Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

MARGARET ARCHER HUGHES

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

NPI: 1184142820
CMS profile: 11019694
Location: BATON ROUGE, LA

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 · PY2021–2025

CMS publication 2026-06-30

Latest program year · PY2025

$2,535.42

131 records · 0 disputed

“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.
Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,453.12	129
Education	$82.30	2

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
Teva Pharmaceuticals USA, Inc.	$541.92	17
Neurocrine BioSciences, Inc.	$400.66	18
ITI, Inc.	$391.01	26
Otsuka America Pharmaceutical, Inc.	$225.33	18
Vanda Pharmaceuticals Inc.	$219.43	13
Axsome Therapeutics, Inc.	$209.69	9
Janssen Pharmaceuticals, Inc	$180.02	10
E.R. Squibb & Sons, L.L.C.	$165.99	9
Alkermes, Inc.	$82.80	4
ABBVIE INC.	$76.45	4
Lundbeck LLC	$42.12	3

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$357.07	21
PY2022	$239.49	16
PY2023	$1,300.89	62
PY2024	$1,564.34	78
PY2025	$2,535.42	131

Payment records · PY2025 (131)

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

Program year 2025 2021 2022 2023 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Neurocrine BioSciences, Inc.	$18.41	12/26/2025	Food and Beverage	No dispute reported	06/30/2026	1242897186	CMS
Janssen Pharmaceuticals, Inc	$20.76	12/17/2025	Food and Beverage	No dispute reported	06/30/2026	1174514736	CMS
Teva Pharmaceuticals USA, Inc.	$24.35	12/16/2025	Food and Beverage	No dispute reported	06/30/2026	1247550617	CMS
Alkermes, Inc.	$22.82	12/15/2025	Food and Beverage	No dispute reported	06/30/2026	1222527166	CMS
Vanda Pharmaceuticals Inc.	$3.46	12/11/2025	Food and Beverage	No dispute reported	06/30/2026	1233070601	CMS
Vanda Pharmaceuticals Inc.	$13.52	12/11/2025	Food and Beverage	No dispute reported	06/30/2026	1233070603	CMS
Teva Pharmaceuticals USA, Inc.	$133.23	12/10/2025	Food and Beverage	No dispute reported	06/30/2026	1247550615	CMS
Janssen Pharmaceuticals, Inc	$18.48	12/08/2025	Food and Beverage	No dispute reported	06/30/2026	1174513587	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$23.87	12/05/2025	Food and Beverage	No dispute reported	06/30/2026	1241552846	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$4.60	11/25/2025	Food and Beverage	No dispute reported	06/30/2026	1241552844	CMS
Otsuka America Pharmaceutical, Inc.	$14.42	11/21/2025	Food and Beverage	No dispute reported	06/30/2026	1227760244	CMS
Teva Pharmaceuticals USA, Inc.	$32.59	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1247550597	CMS
Vanda Pharmaceuticals Inc.	$14.04	11/14/2025	Food and Beverage	No dispute reported	06/30/2026	1233070597	CMS
Vanda Pharmaceuticals Inc.	$2.36	11/14/2025	Food and Beverage	No dispute reported	06/30/2026	1233070599	CMS
Neurocrine BioSciences, Inc.	$27.40	11/12/2025	Food and Beverage	No dispute reported	06/30/2026	1242839165	CMS
Teva Pharmaceuticals USA, Inc.	$75.50	11/11/2025	Education	No dispute reported	06/30/2026	1247550595	CMS
Otsuka America Pharmaceutical, Inc.	$12.56	11/10/2025	Food and Beverage	No dispute reported	06/30/2026	1227760240	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$5.04	11/08/2025	Food and Beverage	No dispute reported	06/30/2026	1241552842	CMS
Axsome Therapeutics, Inc.	$14.93	11/07/2025	Food and Beverage	No dispute reported	06/30/2026	1235612952	CMS
E.R. Squibb & Sons, L.L.C.	$19.85	11/06/2025	Food and Beverage	No dispute reported	06/30/2026	1184739159	CMS
Teva Pharmaceuticals USA, Inc.	$25.06	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1247550593	CMS
Janssen Pharmaceuticals, Inc	$18.47	11/03/2025	Food and Beverage	No dispute reported	06/30/2026	1174513734	CMS
Teva Pharmaceuticals USA, Inc.	$13.03	11/03/2025	Food and Beverage	No dispute reported	06/30/2026	1247550591	CMS
Otsuka America Pharmaceutical, Inc.	$7.90	10/30/2025	Food and Beverage	No dispute reported	06/30/2026	1227760237	CMS
Neurocrine BioSciences, Inc.	$17.43	10/29/2025	Food and Beverage	No dispute reported	06/30/2026	1242904057	CMS
Otsuka America Pharmaceutical, Inc.	$16.00	10/27/2025	Food and Beverage	No dispute reported	06/30/2026	1227760233	CMS
Neurocrine BioSciences, Inc.	$20.00	10/23/2025	Food and Beverage	No dispute reported	06/30/2026	1242885840	CMS
Alkermes, Inc.	$21.00	10/20/2025	Food and Beverage	No dispute reported	06/30/2026	1222527164	CMS
Axsome Therapeutics, Inc.	$32.45	10/17/2025	Food and Beverage	No dispute reported	06/30/2026	1235520141	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$7.56	10/17/2025	Food and Beverage	No dispute reported	06/30/2026	1241552840	CMS
ABBVIE INC.	$26.00	10/16/2025	Food and Beverage	No dispute reported	06/30/2026	1204365389	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$23.01	10/14/2025	Food and Beverage	No dispute reported	06/30/2026	1241552838	CMS
Neurocrine BioSciences, Inc.	$22.64	10/13/2025	Food and Beverage	No dispute reported	06/30/2026	1242867217	CMS
Janssen Pharmaceuticals, Inc	$18.17	10/09/2025	Food and Beverage	No dispute reported	06/30/2026	1174513900	CMS
Vanda Pharmaceuticals Inc.	$16.31	10/03/2025	Food and Beverage	No dispute reported	06/30/2026	1233070595	CMS
Teva Pharmaceuticals USA, Inc.	$18.73	10/02/2025	Food and Beverage	No dispute reported	06/30/2026	1247550579	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$22.15	10/01/2025	Food and Beverage	No dispute reported	06/30/2026	1241552836	CMS
Teva Pharmaceuticals USA, Inc.	$24.58	09/30/2025	Food and Beverage	No dispute reported	06/30/2026	1247550577	CMS
Neurocrine BioSciences, Inc.	$17.04	09/29/2025	Food and Beverage	No dispute reported	06/30/2026	1242906463	CMS
Neurocrine BioSciences, Inc.	$26.60	09/24/2025	Food and Beverage	No dispute reported	06/30/2026	1242843031	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$11.02	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1241552834	CMS
Otsuka America Pharmaceutical, Inc.	$19.23	09/22/2025	Food and Beverage	No dispute reported	06/30/2026	1227760229	CMS
Axsome Therapeutics, Inc.	$18.55	09/19/2025	Food and Beverage	No dispute reported	06/30/2026	1235502480	CMS
Neurocrine BioSciences, Inc.	$10.35	09/19/2025	Food and Beverage	No dispute reported	06/30/2026	1242931466	CMS
Janssen Pharmaceuticals, Inc	$21.19	09/17/2025	Food and Beverage	No dispute reported	06/30/2026	1174514398	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$7.22	09/10/2025	Food and Beverage	No dispute reported	06/30/2026	1241552832	CMS
Otsuka America Pharmaceutical, Inc.	$13.15	09/10/2025	Food and Beverage	No dispute reported	06/30/2026	1227760225	CMS
Janssen Pharmaceuticals, Inc	$18.38	09/08/2025	Food and Beverage	No dispute reported	06/30/2026	1174513927	CMS
Lundbeck LLC	$14.29	08/29/2025	Food and Beverage	No dispute reported	06/30/2026	1251915242	CMS
Neurocrine BioSciences, Inc.	$24.28	08/27/2025	Food and Beverage	No dispute reported	06/30/2026	1242856396	CMS
Otsuka America Pharmaceutical, Inc.	$13.56	08/22/2025	Food and Beverage	No dispute reported	06/30/2026	1227760221	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$7.64	08/21/2025	Food and Beverage	No dispute reported	06/30/2026	1241552830	CMS
Axsome Therapeutics, Inc.	$26.84	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1235474245	CMS
Janssen Pharmaceuticals, Inc	$17.11	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1174513890	CMS
Janssen Pharmaceuticals, Inc	$17.11	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1174514648	CMS
E.R. Squibb & Sons, L.L.C.	$15.77	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1184739123	CMS
Vanda Pharmaceuticals Inc.	$23.22	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1233070593	CMS
Teva Pharmaceuticals USA, Inc.	$30.37	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1247550555	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$4.92	08/08/2025	Food and Beverage	No dispute reported	06/30/2026	1241552828	CMS
Lundbeck LLC	$14.29	08/01/2025	Food and Beverage	No dispute reported	06/30/2026	1251915240	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.54	07/28/2025	Food and Beverage	No dispute reported	06/30/2026	1241552826	CMS
Otsuka America Pharmaceutical, Inc.	$10.72	07/28/2025	Food and Beverage	No dispute reported	06/30/2026	1227760218	CMS
Vanda Pharmaceuticals Inc.	$19.86	07/25/2025	Food and Beverage	No dispute reported	06/30/2026	1233070591	CMS
Teva Pharmaceuticals USA, Inc.	$18.50	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1247550553	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$9.87	07/22/2025	Food and Beverage	No dispute reported	06/30/2026	1241552824	CMS
Neurocrine BioSciences, Inc.	$17.19	07/22/2025	Food and Beverage	No dispute reported	06/30/2026	1242905517	CMS
Lundbeck LLC	$13.54	07/18/2025	Food and Beverage	No dispute reported	06/30/2026	1251915238	CMS
Otsuka America Pharmaceutical, Inc.	$5.45	07/16/2025	Food and Beverage	No dispute reported	06/30/2026	1227760215	CMS
Vanda Pharmaceuticals Inc.	$18.11	07/13/2025	Food and Beverage	No dispute reported	06/30/2026	1233070589	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$5.54	07/12/2025	Food and Beverage	No dispute reported	06/30/2026	1241552822	CMS
Otsuka America Pharmaceutical, Inc.	$13.56	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1227760211	CMS
Teva Pharmaceuticals USA, Inc.	$17.28	06/27/2025	Food and Beverage	No dispute reported	06/30/2026	1247550525	CMS
Neurocrine BioSciences, Inc.	$18.16	06/26/2025	Food and Beverage	No dispute reported	06/30/2026	1242898850	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$6.78	06/24/2025	Food and Beverage	No dispute reported	06/30/2026	1241552820	CMS
ABBVIE INC.	$15.78	06/23/2025	Food and Beverage	No dispute reported	06/30/2026	1204365386	CMS
Axsome Therapeutics, Inc.	$27.43	06/20/2025	Food and Beverage	No dispute reported	06/30/2026	1235738623	CMS
Teva Pharmaceuticals USA, Inc.	$5.79	06/16/2025	Food and Beverage	No dispute reported	06/30/2026	1247550523	CMS
Teva Pharmaceuticals USA, Inc.	$16.46	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1247550521	CMS
Neurocrine BioSciences, Inc.	$26.31	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1242844661	CMS
Otsuka America Pharmaceutical, Inc.	$19.65	06/09/2025	Food and Beverage	No dispute reported	06/30/2026	1227760207	CMS
E.R. Squibb & Sons, L.L.C.	$21.94	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1184739103	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$24.55	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1241552818	CMS
Janssen Pharmaceuticals, Inc	$12.56	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1174513672	CMS
Vanda Pharmaceuticals Inc.	$17.96	05/29/2025	Food and Beverage	No dispute reported	06/30/2026	1233070587	CMS
Teva Pharmaceuticals USA, Inc.	$24.01	05/27/2025	Food and Beverage	No dispute reported	06/30/2026	1247550509	CMS
Otsuka America Pharmaceutical, Inc.	$5.28	05/21/2025	Food and Beverage	No dispute reported	06/30/2026	1227760203	CMS
Axsome Therapeutics, Inc.	$8.07	05/15/2025	Food and Beverage	No dispute reported	06/30/2026	1235732446	CMS
Otsuka America Pharmaceutical, Inc.	$19.09	05/14/2025	Food and Beverage	No dispute reported	06/30/2026	1227760199	CMS
Neurocrine BioSciences, Inc.	$28.72	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1242832964	CMS
Alkermes, Inc.	$22.33	05/07/2025	Food and Beverage	No dispute reported	06/30/2026	1222527162	CMS
E.R. Squibb & Sons, L.L.C.	$11.46	05/05/2025	Food and Beverage	No dispute reported	06/30/2026	1184739095	CMS
Vanda Pharmaceuticals Inc.	$23.45	05/01/2025	Food and Beverage	No dispute reported	06/30/2026	1233070585	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.68	04/30/2025	Food and Beverage	No dispute reported	06/30/2026	1241552816	CMS
Otsuka America Pharmaceutical, Inc.	$6.56	04/28/2025	Food and Beverage	No dispute reported	06/30/2026	1227760191	CMS
Otsuka America Pharmaceutical, Inc.	$14.16	04/28/2025	Food and Beverage	No dispute reported	06/30/2026	1227760195	CMS
Axsome Therapeutics, Inc.	$29.07	04/25/2025	Food and Beverage	No dispute reported	06/30/2026	1235732398	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$105.00	04/24/2025	Food and Beverage	No dispute reported	06/30/2026	1241552814	CMS
Alkermes, Inc.	$16.65	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1222527160	CMS
ABBVIE INC.	$18.09	04/21/2025	Food and Beverage	No dispute reported	06/30/2026	1204365382	CMS
E.R. Squibb & Sons, L.L.C.	$21.37	04/17/2025	Food and Beverage	No dispute reported	06/30/2026	1184739091	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$9.29	04/15/2025	Food and Beverage	No dispute reported	06/30/2026	1241552812	CMS
Neurocrine BioSciences, Inc.	$26.13	04/14/2025	Food and Beverage	No dispute reported	06/30/2026	1242845669	CMS
Vanda Pharmaceuticals Inc.	$6.80	04/11/2025	Education	No dispute reported	06/30/2026	1233070583	CMS
Janssen Pharmaceuticals, Inc	$17.79	04/07/2025	Food and Beverage	No dispute reported	06/30/2026	1174514459	CMS
Otsuka America Pharmaceutical, Inc.	$16.22	04/04/2025	Food and Beverage	No dispute reported	06/30/2026	1227760188	CMS
Teva Pharmaceuticals USA, Inc.	$41.92	03/25/2025	Food and Beverage	No dispute reported	06/30/2026	1247550483	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.62	03/20/2025	Food and Beverage	No dispute reported	06/30/2026	1241552810	CMS
E.R. Squibb & Sons, L.L.C.	$18.28	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1184739089	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$10.44	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1241552808	CMS
Vanda Pharmaceuticals Inc.	$39.06	03/17/2025	Food and Beverage	No dispute reported	06/30/2026	1233070581	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$5.31	03/14/2025	Food and Beverage	No dispute reported	06/30/2026	1241552806	CMS
Neurocrine BioSciences, Inc.	$26.23	03/12/2025	Food and Beverage	No dispute reported	06/30/2026	1242845123	CMS
Axsome Therapeutics, Inc.	$26.41	03/07/2025	Food and Beverage	No dispute reported	06/30/2026	1235432842	CMS
ABBVIE INC.	$16.58	03/03/2025	Food and Beverage	No dispute reported	06/30/2026	1204365377	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$4.35	02/28/2025	Food and Beverage	No dispute reported	06/30/2026	1241552804	CMS
Neurocrine BioSciences, Inc.	$27.22	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1242840077	CMS
Otsuka America Pharmaceutical, Inc.	$3.73	02/25/2025	Food and Beverage	No dispute reported	06/30/2026	1227760185	CMS
E.R. Squibb & Sons, L.L.C.	$22.33	02/24/2025	Food and Beverage	No dispute reported	06/30/2026	1184739051	CMS
E.R. Squibb & Sons, L.L.C.	$27.05	02/11/2025	Food and Beverage	No dispute reported	06/30/2026	1184739049	CMS
Teva Pharmaceuticals USA, Inc.	$17.10	02/11/2025	Food and Beverage	No dispute reported	06/30/2026	1247550471	CMS
Vanda Pharmaceuticals Inc.	$21.28	02/07/2025	Food and Beverage	No dispute reported	06/30/2026	1233070579	CMS
Teva Pharmaceuticals USA, Inc.	$23.42	02/04/2025	Food and Beverage	No dispute reported	06/30/2026	1247550469	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$6.41	02/03/2025	Food and Beverage	No dispute reported	06/30/2026	1241552802	CMS
Neurocrine BioSciences, Inc.	$28.88	02/03/2025	Food and Beverage	No dispute reported	06/30/2026	1242832338	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.92	01/31/2025	Food and Beverage	No dispute reported	06/30/2026	1241552798	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$4.63	01/31/2025	Food and Beverage	No dispute reported	06/30/2026	1241552800	CMS
Otsuka America Pharmaceutical, Inc.	$14.09	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1227760181	CMS
Axsome Therapeutics, Inc.	$25.94	01/17/2025	Food and Beverage	No dispute reported	06/30/2026	1235337481	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$10.05	01/14/2025	Food and Beverage	No dispute reported	06/30/2026	1241552796	CMS
E.R. Squibb & Sons, L.L.C.	$7.94	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1184739039	CMS
Neurocrine BioSciences, Inc.	$17.67	01/07/2025	Food and Beverage	No dispute reported	06/30/2026	1242902503	CMS

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: 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-1184142820

Plain: MARGARET ARCHER HUGHES, NPI 1184142820. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1184142820.
APA 7: IndustryPayments. (2026). MARGARET ARCHER HUGHES, NPI 1184142820 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1184142820
Bluebook: MARGARET ARCHER HUGHES, NPI 1184142820, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1184142820.

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