Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

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

HIRAL THAKRAR

Allopathic & Osteopathic Physicians Allergy & Immunology

NPI
1487033098
CMS profile
5700375
Location
SCOTTSDALE, AZ

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 · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$15,571.10

149 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 paymentAmountRecords
Consulting Fee $11,571.00 5
Food and Beverage $3,089.70 139
Travel and Lodging $899.14 4
Education $11.26 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $384.24 15
PY2020 $71.78 3
PY2021 $572.92 24
PY2022 $602.82 26
PY2023 $595.95 24
PY2024 $1,403.23 61
PY2025 $15,571.10 149

Payment records · PY2025 (149)

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

Program year 2025 201920202021202220232024 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
Novartis Pharmaceuticals Corporation $6.30 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1200394528 CMS
GENZYME CORPORATION $25.03 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1233598705 CMS
Novartis Pharmaceuticals Corporation $23.32 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1200394524 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.32 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1223797488 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2.31 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1223799082 CMS
Takeda Pharmaceuticals U.S.A., Inc. $22.66 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1223879205 CMS
GC Biopharma USA, Inc. $15.20 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1248223165 CMS
Novartis Pharmaceuticals Corporation $16.90 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1200394522 CMS
BioCryst US Sales Co., LLC $20.01 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1222017713 CMS
Lilly USA, LLC $3,375.00 11/20/2025 Consulting Fee No dispute reported 06/30/2026 1186634697 CMS
Lilly USA, LLC $1,575.00 11/20/2025 Consulting Fee No dispute reported 06/30/2026 1186649625 CMS
Novartis Pharmaceuticals Corporation $28.61 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1200394520 CMS
Lilly USA, LLC $206.00 11/14/2025 Travel and Lodging No dispute reported 06/30/2026 1186588524 CMS
Lilly USA, LLC $244.41 11/14/2025 Travel and Lodging No dispute reported 06/30/2026 1186598922 CMS
Lilly USA, LLC $242.73 11/14/2025 Travel and Lodging No dispute reported 06/30/2026 1186634693 CMS
GENZYME CORPORATION $150.00 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1233598711 CMS
Novartis Pharmaceuticals Corporation $7.83 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1200394508 CMS
Amgen Inc. $15.30 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1228276881 CMS
AstraZeneca Pharmaceuticals LP $16.30 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1206840433 CMS
CSL Behring $15.89 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1232390235 CMS
Ionis Pharmaceuticals, Inc. $17.27 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1246792621 CMS
GENZYME CORPORATION $22.00 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1233598703 CMS
GlaxoSmithKline, LLC. $21.36 11/03/2025 Food and Beverage No dispute reported 06/30/2026 1190724008 CMS
Novartis Pharmaceuticals Corporation $9.61 11/03/2025 Food and Beverage No dispute reported 06/30/2026 1200427193 CMS
PFIZER INC. $29.32 11/03/2025 Food and Beverage No dispute reported 06/30/2026 1230765349 CMS
Novartis Pharmaceuticals Corporation $7.38 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1200427191 CMS
GlaxoSmithKline, LLC. $26.77 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1190371718 CMS
Viatris Specialty LLC $20.97 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1238471937 CMS
GENZYME CORPORATION $6.89 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1233598697 CMS
Regeneron Healthcare Solutions, Inc. $93.16 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1213057466 CMS
Incyte Corporation $23.33 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1225999631 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.87 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1223796482 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.45 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1223797764 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.60 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1223810798 CMS
Regeneron Healthcare Solutions, Inc. $15.28 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1213057464 CMS
GlaxoSmithKline, LLC. $18.26 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1191698859 CMS
GC Biopharma USA, Inc. $14.90 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1248223163 CMS
CSL Behring $21.69 10/13/2025 Food and Beverage No dispute reported 06/30/2026 1232390227 CMS
Novartis Pharmaceuticals Corporation $23.50 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1200425729 CMS
AstraZeneca Pharmaceuticals LP $24.46 10/06/2025 Food and Beverage No dispute reported 06/30/2026 1206178449 CMS
Lilly USA, LLC $22.64 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1186622802 CMS
GENZYME CORPORATION $25.32 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1233598683 CMS
AstraZeneca Pharmaceuticals LP $14.81 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1206691025 CMS
Novartis Pharmaceuticals Corporation $2.80 09/27/2025 Food and Beverage No dispute reported 06/30/2026 1200425733 CMS
GlaxoSmithKline, LLC. $8.20 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1190822396 CMS
CSL Behring $34.26 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1232390221 CMS
GlaxoSmithKline, LLC. $20.20 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1191245440 CMS
Novartis Pharmaceuticals Corporation $4.41 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1200425731 CMS
BioCryst US Sales Co., LLC $17.18 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1222021295 CMS
AstraZeneca Pharmaceuticals LP $14.59 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1206585917 CMS
Lilly USA, LLC $7.06 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1186579394 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.02 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1223796834 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.51 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1223797865 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.48 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1223806113 CMS
Novartis Pharmaceuticals Corporation $20.05 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1200425721 CMS
Eli Lilly and Company $3,600.00 09/03/2025 Consulting Fee No dispute reported 06/30/2026 1186579390 CMS
Eli Lilly and Company $1,575.00 09/03/2025 Consulting Fee No dispute reported 06/30/2026 1186622800 CMS
Novartis Pharmaceuticals Corporation $6.34 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1200427179 CMS
GlaxoSmithKline, LLC. $20.02 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1191011470 CMS
GENZYME CORPORATION $9.97 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1233598671 CMS
Viatris Specialty LLC $32.47 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1238516852 CMS
CSL Behring $20.30 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1232390217 CMS
GENZYME CORPORATION $135.36 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1233598707 CMS
GENZYME CORPORATION $1,446.00 08/13/2025 Consulting Fee No dispute reported 06/30/2026 1233598709 CMS
GlaxoSmithKline, LLC. $26.33 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1191801426 CMS
Optinose US, Inc. $18.91 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1163258100 CMS
Amgen Inc. $15.51 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1228276885 CMS
Eli Lilly and Company $206.00 08/01/2025 Travel and Lodging No dispute reported 06/30/2026 1186588522 CMS
Regeneron Healthcare Solutions, Inc. $24.33 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1213057462 CMS
Novartis Pharmaceuticals Corporation $28.42 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1200425717 CMS
Novartis Pharmaceuticals Corporation $20.28 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1200425719 CMS
CSL Behring $23.20 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1232390213 CMS
Regeneron Healthcare Solutions, Inc. $17.39 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1213057460 CMS
Regeneron Healthcare Solutions, Inc. $49.28 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1213057458 CMS
GENZYME CORPORATION $35.38 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1233598641 CMS
CSL Behring $19.88 07/07/2025 Food and Beverage No dispute reported 06/30/2026 1232390211 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.79 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1223796320 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.53 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1223797909 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.67 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1223817202 CMS
GlaxoSmithKline, LLC. $6.30 06/30/2025 Food and Beverage No dispute reported 06/30/2026 1190729234 CMS
Novartis Pharmaceuticals Corporation $28.17 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1200394496 CMS
GC Biopharma USA, Inc. $15.59 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1248223161 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.81 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1223798328 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.98 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1223798590 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.36 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1223851916 CMS
GENZYME CORPORATION $27.89 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1233598635 CMS
Novartis Pharmaceuticals Corporation $5.54 06/02/2025 Food and Beverage No dispute reported 06/30/2026 1200425713 CMS
GlaxoSmithKline, LLC. $25.51 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1190549507 CMS
CSL Behring $7.39 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1232390203 CMS
Optinose US, Inc. $15.57 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1163258086 CMS
Novartis Pharmaceuticals Corporation $118.40 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1200394494 CMS
GlaxoSmithKline, LLC. $24.33 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1190552219 CMS
Regeneron Healthcare Solutions, Inc. $17.74 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1213057454 CMS
Regeneron Healthcare Solutions, Inc. $11.26 05/20/2025 Education No dispute reported 06/30/2026 1213057456 CMS
GlaxoSmithKline, LLC. $17.14 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1191680748 CMS
Takeda Pharmaceuticals U.S.A., Inc. $8.32 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1223803954 CMS
Takeda Pharmaceuticals U.S.A., Inc. $1.41 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1223797694 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.10 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1223841457 CMS
Viatris Specialty LLC $16.19 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1238501395 CMS
ARS Pharmaceuticals Operations, Inc. $28.03 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1245895251 CMS
Pharming Healthcare, Inc. $27.48 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1200803896 CMS
Takeda Pharmaceuticals U.S.A., Inc. $12.75 05/01/2025 Food and Beverage No dispute reported 06/30/2026 1223808928 CMS
Novartis Pharmaceuticals Corporation $23.79 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1200425685 CMS
Regeneron Healthcare Solutions, Inc. $17.70 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1213057452 CMS
Genentech, Inc. $92.90 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1211518193 CMS
GlaxoSmithKline, LLC. $20.78 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1191746696 CMS
GlaxoSmithKline, LLC. $4.10 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1190527133 CMS
Viatris Specialty LLC $15.43 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1238501161 CMS
Regeneron Healthcare Solutions, Inc. $26.61 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1213057450 CMS
AstraZeneca Pharmaceuticals LP $14.44 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1207314716 CMS
GENZYME CORPORATION $24.04 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1233598615 CMS
Lilly USA, LLC $7.84 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1186579392 CMS
Novartis Pharmaceuticals Corporation $19.18 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1200425711 CMS
GlaxoSmithKline, LLC. $12.13 04/08/2025 Food and Beverage No dispute reported 06/30/2026 1190753561 CMS
Optinose US, Inc. $14.71 04/08/2025 Food and Beverage No dispute reported 06/30/2026 1163258084 CMS
GlaxoSmithKline, LLC. $16.75 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1190544317 CMS
Lilly USA, LLC $26.47 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1186634695 CMS
PFIZER INC. $22.76 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1230605602 CMS
Regeneron Healthcare Solutions, Inc. $24.56 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1213057448 CMS
CSL Behring $22.68 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1232390197 CMS
GlaxoSmithKline, LLC. $21.77 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1191665749 CMS
BioCryst US Sales Co., LLC $19.31 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1222014260 CMS
ARS Pharmaceuticals Operations, Inc. $21.54 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1245895249 CMS
GlaxoSmithKline, LLC. $24.79 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1191281026 CMS
Regeneron Healthcare Solutions, Inc. $102.20 03/02/2025 Food and Beverage No dispute reported 06/30/2026 1213057446 CMS
Genentech USA, Inc. $87.16 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1211518191 CMS
Viatris Specialty LLC $19.15 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1238494811 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2.33 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1223799112 CMS
Takeda Pharmaceuticals U.S.A., Inc. $5.15 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1223801327 CMS
Amgen Inc. $15.56 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1228276883 CMS
Novartis Pharmaceuticals Corporation $7.40 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1200425683 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.81 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1223796340 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.98 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1223840351 CMS
PFIZER INC. $15.86 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1230601903 CMS
GENZYME CORPORATION $26.29 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1233598571 CMS
GlaxoSmithKline, LLC. $24.25 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1190678131 CMS
AstraZeneca Pharmaceuticals LP $27.00 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1206192601 CMS
Pharming Healthcare, Inc. $29.77 02/11/2025 Food and Beverage No dispute reported 06/30/2026 1200803894 CMS
GlaxoSmithKline, LLC. $18.54 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1191019201 CMS
Lilly USA, LLC $6.12 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1186588526 CMS
Regeneron Healthcare Solutions, Inc. $43.74 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1213057444 CMS
AstraZeneca Pharmaceuticals LP $110.12 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1206558867 CMS
Regeneron Healthcare Solutions, Inc. $19.64 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1213057442 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2.22 01/21/2025 Food and Beverage No dispute reported 06/30/2026 1223798962 CMS
Takeda Pharmaceuticals U.S.A., Inc. $4.36 01/21/2025 Food and Beverage No dispute reported 06/30/2026 1223800769 CMS
Lilly USA, LLC $14.00 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1186610856 CMS
GlaxoSmithKline, LLC. $23.84 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1190352230 CMS
Lilly USA, LLC $3.19 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1186649623 CMS
GlaxoSmithKline, LLC. $19.80 01/06/2025 Food and Beverage No dispute reported 06/30/2026 1190845926 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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , 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.

Plain
HIRAL THAKRAR, NPI 1487033098. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1487033098.
APA 7
IndustryPayments. (2026). HIRAL THAKRAR, NPI 1487033098 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1487033098
Bluebook
HIRAL THAKRAR, NPI 1487033098, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1487033098.

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