Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

JULIE I EDKIN

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI
1184691776
CMS profile
11085081
Location
LEWISBURG, PA

General Payments · PY2021–2024

$27,550.17

  • Reported across 493 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$18,905.08

167 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

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,049.46 70
PY2022 $1,739.39 129
PY2023 $5,856.24 127
PY2024 $18,905.08 167

Payment records · PY2024 (167)

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

Program year 2024 202120222023 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
Abbott Laboratories $16.56 03/13/2024 Food and Beverage Undisputed 01/23/2026 1124888412 CMS
Abbott Laboratories $14.74 05/01/2024 Food and Beverage Undisputed 01/23/2026 1124888414 CMS
Abbott Laboratories $13.39 07/16/2024 Food and Beverage Undisputed 01/23/2026 1124888416 CMS
Abbott Laboratories $13.71 12/10/2024 Food and Beverage Undisputed 01/23/2026 1124888418 CMS
ABBVIE INC. $12.70 03/25/2024 Food and Beverage Undisputed 01/23/2026 1107060172 CMS
ABBVIE INC. $12.29 05/01/2024 Food and Beverage Undisputed 01/23/2026 1107060174 CMS
ABBVIE INC. $24.48 06/20/2024 Food and Beverage Undisputed 01/23/2026 1107060176 CMS
ABBVIE INC. $2.56 08/07/2024 Food and Beverage Undisputed 01/23/2026 1107060178 CMS
ABBVIE INC. $8.31 08/15/2024 Food and Beverage Undisputed 01/23/2026 1107060180 CMS
ABBVIE INC. $7.43 09/12/2024 Food and Beverage Undisputed 01/23/2026 1107060182 CMS
ABBVIE INC. $6.64 10/22/2024 Food and Beverage Undisputed 01/23/2026 1107060184 CMS
ABBVIE INC. $6.88 11/18/2024 Food and Beverage Undisputed 01/23/2026 1107060186 CMS
ABBVIE INC. $9.34 11/21/2024 Food and Beverage Undisputed 01/23/2026 1107060188 CMS
ABBVIE INC. $10.10 12/04/2024 Food and Beverage Undisputed 01/23/2026 1107060190 CMS
ABBVIE INC. $5.42 12/11/2024 Food and Beverage Undisputed 01/23/2026 1107060192 CMS
ABBVIE INC. $22.81 12/18/2024 Food and Beverage Undisputed 01/23/2026 1107060194 CMS
ABBVIE INC. $16.22 12/20/2024 Food and Beverage Undisputed 01/23/2026 1107060196 CMS
Amgen Inc. $14.33 04/24/2024 Food and Beverage Undisputed 01/23/2026 1117244185 CMS
Amgen Inc. $15.36 05/15/2024 Food and Beverage Undisputed 01/23/2026 1117244195 CMS
Amgen Inc. $13.53 06/04/2024 Food and Beverage Undisputed 01/23/2026 1117244187 CMS
Amgen Inc. $21.31 06/17/2024 Food and Beverage Undisputed 01/23/2026 1117244197 CMS
Amgen Inc. $22.58 07/22/2024 Food and Beverage Undisputed 01/23/2026 1117244199 CMS
Amgen Inc. $13.52 08/05/2024 Food and Beverage Undisputed 01/23/2026 1117244189 CMS
Amgen Inc. $16.09 08/19/2024 Food and Beverage Undisputed 01/23/2026 1117244201 CMS
Amgen Inc. $25.69 09/11/2024 Food and Beverage Undisputed 01/23/2026 1117244203 CMS
Amgen Inc. $16.18 10/10/2024 Food and Beverage Undisputed 01/23/2026 1117244191 CMS
Amgen Inc. $17.59 11/13/2024 Food and Beverage Undisputed 01/23/2026 1117244205 CMS
Amgen Inc. $20.38 12/04/2024 Food and Beverage Undisputed 01/23/2026 1117244193 CMS
Antares Pharma, Inc. $13.99 11/12/2024 Food and Beverage Undisputed 01/23/2026 1146503507 CMS
AstraZeneca Pharmaceuticals LP $20.80 02/19/2024 Food and Beverage Undisputed 01/23/2026 1105577798 CMS
AstraZeneca Pharmaceuticals LP $17.74 05/06/2024 Food and Beverage Undisputed 01/23/2026 1105852928 CMS
AstraZeneca Pharmaceuticals LP $16.26 08/28/2024 Food and Beverage Undisputed 01/23/2026 1105783528 CMS
AstraZeneca Pharmaceuticals LP $21.05 10/30/2024 Food and Beverage Undisputed 01/23/2026 1104775942 CMS
AstraZeneca Pharmaceuticals LP $16.80 11/11/2024 Food and Beverage Undisputed 01/23/2026 1104330166 CMS
Averitas Pharma Inc. $16.60 01/02/2024 Food and Beverage Undisputed 01/23/2026 1133457202 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.93 05/08/2024 Food and Beverage Undisputed 01/23/2026 1086351622 CMS
CeQur Corporation $4.51 04/03/2024 Food and Beverage Undisputed 01/23/2026 1099648925 CMS
Corcept Therapeutics $16.02 03/18/2024 Food and Beverage Undisputed 01/23/2026 1117779473 CMS
Corcept Therapeutics $13.41 04/22/2024 Food and Beverage Undisputed 01/23/2026 1117779475 CMS
Corcept Therapeutics $19.88 10/14/2024 Food and Beverage Undisputed 01/23/2026 1117779567 CMS
Dexcom, Inc. $16.19 03/20/2024 Food and Beverage Undisputed 01/23/2026 1153368755 CMS
Dexcom, Inc. $24.10 04/29/2024 Food and Beverage Undisputed 01/23/2026 1153368757 CMS
Dexcom, Inc. $24.97 09/16/2024 Food and Beverage Undisputed 01/23/2026 1153368759 CMS
Dexcom, Inc. $15.00 09/18/2024 Food and Beverage Undisputed 01/23/2026 1153368761 CMS
Eli Lilly and Company $23.37 06/12/2024 Food and Beverage Undisputed 01/23/2026 1135647623 CMS
Eli Lilly and Company $130.54 06/12/2024 Travel and Lodging Undisputed 01/23/2026 1135647625 CMS
Eli Lilly and Company $259.00 06/12/2024 Travel and Lodging Undisputed 01/23/2026 1135662091 CMS
Eli Lilly and Company $23.37 06/12/2024 Food and Beverage Undisputed 01/23/2026 1135662093 CMS
Eli Lilly and Company $173.11 06/12/2024 Travel and Lodging Undisputed 01/23/2026 1135702933 CMS
Eli Lilly and Company $303.03 06/12/2024 Travel and Lodging Undisputed 01/23/2026 1135718664 CMS
Eli Lilly and Company $51.40 06/12/2024 Food and Beverage Undisputed 01/23/2026 1135720757 CMS
Eli Lilly and Company $617.06 06/12/2024 Travel and Lodging Undisputed 01/23/2026 1135720759 CMS
Eli Lilly and Company $80.16 06/12/2024 Food and Beverage Undisputed 01/23/2026 1135721961 CMS
Eli Lilly and Company $494.56 06/12/2024 Travel and Lodging Undisputed 01/23/2026 1135721963 CMS
Eli Lilly and Company $56.06 06/12/2024 Food and Beverage Undisputed 01/23/2026 1135729409 CMS
Eli Lilly and Company $6.67 06/12/2024 Food and Beverage Undisputed 01/23/2026 1135731310 CMS
Eli Lilly and Company $514.54 06/12/2024 Travel and Lodging Undisputed 01/23/2026 1135731312 CMS
Eli Lilly and Company $700.00 06/20/2024 Consulting Fee Undisputed 01/23/2026 1135647621 CMS
Eli Lilly and Company $2,000.00 06/20/2024 Consulting Fee Undisputed 01/23/2026 1135718662 CMS
Esperion Therapeutics, Inc. $17.51 07/15/2024 Food and Beverage Undisputed 01/23/2026 1129465660 CMS
Esperion Therapeutics, Inc. $17.51 10/23/2024 Food and Beverage Undisputed 01/23/2026 1129465662 CMS
IBSA Pharma Inc. $22.73 05/13/2024 Food and Beverage Undisputed 01/23/2026 1142984486 CMS
Insulet Corporation $16.33 11/06/2024 Food and Beverage Undisputed 01/23/2026 1116826704 CMS
Janssen Biotech, Inc. $21.07 05/30/2024 Food and Beverage Undisputed 01/23/2026 1078577300 CMS
Janssen Biotech, Inc. $22.69 09/12/2024 Food and Beverage Undisputed 01/23/2026 1078577229 CMS
Kyowa Kirin, Inc. $18.48 04/15/2024 Food and Beverage Undisputed 01/23/2026 1127051551 CMS
Lilly USA, LLC $5.19 03/19/2024 Food and Beverage Undisputed 01/23/2026 1135721969 CMS
Lilly USA, LLC $16.72 04/01/2024 Food and Beverage Undisputed 01/23/2026 1135662105 CMS
Lilly USA, LLC $8.55 04/17/2024 Food and Beverage Undisputed 01/23/2026 1135729417 CMS
Lilly USA, LLC $442.84 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1135647631 CMS
Lilly USA, LLC $54.99 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135647633 CMS
Lilly USA, LLC $59.99 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135662107 CMS
Lilly USA, LLC $9.99 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1135662109 CMS
Lilly USA, LLC $185.00 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1135662111 CMS
Lilly USA, LLC $25.00 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135720769 CMS
Lilly USA, LLC $6.54 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135720771 CMS
Lilly USA, LLC $6.88 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135721971 CMS
Lilly USA, LLC $37.23 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1135721973 CMS
Lilly USA, LLC $219.00 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1135729419 CMS
Lilly USA, LLC $24.30 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135729421 CMS
Lilly USA, LLC $12.95 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1135729423 CMS
Lilly USA, LLC $25.00 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135729425 CMS
Lilly USA, LLC $156.49 05/16/2024 Travel and Lodging Undisputed 01/23/2026 1135731326 CMS
Lilly USA, LLC $119.86 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135731328 CMS
Lilly USA, LLC $1,450.00 05/22/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135702935 CMS
Lilly USA, LLC $27.09 05/23/2024 Food and Beverage Undisputed 01/23/2026 1135720765 CMS
Lilly USA, LLC $3.66 06/04/2024 Food and Beverage Undisputed 01/23/2026 1135731324 CMS
Lilly USA, LLC $8.33 07/10/2024 Food and Beverage Undisputed 01/23/2026 1135718670 CMS
Lilly USA, LLC $18.57 07/10/2024 Food and Beverage Undisputed 01/23/2026 1135720767 CMS
Lilly USA, LLC $400.00 07/26/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135647627 CMS
Lilly USA, LLC $400.00 08/02/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135662097 CMS
Lilly USA, LLC $600.00 08/05/2024 Consulting Fee Undisputed 01/23/2026 1135662095 CMS
Lilly USA, LLC $400.00 08/09/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135718666 CMS
Lilly USA, LLC $13.11 08/14/2024 Food and Beverage Undisputed 01/23/2026 1135718672 CMS
Lilly USA, LLC $400.00 08/16/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135702937 CMS
Lilly USA, LLC $400.00 08/23/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135729411 CMS
Lilly USA, LLC $400.00 09/09/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135718668 CMS
Lilly USA, LLC $121.77 09/12/2024 Food and Beverage Undisputed 01/23/2026 1135662099 CMS
Lilly USA, LLC $400.00 09/13/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135720761 CMS
Lilly USA, LLC $800.00 09/17/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135702939 CMS
Lilly USA, LLC $500.00 09/17/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135702941 CMS
Lilly USA, LLC $800.00 09/17/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135731314 CMS
Lilly USA, LLC $500.00 09/17/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135731316 CMS
Lilly USA, LLC $400.00 09/27/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135731318 CMS
Lilly USA, LLC $400.00 10/01/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135662101 CMS
Lilly USA, LLC $200.00 10/01/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135720763 CMS
Lilly USA, LLC $400.00 10/01/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135729413 CMS
Lilly USA, LLC $24.38 10/02/2024 Food and Beverage Undisputed 01/23/2026 1135729415 CMS
Lilly USA, LLC $152.10 10/03/2024 Travel and Lodging Undisputed 01/23/2026 1135647629 CMS
Lilly USA, LLC $15.21 10/03/2024 Travel and Lodging Undisputed 01/23/2026 1135662103 CMS
Lilly USA, LLC $167.50 10/03/2024 Travel and Lodging Undisputed 01/23/2026 1135721967 CMS
Lilly USA, LLC $400.00 10/07/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135721965 CMS
Lilly USA, LLC $400.00 10/11/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135731320 CMS
Lilly USA, LLC $400.00 10/17/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1135731322 CMS
Novartis Pharmaceuticals Corporation $21.84 02/26/2024 Food and Beverage Undisputed 01/23/2026 1086817465 CMS
Novartis Pharmaceuticals Corporation $14.72 06/05/2024 Food and Beverage Undisputed 01/23/2026 1086817473 CMS
Novartis Pharmaceuticals Corporation $19.87 10/28/2024 Food and Beverage Undisputed 01/23/2026 1086817479 CMS
Novo Nordisk Inc $8.75 01/03/2024 Food and Beverage Undisputed 01/23/2026 1100344588 CMS
Novo Nordisk Inc $20.21 02/05/2024 Food and Beverage Undisputed 01/23/2026 1100454952 CMS
Novo Nordisk Inc $9.48 02/07/2024 Food and Beverage Undisputed 01/23/2026 1100333393 CMS
Novo Nordisk Inc $7.86 02/27/2024 Food and Beverage Undisputed 01/23/2026 1100634337 CMS
Novo Nordisk Inc $15.43 03/07/2024 Food and Beverage Undisputed 01/23/2026 1100398032 CMS
Novo Nordisk Inc $7.72 03/18/2024 Food and Beverage Undisputed 01/23/2026 1100577368 CMS
Novo Nordisk Inc $6.69 03/26/2024 Food and Beverage Undisputed 01/23/2026 1100545206 CMS
Novo Nordisk Inc $9.95 04/24/2024 Food and Beverage Undisputed 01/23/2026 1100630607 CMS
Novo Nordisk Inc $5.20 05/29/2024 Food and Beverage Undisputed 01/23/2026 1100472715 CMS
Novo Nordisk Inc $6.19 06/05/2024 Food and Beverage Undisputed 01/23/2026 1100422871 CMS
Novo Nordisk Inc $7.74 06/18/2024 Food and Beverage Undisputed 01/23/2026 1100571850 CMS
Novo Nordisk Inc $16.75 06/24/2024 Food and Beverage Undisputed 01/23/2026 1100268336 CMS
Novo Nordisk Inc $6.87 07/09/2024 Food and Beverage Undisputed 01/23/2026 1100391790 CMS
Novo Nordisk Inc $3.67 07/24/2024 Food and Beverage Undisputed 01/23/2026 1100646291 CMS
Novo Nordisk Inc $20.77 08/12/2024 Food and Beverage Undisputed 01/23/2026 1100623536 CMS
Novo Nordisk Inc $9.38 08/14/2024 Food and Beverage Undisputed 01/23/2026 1100268788 CMS
Novo Nordisk Inc $7.61 08/26/2024 Food and Beverage Undisputed 01/23/2026 1100511369 CMS
Novo Nordisk Inc $9.32 09/12/2024 Food and Beverage Undisputed 01/23/2026 1100351522 CMS
Novo Nordisk Inc $12.09 09/24/2024 Food and Beverage Undisputed 01/23/2026 1100642048 CMS
Novo Nordisk Inc $20.05 10/09/2024 Food and Beverage Undisputed 01/23/2026 1100587523 CMS
Novo Nordisk Inc $13.98 10/16/2024 Food and Beverage Undisputed 01/23/2026 1100646397 CMS
Novo Nordisk Inc $5.98 10/17/2024 Food and Beverage Undisputed 01/23/2026 1100463184 CMS
Novo Nordisk Inc $8.58 10/23/2024 Food and Beverage Undisputed 01/23/2026 1100363783 CMS
Novo Nordisk Inc $6.70 11/07/2024 Food and Beverage Undisputed 01/23/2026 1100241047 CMS
Novo Nordisk Inc $7.49 11/13/2024 Food and Beverage Undisputed 01/23/2026 1100549908 CMS
Novo Nordisk Inc $9.68 11/26/2024 Food and Beverage Undisputed 01/23/2026 1100614827 CMS
Novo Nordisk Inc $17.16 12/11/2024 Food and Beverage Undisputed 01/23/2026 1100540910 CMS
Organon Llc $27.62 09/10/2024 Food and Beverage Undisputed 01/23/2026 1136270091 CMS
Radius Health, Inc. $18.84 11/05/2024 Food and Beverage Undisputed 01/23/2026 1090024205 CMS
SANOFI-AVENTIS U.S. LLC $8.19 01/11/2024 Food and Beverage Undisputed 01/23/2026 1139876625 CMS
SANOFI-AVENTIS U.S. LLC $7.34 02/01/2024 Food and Beverage Undisputed 01/23/2026 1139876791 CMS
SANOFI-AVENTIS U.S. LLC $7.01 02/21/2024 Food and Beverage Undisputed 01/23/2026 1139876815 CMS
SANOFI-AVENTIS U.S. LLC $27.84 03/12/2024 Food and Beverage Undisputed 01/23/2026 1139876827 CMS
SANOFI-AVENTIS U.S. LLC $26.71 03/19/2024 Food and Beverage Undisputed 01/23/2026 1139876805 CMS
SANOFI-AVENTIS U.S. LLC $9.69 04/16/2024 Food and Beverage Undisputed 01/23/2026 1139876825 CMS
SANOFI-AVENTIS U.S. LLC $10.82 05/02/2024 Food and Beverage Undisputed 01/23/2026 1139876843 CMS
SANOFI-AVENTIS U.S. LLC $7.67 05/13/2024 Food and Beverage Undisputed 01/23/2026 1139876841 CMS
SANOFI-AVENTIS U.S. LLC $6.30 05/21/2024 Food and Beverage Undisputed 01/23/2026 1139876853 CMS
SANOFI-AVENTIS U.S. LLC $10.36 06/04/2024 Food and Beverage Undisputed 01/23/2026 1139876851 CMS
SANOFI-AVENTIS U.S. LLC $3.91 06/12/2024 Food and Beverage Undisputed 01/23/2026 1139876849 CMS
SANOFI-AVENTIS U.S. LLC $7.20 06/25/2024 Food and Beverage Undisputed 01/23/2026 1139876863 CMS
SANOFI-AVENTIS U.S. LLC $7.00 07/09/2024 Food and Beverage Undisputed 01/23/2026 1139876873 CMS
SANOFI-AVENTIS U.S. LLC $7.31 09/10/2024 Food and Beverage Undisputed 01/23/2026 1139876917 CMS
SANOFI-AVENTIS U.S. LLC $8.71 10/03/2024 Food and Beverage Undisputed 01/23/2026 1139876909 CMS
SOBI, INC $14.77 07/16/2024 Food and Beverage Undisputed 01/23/2026 1141423715 CMS
Tandem Diabetes Care, Inc. $17.01 01/08/2024 Food and Beverage Undisputed 01/23/2026 1138750575 CMS
Tandem Diabetes Care, Inc. $13.92 09/30/2024 Food and Beverage Undisputed 01/23/2026 1138750571 CMS
Tandem Diabetes Care, Inc. $20.13 12/02/2024 Food and Beverage Undisputed 01/23/2026 1138750593 CMS
Tolmar, Inc. $22.58 05/30/2024 Food and Beverage Undisputed 01/23/2026 1138717204 CMS
Xeris Pharmaceuticals, Inc. $17.60 07/31/2024 Food and Beverage Undisputed 01/23/2026 1144630089 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.