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

DHARMIK S PATEL

Allopathic & Osteopathic Physicians Dermatology

NPI
1316408081
CMS profile
11451448
Location
WACONIA, MN

General Payments · PY2023–2024

$3,667.09

  • Reported across 197 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$3,146.62

173 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 paymentAmountRecords
Food and Beverage $3,146.62 173

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $520.47 24
PY2024 $3,146.62 173

Payment records · PY2024 (173)

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

Program year 2024 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. $9.24 01/12/2024 Food and Beverage Undisputed 01/23/2026 1105193039 CMS
ABBVIE INC. $19.25 01/20/2024 Food and Beverage Undisputed 01/23/2026 1105193041 CMS
ABBVIE INC. $11.13 01/23/2024 Food and Beverage Undisputed 01/23/2026 1105193043 CMS
ABBVIE INC. $16.46 02/20/2024 Food and Beverage Undisputed 01/23/2026 1105193045 CMS
ABBVIE INC. $8.25 02/27/2024 Food and Beverage Undisputed 01/23/2026 1105193047 CMS
ABBVIE INC. $26.87 03/01/2024 Food and Beverage Undisputed 01/23/2026 1105193049 CMS
ABBVIE INC. $12.84 03/14/2024 Food and Beverage Undisputed 01/23/2026 1105193051 CMS
ABBVIE INC. $16.97 03/19/2024 Food and Beverage Undisputed 01/23/2026 1105193053 CMS
ABBVIE INC. $21.06 03/21/2024 Food and Beverage Undisputed 01/23/2026 1105193055 CMS
ABBVIE INC. $21.75 03/27/2024 Food and Beverage Undisputed 01/23/2026 1105193057 CMS
ABBVIE INC. $20.81 04/30/2024 Food and Beverage Undisputed 01/23/2026 1105193059 CMS
ABBVIE INC. $7.70 05/02/2024 Food and Beverage Undisputed 01/23/2026 1105193061 CMS
ABBVIE INC. $8.35 05/08/2024 Food and Beverage Undisputed 01/23/2026 1105193063 CMS
ABBVIE INC. $13.13 05/24/2024 Food and Beverage Undisputed 01/23/2026 1105193065 CMS
ABBVIE INC. $14.08 05/30/2024 Food and Beverage Undisputed 01/23/2026 1105193067 CMS
ABBVIE INC. $9.98 06/13/2024 Food and Beverage Undisputed 01/23/2026 1105193069 CMS
ABBVIE INC. $6.50 06/24/2024 Food and Beverage Undisputed 01/23/2026 1105193071 CMS
ABBVIE INC. $10.03 07/01/2024 Food and Beverage Undisputed 01/23/2026 1105193073 CMS
ABBVIE INC. $8.17 07/17/2024 Food and Beverage Undisputed 01/23/2026 1105193075 CMS
ABBVIE INC. $6.65 08/01/2024 Food and Beverage Undisputed 01/23/2026 1105193077 CMS
ABBVIE INC. $21.14 08/29/2024 Food and Beverage Undisputed 01/23/2026 1105193079 CMS
ABBVIE INC. $6.55 09/23/2024 Food and Beverage Undisputed 01/23/2026 1105193081 CMS
ABBVIE INC. $12.16 10/10/2024 Food and Beverage Undisputed 01/23/2026 1105193083 CMS
ABBVIE INC. $14.40 10/31/2024 Food and Beverage Undisputed 01/23/2026 1105193085 CMS
ABBVIE INC. $17.57 11/14/2024 Food and Beverage Undisputed 01/23/2026 1105193087 CMS
ABBVIE INC. $20.25 11/21/2024 Food and Beverage Undisputed 01/23/2026 1105193089 CMS
Amgen Inc. $22.86 01/11/2024 Food and Beverage Undisputed 01/23/2026 1117348795 CMS
Amgen Inc. $10.98 01/18/2024 Food and Beverage Undisputed 01/23/2026 1117348797 CMS
Amgen Inc. $17.19 02/08/2024 Food and Beverage Undisputed 01/23/2026 1117348803 CMS
Amgen Inc. $9.13 02/13/2024 Food and Beverage Undisputed 01/23/2026 1117348801 CMS
Amgen Inc. $10.33 02/15/2024 Food and Beverage Undisputed 01/23/2026 1117348799 CMS
Amgen Inc. $23.82 03/04/2024 Food and Beverage Undisputed 01/23/2026 1117348805 CMS
Amgen Inc. $7.70 03/26/2024 Food and Beverage Undisputed 01/23/2026 1117348807 CMS
Amgen Inc. $21.87 04/04/2024 Food and Beverage Undisputed 01/23/2026 1117348809 CMS
Amgen Inc. $8.82 04/23/2024 Food and Beverage Undisputed 01/23/2026 1117348813 CMS
Amgen Inc. $8.18 04/25/2024 Food and Beverage Undisputed 01/23/2026 1117348811 CMS
Amgen Inc. $22.25 05/16/2024 Food and Beverage Undisputed 01/23/2026 1117348815 CMS
Amgen Inc. $8.98 05/17/2024 Food and Beverage Undisputed 01/23/2026 1117348817 CMS
Amgen Inc. $22.25 06/13/2024 Food and Beverage Undisputed 01/23/2026 1117348819 CMS
Amgen Inc. $21.73 06/25/2024 Food and Beverage Undisputed 01/23/2026 1117348821 CMS
Amgen Inc. $8.99 07/23/2024 Food and Beverage Undisputed 01/23/2026 1117348825 CMS
Amgen Inc. $21.29 07/25/2024 Food and Beverage Undisputed 01/23/2026 1117348823 CMS
Amgen Inc. $22.29 08/26/2024 Food and Beverage Undisputed 01/23/2026 1117348827 CMS
Amgen Inc. $20.56 09/19/2024 Food and Beverage Undisputed 01/23/2026 1117348829 CMS
Amgen Inc. $14.57 10/03/2024 Food and Beverage Undisputed 01/23/2026 1117348831 CMS
Amgen Inc. $7.55 10/08/2024 Food and Beverage Undisputed 01/23/2026 1117348833 CMS
Amgen Inc. $7.96 10/29/2024 Food and Beverage Undisputed 01/23/2026 1117348835 CMS
Amgen Inc. $13.71 11/11/2024 Food and Beverage Undisputed 01/23/2026 1117348839 CMS
Amgen Inc. $21.12 11/14/2024 Food and Beverage Undisputed 01/23/2026 1117348837 CMS
Amgen Inc. $26.21 12/12/2024 Food and Beverage Undisputed 01/23/2026 1117348841 CMS
Arcutis Biotherapeutics, Inc. $17.83 05/20/2024 Food and Beverage Undisputed 01/23/2026 1121043910 CMS
Biofrontera Inc. $16.67 08/20/2024 Food and Beverage Undisputed 01/23/2026 1106606813 CMS
Dermavant Sciences, Inc. $7.95 01/05/2024 Food and Beverage Undisputed 01/23/2026 1127916244 CMS
Dermavant Sciences, Inc. $15.21 01/25/2024 Food and Beverage Undisputed 01/23/2026 1127916247 CMS
Dermavant Sciences, Inc. $8.41 02/28/2024 Food and Beverage Undisputed 01/23/2026 1127916251 CMS
Dermavant Sciences, Inc. $5.65 03/04/2024 Food and Beverage Undisputed 01/23/2026 1127916255 CMS
Dermavant Sciences, Inc. $7.17 03/14/2024 Food and Beverage Undisputed 01/23/2026 1127916259 CMS
Dermavant Sciences, Inc. $6.51 04/29/2024 Food and Beverage Undisputed 01/23/2026 1127916262 CMS
Dermavant Sciences, Inc. $14.69 05/22/2024 Food and Beverage Undisputed 01/23/2026 1127916266 CMS
Dermavant Sciences, Inc. $21.36 06/04/2024 Food and Beverage Undisputed 01/23/2026 1127916270 CMS
Dermavant Sciences, Inc. $4.79 06/06/2024 Food and Beverage Undisputed 01/23/2026 1127916274 CMS
Dermavant Sciences, Inc. $8.24 07/02/2024 Food and Beverage Undisputed 01/23/2026 1127916278 CMS
Dermavant Sciences, Inc. $5.25 07/22/2024 Food and Beverage Undisputed 01/23/2026 1127916282 CMS
Dermavant Sciences, Inc. $7.90 08/27/2024 Food and Beverage Undisputed 01/23/2026 1127916285 CMS
Dermavant Sciences, Inc. $26.95 09/10/2024 Food and Beverage Undisputed 01/23/2026 1127916289 CMS
Dermavant Sciences, Inc. $8.41 09/19/2024 Food and Beverage Undisputed 01/23/2026 1127916293 CMS
Dermavant Sciences, Inc. $12.03 10/11/2024 Food and Beverage Undisputed 01/23/2026 1127916297 CMS
Dermavant Sciences, Inc. $7.78 10/24/2024 Food and Beverage Undisputed 01/23/2026 1127916301 CMS
Dermavant Sciences, Inc. $25.87 12/10/2024 Food and Beverage Undisputed 01/23/2026 1127916305 CMS
Dermavant Sciences, Inc. $4.89 12/19/2024 Food and Beverage Undisputed 01/23/2026 1127916308 CMS
E.R. Squibb & Sons, L.L.C. $4.98 02/08/2024 Food and Beverage Undisputed 01/23/2026 1101824091 CMS
E.R. Squibb & Sons, L.L.C. $4.94 03/07/2024 Food and Beverage Undisputed 01/23/2026 1101824104 CMS
E.R. Squibb & Sons, L.L.C. $149.46 03/07/2024 Food and Beverage Undisputed 01/23/2026 1101824111 CMS
E.R. Squibb & Sons, L.L.C. $124.72 03/12/2024 Food and Beverage Undisputed 01/23/2026 1101824119 CMS
E.R. Squibb & Sons, L.L.C. $1.38 03/14/2024 Food and Beverage Undisputed 01/23/2026 1101824107 CMS
E.R. Squibb & Sons, L.L.C. $9.56 04/11/2024 Food and Beverage Undisputed 01/23/2026 1101824123 CMS
E.R. Squibb & Sons, L.L.C. $6.12 05/07/2024 Food and Beverage Undisputed 01/23/2026 1101824132 CMS
E.R. Squibb & Sons, L.L.C. $6.95 05/28/2024 Food and Beverage Undisputed 01/23/2026 1101824143 CMS
E.R. Squibb & Sons, L.L.C. $7.56 06/27/2024 Food and Beverage Undisputed 01/23/2026 1101824146 CMS
E.R. Squibb & Sons, L.L.C. $0.70 06/27/2024 Food and Beverage Undisputed 01/23/2026 1101824150 CMS
E.R. Squibb & Sons, L.L.C. $20.45 07/18/2024 Food and Beverage Undisputed 01/23/2026 1101824216 CMS
E.R. Squibb & Sons, L.L.C. $10.18 08/08/2024 Food and Beverage Undisputed 01/23/2026 1101824238 CMS
E.R. Squibb & Sons, L.L.C. $28.88 08/15/2024 Food and Beverage Undisputed 01/23/2026 1101824234 CMS
E.R. Squibb & Sons, L.L.C. $11.88 09/12/2024 Food and Beverage Undisputed 01/23/2026 1101824249 CMS
E.R. Squibb & Sons, L.L.C. $16.08 10/03/2024 Food and Beverage Undisputed 01/23/2026 1101824253 CMS
E.R. Squibb & Sons, L.L.C. $5.61 10/04/2024 Food and Beverage Undisputed 01/23/2026 1101824257 CMS
E.R. Squibb & Sons, L.L.C. $0.91 10/04/2024 Food and Beverage Undisputed 01/23/2026 1101824279 CMS
E.R. Squibb & Sons, L.L.C. $5.54 11/22/2024 Food and Beverage Undisputed 01/23/2026 1101824297 CMS
E.R. Squibb & Sons, L.L.C. $18.00 12/18/2024 Food and Beverage Undisputed 01/23/2026 1101824308 CMS
Galderma Laboratories, L.P. $17.74 04/11/2024 Food and Beverage Undisputed 01/23/2026 1145320457 CMS
GENZYME CORPORATION $13.43 01/04/2024 Food and Beverage Undisputed 01/23/2026 1139631957 CMS
GENZYME CORPORATION $24.41 02/05/2024 Food and Beverage Undisputed 01/23/2026 1139631969 CMS
GENZYME CORPORATION $13.62 04/12/2024 Food and Beverage Undisputed 01/23/2026 1139631981 CMS
GENZYME CORPORATION $19.93 04/25/2024 Food and Beverage Undisputed 01/23/2026 1139631987 CMS
GENZYME CORPORATION $23.68 06/24/2024 Food and Beverage Undisputed 01/23/2026 1139632001 CMS
GENZYME CORPORATION $25.17 08/05/2024 Food and Beverage Undisputed 01/23/2026 1139632015 CMS
GENZYME CORPORATION $12.51 08/29/2024 Food and Beverage Undisputed 01/23/2026 1139632027 CMS
GENZYME CORPORATION $19.95 10/14/2024 Food and Beverage Undisputed 01/23/2026 1139632041 CMS
GENZYME CORPORATION $12.28 11/07/2024 Food and Beverage Undisputed 01/23/2026 1139632059 CMS
Gilead Sciences, Inc. $82.40 05/29/2024 Food and Beverage Undisputed 01/23/2026 1133736960 CMS
Incyte Corporation $23.04 05/09/2024 Food and Beverage Undisputed 01/23/2026 1141305799 CMS
Incyte Corporation $18.03 06/27/2024 Food and Beverage Undisputed 01/23/2026 1141264049 CMS
Incyte Corporation $19.35 08/15/2024 Food and Beverage Undisputed 01/23/2026 1141231049 CMS
Incyte Corporation $24.42 09/26/2024 Food and Beverage Undisputed 01/23/2026 1141307273 CMS
Janssen Biotech, Inc. $3.18 02/22/2024 Food and Beverage Undisputed 01/23/2026 1078517378 CMS
Janssen Biotech, Inc. $9.72 02/22/2024 Food and Beverage Undisputed 01/23/2026 1078517953 CMS
Janssen Biotech, Inc. $1.65 04/04/2024 Food and Beverage Undisputed 01/23/2026 1078518118 CMS
Janssen Biotech, Inc. $8.99 04/04/2024 Food and Beverage Undisputed 01/23/2026 1078518127 CMS
Janssen Biotech, Inc. $36.34 05/01/2024 Food and Beverage Undisputed 01/23/2026 1078518563 CMS
Janssen Biotech, Inc. $16.67 05/01/2024 Food and Beverage Undisputed 01/23/2026 1078518574 CMS
Janssen Biotech, Inc. $2.04 05/02/2024 Food and Beverage Undisputed 01/23/2026 1078518318 CMS
Janssen Biotech, Inc. $7.51 05/20/2024 Food and Beverage Undisputed 01/23/2026 1078517606 CMS
Janssen Biotech, Inc. $149.99 05/30/2024 Food and Beverage Undisputed 01/23/2026 1078518229 CMS
Janssen Biotech, Inc. $1.93 06/03/2024 Food and Beverage Undisputed 01/23/2026 1078518185 CMS
Janssen Biotech, Inc. $5.18 06/03/2024 Food and Beverage Undisputed 01/23/2026 1078518643 CMS
Janssen Biotech, Inc. $19.16 06/17/2024 Food and Beverage Undisputed 01/23/2026 1078518359 CMS
Janssen Biotech, Inc. $6.27 07/08/2024 Food and Beverage Undisputed 01/23/2026 1078517496 CMS
Janssen Biotech, Inc. $0.25 07/08/2024 Food and Beverage Undisputed 01/23/2026 1078517913 CMS
Janssen Biotech, Inc. $7.91 07/31/2024 Food and Beverage Undisputed 01/23/2026 1078517715 CMS
Janssen Biotech, Inc. $9.44 08/05/2024 Food and Beverage Undisputed 01/23/2026 1078517385 CMS
Janssen Biotech, Inc. $9.73 08/05/2024 Food and Beverage Undisputed 01/23/2026 1078518421 CMS
Janssen Biotech, Inc. $10.37 08/12/2024 Food and Beverage Undisputed 01/23/2026 1078518477 CMS
Journey Medical Corporation $125.00 03/08/2024 Food and Beverage Undisputed 01/23/2026 1100056441 CMS
LEO Pharma Inc. $29.88 02/15/2024 Food and Beverage Undisputed 01/23/2026 1152645641 CMS
LEO Pharma Inc. $8.62 06/11/2024 Food and Beverage Undisputed 01/23/2026 1152645643 CMS
LEO Pharma Inc. $28.92 07/01/2024 Food and Beverage Undisputed 01/23/2026 1152645645 CMS
LEO Pharma Inc. $19.92 09/27/2024 Food and Beverage Undisputed 01/23/2026 1152645647 CMS
LEO Pharma Inc. $28.38 10/08/2024 Food and Beverage Undisputed 01/23/2026 1152645649 CMS
LEO Pharma Inc. $26.61 12/09/2024 Food and Beverage Undisputed 01/23/2026 1152645651 CMS
Lilly USA, LLC $8.76 01/25/2024 Food and Beverage Undisputed 01/23/2026 1136137030 CMS
Lilly USA, LLC $20.29 06/21/2024 Food and Beverage Undisputed 01/23/2026 1136137032 CMS
Lilly USA, LLC $19.60 07/15/2024 Food and Beverage Undisputed 01/23/2026 1136156349 CMS
Lilly USA, LLC $24.59 08/26/2024 Food and Beverage Undisputed 01/23/2026 1136137034 CMS
Lilly USA, LLC $19.42 09/09/2024 Food and Beverage Undisputed 01/23/2026 1136164964 CMS
Lilly USA, LLC $12.09 09/12/2024 Food and Beverage Undisputed 01/23/2026 1136144177 CMS
Lilly USA, LLC $17.29 10/21/2024 Food and Beverage Undisputed 01/23/2026 1136164962 CMS
Lilly USA, LLC $6.50 10/28/2024 Food and Beverage Undisputed 01/23/2026 1136144179 CMS
Lilly USA, LLC $7.48 11/08/2024 Food and Beverage Undisputed 01/23/2026 1136144175 CMS
MAYNE PHARMA COMMERCIAL LLC $7.25 04/22/2024 Food and Beverage Undisputed 01/23/2026 1154681687 CMS
MAYNE PHARMA COMMERCIAL LLC $8.83 10/17/2024 Food and Beverage Undisputed 01/23/2026 1154681733 CMS
MAYNE PHARMA COMMERCIAL LLC $13.93 11/18/2024 Food and Beverage Undisputed 01/23/2026 1154681695 CMS
MAYNE PHARMA COMMERCIAL LLC $21.79 11/25/2024 Food and Beverage Undisputed 01/23/2026 1154681711 CMS
Novartis Pharmaceuticals Corporation $20.86 02/12/2024 Food and Beverage Undisputed 01/23/2026 1087302227 CMS
Novartis Pharmaceuticals Corporation $17.96 08/06/2024 Food and Beverage Undisputed 01/23/2026 1087302241 CMS
Novartis Pharmaceuticals Corporation $13.84 11/11/2024 Food and Beverage Undisputed 01/23/2026 1087302245 CMS
Novartis Pharmaceuticals Corporation $30.14 11/26/2024 Food and Beverage Undisputed 01/23/2026 1087302249 CMS
Novartis Pharmaceuticals Corporation $22.33 12/17/2024 Food and Beverage Undisputed 01/23/2026 1087302251 CMS
Ortho Dermatologics, a division of Bausch Health US, LLC $17.85 05/30/2024 Food and Beverage Undisputed 01/23/2026 1153807939 CMS
PolyNovo North America LLC $23.83 05/07/2024 Food and Beverage Undisputed 01/23/2026 1148184054 CMS
Regeneron Healthcare Solutions, Inc. $18.19 04/23/2024 Food and Beverage Undisputed 01/23/2026 1114132087 CMS
Regeneron Healthcare Solutions, Inc. $14.41 07/30/2024 Food and Beverage Undisputed 01/23/2026 1114132089 CMS
Regeneron Healthcare Solutions, Inc. $18.00 09/12/2024 Food and Beverage Undisputed 01/23/2026 1114132091 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $13.31 01/05/2024 Food and Beverage Undisputed 01/23/2026 1152143930 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $21.64 02/22/2024 Food and Beverage Undisputed 01/23/2026 1152143928 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $104.61 03/10/2024 Food and Beverage Undisputed 01/23/2026 1152143950 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $8.98 05/09/2024 Food and Beverage Undisputed 01/23/2026 1152143932 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $31.05 06/04/2024 Food and Beverage Undisputed 01/23/2026 1152143934 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $6.46 06/20/2024 Food and Beverage Undisputed 01/23/2026 1152143940 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $20.76 07/09/2024 Food and Beverage Undisputed 01/23/2026 1152143938 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $11.21 07/22/2024 Food and Beverage Undisputed 01/23/2026 1152143936 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $13.25 08/01/2024 Food and Beverage Undisputed 01/23/2026 1152143922 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $14.26 08/08/2024 Food and Beverage Undisputed 01/23/2026 1152143942 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $12.19 08/28/2024 Food and Beverage Undisputed 01/23/2026 1152143920 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $34.12 10/07/2024 Food and Beverage Undisputed 01/23/2026 1152143944 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $7.08 10/31/2024 Food and Beverage Undisputed 01/23/2026 1152143924 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $2.61 11/11/2024 Food and Beverage Undisputed 01/23/2026 1152143948 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $22.37 11/18/2024 Food and Beverage Undisputed 01/23/2026 1152143926 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $16.06 11/21/2024 Food and Beverage Undisputed 01/23/2026 1152143946 CMS
UCB, Inc. $17.33 07/17/2024 Food and Beverage Undisputed 01/23/2026 1143292565 CMS
UCB, Inc. $16.78 07/29/2024 Food and Beverage Undisputed 01/23/2026 1143292570 CMS
UCB, Inc. $21.12 12/16/2024 Food and Beverage Undisputed 01/23/2026 1143292575 CMS
Verrica Pharmaceuticals Inc. $16.96 02/27/2024 Food and Beverage Undisputed 01/23/2026 1118385160 CMS
Verrica Pharmaceuticals Inc. $16.53 06/11/2024 Food and Beverage Undisputed 01/23/2026 1118385162 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
2023, 2024
Source files
Dataset page · Bulk file · 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.

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