2025	Food and Beverage	No dispute reported	06/30/2026	1222736837	CMS
Lilly USA, LLC	$14.38	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1187248612	CMS
Novo Nordisk Inc	$14.40	08/11/2025	Food and Beverage	No dispute reported	06/30/2026	1189071511	CMS
Amgen Inc.	$18.76	08/07/2025	Food and Beverage	No dispute reported	06/30/2026	1228767587	CMS
AstraZeneca Pharmaceuticals LP	$15.95	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1206174428	CMS
Corium, LLC	$12.71	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1185790228	CMS
Novo Nordisk Inc	$20.90	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1188520857	CMS
PFIZER INC.	$26.03	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1229681069	CMS
ABBVIE INC.	$24.44	08/04/2025	Food and Beverage	No dispute reported	06/30/2026	1203697143	CMS
Axsome Therapeutics, Inc.	$23.16	07/28/2025	Food and Beverage	No dispute reported	06/30/2026	1235460164	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.46	07/28/2025	Food and Beverage	No dispute reported	06/30/2026	1232136433	CMS
Lilly USA, LLC	$16.78	07/16/2025	Food and Beverage	No dispute reported	06/30/2026	1187290660	CMS
Novo Nordisk Inc	$20.40	07/16/2025	Food and Beverage	No dispute reported	06/30/2026	1188680756	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$28.24	07/09/2025	Food and Beverage	No dispute reported	06/30/2026	1222736835	CMS
ABBVIE INC.	$24.93	07/08/2025	Food and Beverage	No dispute reported	06/30/2026	1203697137	CMS
Amgen Inc.	$17.58	07/07/2025	Food and Beverage	No dispute reported	06/30/2026	1228767611	CMS
Seqirus USA Inc	$15.29	07/03/2025	Food and Beverage	No dispute reported	06/30/2026	1201081039	CMS
Kowa Pharmaceuticals America, Inc.	$14.76	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1243155682	CMS
Novo Nordisk Inc	$22.36	06/25/2025	Food and Beverage	No dispute reported	06/30/2026	1188340764	CMS
ABBVIE INC.	$9.32	06/24/2025	Food and Beverage	No dispute reported	06/30/2026	1203697129	CMS
Novo Nordisk Inc	$17.73	06/12/2025	Food and Beverage	No dispute reported	06/30/2026	1188448616	CMS
PFIZER INC.	$19.45	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1229359678	CMS
PFIZER INC.	$23.40	06/04/2025	Food and Beverage	No dispute reported	06/30/2026	1229389643	CMS
AstraZeneca Pharmaceuticals LP	$16.10	06/02/2025	Food and Beverage	No dispute reported	06/30/2026	1206339596	CMS
Corium, LLC	$13.58	05/28/2025	Food and Beverage	No dispute reported	06/30/2026	1185792374	CMS
HARMONY BIOSCIENCES LLC	$18.75	05/27/2025	Food and Beverage	No dispute reported	06/30/2026	1223321646	CMS
Novo Nordisk Inc	$14.30	05/23/2025	Food and Beverage	No dispute reported	06/30/2026	1188425268	CMS
Kowa Pharmaceuticals America, Inc.	$13.89	05/22/2025	Food and Beverage	No dispute reported	06/30/2026	1243155678	CMS
ABBVIE INC.	$21.33	05/21/2025	Food and Beverage	No dispute reported	06/30/2026	1203697123	CMS
PFIZER INC.	$22.92	05/20/2025	Food and Beverage	No dispute reported	06/30/2026	1229164395	CMS
Amgen Inc.	$18.50	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1228767615	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$15.38	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1232136431	CMS
Astellas Pharma US Inc	$19.82	05/17/2025	Food and Beverage	No dispute reported	06/30/2026	1238791905	CMS
ABBVIE INC.	$16.98	05/14/2025	Food and Beverage	No dispute reported	06/30/2026	1203697117	CMS
Otsuka America Pharmaceutical, Inc.	$16.16	05/02/2025	Food and Beverage	No dispute reported	06/30/2026	1228008215	CMS
AstraZeneca Pharmaceuticals LP	$17.15	04/28/2025	Food and Beverage	No dispute reported	06/30/2026	1206831535	CMS
Antares Pharma, Inc.	$18.66	04/25/2025	Food and Beverage	No dispute reported	06/30/2026	1235915408	CMS
PFIZER INC.	$13.57	04/25/2025	Food and Beverage	No dispute reported	06/30/2026	1229172883	CMS
Sumitomo Pharma America, Inc.	$15.88	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1176805805	CMS
HARMONY BIOSCIENCES LLC	$19.13	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1223321562	CMS
Abbott Laboratories	$16.09	04/17/2025	Food and Beverage	No dispute reported	06/30/2026	1240924363	CMS
ABBVIE INC.	$4.02	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1203697111	CMS
Kowa Pharmaceuticals America, Inc.	$13.89	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1243155675	CMS
Novo Nordisk Inc	$14.56	04/14/2025	Food and Beverage	No dispute reported	06/30/2026	1188483196	CMS
ABBVIE INC.	$29.71	04/10/2025	Food and Beverage	No dispute reported	06/30/2026	1203697105	CMS
Phathom Pharmaceuticals, Inc.	$16.19	04/09/2025	Food and Beverage	No dispute reported	06/30/2026	1219301367	CMS
Corium, LLC	$11.47	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1185787080	CMS
PFIZER INC.	$22.95	04/07/2025	Food and Beverage	No dispute reported	06/30/2026	1229184904	CMS
Amgen Inc.	$15.46	04/02/2025	Food and Beverage	No dispute reported	06/30/2026	1228767584	CMS
ABBVIE INC.	$14.06	04/01/2025	Food and Beverage	No dispute reported	06/30/2026	1203697099	CMS
Exact Sciences Corporation	$21.21	03/31/2025	Food and Beverage	No dispute reported	06/30/2026	1235241800	CMS
Noven Therapeutics, LLC	$18.35	03/26/2025	Food and Beverage	No dispute reported	06/30/2026	1240412778	CMS
Lundbeck LLC	$15.02	03/25/2025	Food and Beverage	No dispute reported	06/30/2026	1251973751	CMS
Abbott Laboratories	$14.35	03/21/2025	Food and Beverage	No dispute reported	06/30/2026	1240915103	CMS
Amgen Inc.	$11.17	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1228767579	CMS
Corium, LLC	$25.57	03/17/2025	Food and Beverage	No dispute reported	06/30/2026	1185834140	CMS
Kowa Pharmaceuticals America, Inc.	$13.51	03/14/2025	Food and Beverage	No dispute reported	06/30/2026	1243155671	CMS
ABBVIE INC.	$21.12	03/13/2025	Food and Beverage	No dispute reported	06/30/2026	1203697093	CMS
AstraZeneca Pharmaceuticals LP	$12.83	03/11/2025	Food and Beverage	No dispute reported	06/30/2026	1207264451	CMS
Novo Nordisk Inc	$15.13	02/28/2025	Food and Beverage	No dispute reported	06/30/2026	1189035134	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.43	02/28/2025	Food and Beverage	No dispute reported	06/30/2026	1232136429	CMS
ABBVIE INC.	$6.45	02/24/2025	Food and Beverage	No dispute reported	06/30/2026	1203697087	CMS
Novo Nordisk Inc	$4.25	02/24/2025	Food and Beverage	No dispute reported	06/30/2026	1188896132	CMS
Amgen Inc.	$17.25	02/18/2025	Food and Beverage	No dispute reported	06/30/2026	1228767566	CMS
HARMONY BIOSCIENCES LLC	$21.33	02/17/2025	Food and Beverage	No dispute reported	06/30/2026	1223321426	CMS
Lilly USA, LLC	$15.76	02/12/2025	Food and Beverage	No dispute reported	06/30/2026	1187264947	CMS
PFIZER INC.	$15.95	02/11/2025	Food and Beverage	No dispute reported	06/30/2026	1229011837	CMS
Amgen Inc.	$10.09	02/10/2025	Food and Beverage	No dispute reported	06/30/2026	1228767569	CMS
AstraZeneca Pharmaceuticals LP	$16.95	02/10/2025	Food and Beverage	No dispute reported	06/30/2026	1206378144	CMS
Lundbeck LLC	$23.26	02/08/2025	Food and Beverage	No dispute reported	06/30/2026	1251973749	CMS
Antares Pharma, Inc.	$20.29	02/05/2025	Food and Beverage	No dispute reported	06/30/2026	1235915406	CMS
Axsome Therapeutics, Inc.	$22.53	02/04/2025	Food and Beverage	No dispute reported	06/30/2026	1235368940	CMS
ABBVIE INC.	$14.58	02/03/2025	Food and Beverage	No dispute reported	06/30/2026	1203697081	CMS
Novo Nordisk Inc	$4.50	02/03/2025	Food and Beverage	No dispute reported	06/30/2026	1188879193	CMS
Exact Sciences Corporation	$17.23	01/31/2025	Food and Beverage	No dispute reported	06/30/2026	1235241798	CMS
Amgen Inc.	$16.55	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1228767604	CMS
Lilly USA, LLC	$15.20	01/24/2025	Food and Beverage	No dispute reported	06/30/2026	1187315940	CMS
Merck Sharp & Dohme LLC	$13.66	01/24/2025	Food and Beverage	No dispute reported	06/30/2026	1238337081	CMS
Otsuka America Pharmaceutical, Inc.	$14.00	01/21/2025	Food and Beverage	No dispute reported	06/30/2026	1228008211	CMS
Phathom Pharmaceuticals, Inc.	$14.95	01/16/2025	Food and Beverage	No dispute reported	06/30/2026	1219301383	CMS
ABBVIE INC.	$11.25	01/14/2025	Food and Beverage	No dispute reported	06/30/2026	1203697075	CMS
ABBVIE INC.	$16.96	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1203697069	CMS
Amgen Inc.	$7.02	01/07/2025	Food and Beverage	No dispute reported	06/30/2026	1228767561	CMS
AstraZeneca Pharmaceuticals LP	$14.17	01/07/2025	Food and Beverage	No dispute reported	06/30/2026	1207204210	CMS
Axsome Therapeutics, Inc.	$23.32	01/06/2025	Food and Beverage	No dispute reported	06/30/2026	1235342229	CMS
Corium, LLC	$19.54	01/03/2025	Food and Beverage	No dispute reported	06/30/2026	1185812074	CMS
GlaxoSmithKline, LLC.	$17.80	01/03/2025	Food and Beverage	No dispute reported	06/30/2026	1190475706	CMS

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$1,125.69	74
PY2022	$1,131.39	69
PY2023	$1,328.15	72
PY2024	$2,264.25	125
PY2025	$2,511.66	142

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-06-30
Program years on this page: 2021, 2022, 2023, 2024, 2025

Source files and profile matching

Source files: Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from: OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Permalink https://industrypayments.org/provider/npi-1053538512

Plain: RYAN J SZENDERSKI, NPI 1053538512. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1053538512.
APA 7: IndustryPayments. (2026). RYAN J SZENDERSKI, NPI 1053538512 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1053538512
Bluebook: RYAN J SZENDERSKI, NPI 1053538512, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1053538512.

Source: Centers for Medicare & Medicaid Services, Open Payments.