Covered recipient · General Payments record

PATRICK L GAGNON

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI: 1083748214
CMS profile: 10874162
Location: MILFORD, CT

General Payments · PY2021–2024

$13,972.27

Reported across 598 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,753.65

155 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. 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.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$3,753.65	155

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$810.32	39
ITI, Inc.	$452.69	13
Axsome Therapeutics, Inc.	$386.40	11
Neurocrine BioSciences, Inc.	$353.46	13
Otsuka America Pharmaceutical, Inc.	$291.59	9
SCILEX PHARMACEUTICALS INC.	$267.73	20
Lundbeck LLC	$253.79	13
QOL Medical, LLC	$159.03	7
Alkermes, Inc.	$142.52	3
Teva Pharmaceuticals USA, Inc.	$139.15	2
Philips Electronics North America Corporation	$133.59	7
Novo Nordisk AS	$76.19	4
Exact Sciences Corporation	$73.09	3
Amgen Inc.	$65.12	3
Vanda Pharmaceuticals Inc.	$38.37	2
Bayer HealthCare Pharmaceuticals Inc.	$33.94	2
Tempus AI, Inc	$27.19	1
Acerta Pharma LLC	$19.00	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.55	1
PFIZER INC.	$13.93	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$3,149.90	144
PY2022	$2,995.29	133
PY2023	$4,073.43	166
PY2024	$3,753.65	155

Payment records · PY2024 (155)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
ABBVIE INC.	$19.59	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1107141624	CMS
ABBVIE INC.	$8.93	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1107141626	CMS
ABBVIE INC.	$17.52	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1107141628	CMS
ABBVIE INC.	$125.00	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1107141630	CMS
ABBVIE INC.	$19.93	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1107141632	CMS
ABBVIE INC.	$6.73	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1107141634	CMS
ABBVIE INC.	$17.50	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1107141636	CMS
ABBVIE INC.	$21.04	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1107141638	CMS
ABBVIE INC.	$21.26	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1107141640	CMS
ABBVIE INC.	$75.97	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1107141642	CMS
ABBVIE INC.	$14.75	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1107141644	CMS
ABBVIE INC.	$23.55	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1107141646	CMS
ABBVIE INC.	$11.19	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1107141648	CMS
ABBVIE INC.	$19.93	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1107141650	CMS
ABBVIE INC.	$23.37	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1107141652	CMS
ABBVIE INC.	$26.79	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1107141654	CMS
ABBVIE INC.	$17.38	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1107141656	CMS
ABBVIE INC.	$14.61	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1107141658	CMS
ABBVIE INC.	$14.21	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1107141660	CMS
ABBVIE INC.	$11.19	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1107141662	CMS
ABBVIE INC.	$12.24	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1107141664	CMS
ABBVIE INC.	$22.97	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1107141666	CMS
ABBVIE INC.	$12.42	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1107141668	CMS
ABBVIE INC.	$16.58	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1107141670	CMS
ABBVIE INC.	$16.23	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1107141672	CMS
ABBVIE INC.	$25.85	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1107141674	CMS
ABBVIE INC.	$23.09	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1107141676	CMS
ABBVIE INC.	$9.04	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1107141678	CMS
ABBVIE INC.	$15.76	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1107141680	CMS
ABBVIE INC.	$9.95	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1107141682	CMS
ABBVIE INC.	$22.65	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1107141684	CMS
ABBVIE INC.	$14.43	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1107141686	CMS
ABBVIE INC.	$20.28	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1107141688	CMS
ABBVIE INC.	$9.59	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1107141690	CMS
ABBVIE INC.	$6.12	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1107141692	CMS
ABBVIE INC.	$14.29	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1107141694	CMS
ABBVIE INC.	$11.79	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1107141696	CMS
ABBVIE INC.	$15.97	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1107141698	CMS
ABBVIE INC.	$20.63	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1107141700	CMS
Alkermes, Inc.	$10.29	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1120501894	CMS
Alkermes, Inc.	$13.89	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1120501896	CMS
Alkermes, Inc.	$118.34	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1120501898	CMS
Amgen Inc.	$17.36	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1117558023	CMS
Amgen Inc.	$26.59	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1117558025	CMS
Amgen Inc.	$21.17	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1117558027	CMS
AstraZeneca Pharmaceuticals LP	$19.00	07/27/2024	Food and Beverage	Undisputed	01/23/2026	1105766684	CMS
Axsome Therapeutics, Inc.	$19.92	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1148399729	CMS
Axsome Therapeutics, Inc.	$16.16	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1148399731	CMS
Axsome Therapeutics, Inc.	$102.27	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1148399745	CMS
Axsome Therapeutics, Inc.	$22.73	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1148399747	CMS
Axsome Therapeutics, Inc.	$16.17	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1148399733	CMS
Axsome Therapeutics, Inc.	$15.50	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1148399735	CMS
Axsome Therapeutics, Inc.	$97.90	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1148399739	CMS
Axsome Therapeutics, Inc.	$21.53	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1148399737	CMS
Axsome Therapeutics, Inc.	$31.41	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1148399741	CMS
Axsome Therapeutics, Inc.	$19.70	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1148399743	CMS
Axsome Therapeutics, Inc.	$23.11	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1148399749	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.66	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1086347641	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.28	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1086360270	CMS
Exact Sciences Corporation	$16.13	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1114493154	CMS
Exact Sciences Corporation	$30.41	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1114493159	CMS
Exact Sciences Corporation	$26.55	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1114493165	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$24.67	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1143456139	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$30.37	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1143456143	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$28.50	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1143456146	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$26.00	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1143456150	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$16.07	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1143456154	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$92.80	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1143456157	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.96	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1143456161	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$13.90	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1143456165	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$121.27	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1143456168	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$7.99	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1143456172	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$25.54	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1143456175	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$23.87	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1143456179	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$21.75	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1143456183	CMS
Lundbeck LLC	$12.26	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1146023867	CMS
Lundbeck LLC	$17.95	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1146023869	CMS
Lundbeck LLC	$28.37	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1146023871	CMS
Lundbeck LLC	$24.95	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1146023873	CMS
Lundbeck LLC	$28.07	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1146023875	CMS
Lundbeck LLC	$24.67	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1146023877	CMS
Lundbeck LLC	$14.03	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1146023879	CMS
Lundbeck LLC	$11.40	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1146023881	CMS
Lundbeck LLC	$3.87	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1146023883	CMS
Lundbeck LLC	$24.21	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1146023885	CMS
Lundbeck LLC	$23.04	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1146023887	CMS
Lundbeck LLC	$22.33	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1146023889	CMS
Lundbeck LLC	$18.64	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1146023891	CMS
Neurocrine Biosciences, Inc.	$17.44	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1150992616	CMS
Neurocrine Biosciences, Inc.	$19.63	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1150981636	CMS
Neurocrine Biosciences, Inc.	$22.41	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1150967197	CMS
Neurocrine Biosciences, Inc.	$27.98	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1150944981	CMS
Neurocrine Biosciences, Inc.	$7.22	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1151018746	CMS
Neurocrine Biosciences, Inc.	$93.72	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1150926033	CMS
Neurocrine Biosciences, Inc.	$27.50	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1150946397	CMS
Neurocrine Biosciences, Inc.	$20.31	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1150978288	CMS
Neurocrine Biosciences, Inc.	$18.79	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1150985939	CMS
Neurocrine Biosciences, Inc.	$15.69	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1151001056	CMS
Neurocrine Biosciences, Inc.	$29.61	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1150940452	CMS
Neurocrine Biosciences, Inc.	$32.09	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1150935714	CMS
Neurocrine Biosciences, Inc.	$21.07	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1150974373	CMS
Novo Nordisk Inc	$20.56	02/03/2024	Food and Beverage	Undisputed	01/23/2026	1100349002	CMS
Novo Nordisk Inc	$13.62	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1100652403	CMS
Novo Nordisk Inc	$23.34	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1100334844	CMS
Novo Nordisk Inc	$18.67	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1100601992	CMS
Otsuka America Pharmaceutical, Inc.	$16.84	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1119075848	CMS
Otsuka America Pharmaceutical, Inc.	$19.02	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1119075850	CMS
Otsuka America Pharmaceutical, Inc.	$125.00	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1119075852	CMS
Otsuka America Pharmaceutical, Inc.	$24.34	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1119075854	CMS
Otsuka America Pharmaceutical, Inc.	$13.42	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1119075856	CMS
Otsuka America Pharmaceutical, Inc.	$23.24	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1119075858	CMS
Otsuka America Pharmaceutical, Inc.	$20.75	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1119075860	CMS
Otsuka America Pharmaceutical, Inc.	$23.48	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1119075862	CMS
Otsuka America Pharmaceutical, Inc.	$25.50	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1119075864	CMS
PFIZER INC.	$13.93	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1132104696	CMS
Philips North America LLC	$19.59	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1146901354	CMS
Philips North America LLC	$20.49	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1146901352	CMS
Philips North America LLC	$15.69	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1146901358	CMS
Philips North America LLC	$19.05	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1146901366	CMS
Philips North America LLC	$21.53	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1146901360	CMS
Philips North America LLC	$24.64	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1146901364	CMS
Philips North America LLC	$12.60	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1146901362	CMS
QOL Medical, LLC	$20.85	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1147746850	CMS
QOL Medical, LLC	$22.54	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1147746852	CMS
QOL Medical, LLC	$24.29	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1147746854	CMS
QOL Medical, LLC	$24.95	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1147746856	CMS
QOL Medical, LLC	$20.49	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1147746858	CMS
QOL Medical, LLC	$18.16	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1147746860	CMS
QOL Medical, LLC	$27.75	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1147746862	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.55	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1153647468	CMS
SCILEX PHARMACEUTICALS INC.	$2.74	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1136226590	CMS
SCILEX PHARMACEUTICALS INC.	$14.62	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1136226594	CMS
SCILEX PHARMACEUTICALS INC.	$19.65	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1136228816	CMS
SCILEX PHARMACEUTICALS INC.	$13.68	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1136239259	CMS
SCILEX PHARMACEUTICALS INC.	$17.94	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1136241935	CMS
SCILEX PHARMACEUTICALS INC.	$18.69	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1136248392	CMS
SCILEX PHARMACEUTICALS INC.	$1.61	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1136248396	CMS
SCILEX PHARMACEUTICALS INC.	$14.18	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1136251132	CMS
SCILEX PHARMACEUTICALS INC.	$20.15	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1136259035	CMS
SCILEX PHARMACEUTICALS INC.	$15.61	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1136260990	CMS
SCILEX PHARMACEUTICALS INC.	$1.69	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1136260994	CMS
SCILEX PHARMACEUTICALS INC.	$12.32	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1136264087	CMS
SCILEX PHARMACEUTICALS INC.	$15.96	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1136268266	CMS
SCILEX PHARMACEUTICALS INC.	$14.26	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1136273862	CMS
SCILEX PHARMACEUTICALS INC.	$2.87	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1136273877	CMS
SCILEX PHARMACEUTICALS INC.	$19.06	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1136280903	CMS
SCILEX PHARMACEUTICALS INC.	$23.17	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1136282762	CMS
SCILEX PHARMACEUTICALS INC.	$3.85	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1136287341	CMS
SCILEX PHARMACEUTICALS INC.	$15.77	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1136287345	CMS
SCILEX PHARMACEUTICALS INC.	$19.91	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1136290725	CMS
Tempus AI, Inc	$27.19	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1150181209	CMS
Teva Pharmaceuticals USA, Inc.	$14.14	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1151492129	CMS
Teva Pharmaceuticals USA, Inc.	$125.01	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1151492145	CMS
Vanda Pharmaceuticals Inc.	$19.79	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1133943514	CMS
Vanda Pharmaceuticals Inc.	$18.58	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1133943516	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.