IndustryPayments
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

KARA N GAY

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1528608510
CMS profile
10669666
Location
CHARLESTON, SC

General Payments · PY2021–2024

$10,176.42

  • Reported across 564 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,891.54

162 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.

Related groups: Physician Assistant SC All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,879.39 161
Education $12.15 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $579.91 42
Vanda Pharmaceuticals Inc. $317.51 13
Janssen Pharmaceuticals, Inc $231.90 8
Alkermes, Inc. $224.49 13
Otsuka America Pharmaceutical, Inc. $211.19 12
Neos Therapeutics, LP $174.26 17
Lundbeck LLC $173.79 11
Axsome Therapeutics, Inc. $155.17 6
ITI, Inc. $149.47 8
Neurocrine BioSciences, Inc. $111.36 4
Tris Pharma Inc $83.94 4
HARMONY BIOSCIENCES LLC $77.59 4
Indivior Inc. $74.70 4
Takeda Pharmaceuticals U.S.A., Inc. $73.01 3
Corium, Inc. $61.80 3
Noven Therapeutics, LLC $49.38 2
Supernus Pharmaceuticals, Inc. $45.32 2
IDORSIA PHARMACEUTICALS US INC $37.89 2
Teva Pharmaceuticals USA, Inc. $31.78 2
Braeburn Inc. $13.60 1
Bausch Health US, LLC $13.48 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,989.05 112
PY2022 $2,554.39 142
PY2023 $2,741.44 148
PY2024 $2,891.54 162

Payment records · PY2024 (162)

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
ABBVIE INC. $15.95 01/08/2024 Food and Beverage Undisputed 01/23/2026 1107158745 CMS
ABBVIE INC. $13.18 01/17/2024 Food and Beverage Undisputed 01/23/2026 1107158747 CMS
ABBVIE INC. $19.62 01/17/2024 Food and Beverage Undisputed 01/23/2026 1107158749 CMS
ABBVIE INC. $13.94 01/26/2024 Food and Beverage Undisputed 01/23/2026 1107158751 CMS
ABBVIE INC. $4.36 02/06/2024 Food and Beverage Undisputed 01/23/2026 1107158753 CMS
ABBVIE INC. $4.43 02/06/2024 Food and Beverage Undisputed 01/23/2026 1107158755 CMS
ABBVIE INC. $14.61 02/19/2024 Food and Beverage Undisputed 01/23/2026 1107158757 CMS
ABBVIE INC. $15.43 02/23/2024 Food and Beverage Undisputed 01/23/2026 1107158759 CMS
ABBVIE INC. $18.46 02/29/2024 Food and Beverage Undisputed 01/23/2026 1107158761 CMS
ABBVIE INC. $16.21 03/07/2024 Food and Beverage Undisputed 01/23/2026 1107158763 CMS
ABBVIE INC. $4.39 03/08/2024 Food and Beverage Undisputed 01/23/2026 1107158765 CMS
ABBVIE INC. $16.28 03/14/2024 Food and Beverage Undisputed 01/23/2026 1107158767 CMS
ABBVIE INC. $12.75 03/19/2024 Food and Beverage Undisputed 01/23/2026 1107158769 CMS
ABBVIE INC. $13.40 03/27/2024 Food and Beverage Undisputed 01/23/2026 1107158771 CMS
ABBVIE INC. $18.58 04/03/2024 Food and Beverage Undisputed 01/23/2026 1107158773 CMS
ABBVIE INC. $12.56 04/09/2024 Food and Beverage Undisputed 01/23/2026 1107158775 CMS
ABBVIE INC. $9.29 04/17/2024 Food and Beverage Undisputed 01/23/2026 1107158777 CMS
ABBVIE INC. $14.15 04/23/2024 Food and Beverage Undisputed 01/23/2026 1107158779 CMS
ABBVIE INC. $4.69 05/01/2024 Food and Beverage Undisputed 01/23/2026 1107158781 CMS
ABBVIE INC. $5.64 05/02/2024 Food and Beverage Undisputed 01/23/2026 1107158783 CMS
ABBVIE INC. $15.07 05/23/2024 Food and Beverage Undisputed 01/23/2026 1107158785 CMS
ABBVIE INC. $20.10 05/30/2024 Food and Beverage Undisputed 01/23/2026 1107158787 CMS
ABBVIE INC. $18.93 06/11/2024 Food and Beverage Undisputed 01/23/2026 1107158789 CMS
ABBVIE INC. $15.18 07/08/2024 Food and Beverage Undisputed 01/23/2026 1107158791 CMS
ABBVIE INC. $14.20 07/15/2024 Food and Beverage Undisputed 01/23/2026 1107158793 CMS
ABBVIE INC. $16.87 07/23/2024 Food and Beverage Undisputed 01/23/2026 1107158795 CMS
ABBVIE INC. $16.78 07/30/2024 Food and Beverage Undisputed 01/23/2026 1107158797 CMS
ABBVIE INC. $13.05 08/15/2024 Food and Beverage Undisputed 01/23/2026 1107158799 CMS
ABBVIE INC. $4.89 08/21/2024 Food and Beverage Undisputed 01/23/2026 1107158801 CMS
ABBVIE INC. $8.69 08/28/2024 Food and Beverage Undisputed 01/23/2026 1107158803 CMS
ABBVIE INC. $15.67 08/28/2024 Food and Beverage Undisputed 01/23/2026 1107158805 CMS
ABBVIE INC. $11.24 08/29/2024 Food and Beverage Undisputed 01/23/2026 1107158807 CMS
ABBVIE INC. $2.35 09/12/2024 Food and Beverage Undisputed 01/23/2026 1107158809 CMS
ABBVIE INC. $19.50 09/24/2024 Food and Beverage Undisputed 01/23/2026 1107158811 CMS
ABBVIE INC. $16.21 10/08/2024 Food and Beverage Undisputed 01/23/2026 1107158813 CMS
ABBVIE INC. $15.94 10/15/2024 Food and Beverage Undisputed 01/23/2026 1107158815 CMS
ABBVIE INC. $14.50 10/29/2024 Food and Beverage Undisputed 01/23/2026 1107158817 CMS
ABBVIE INC. $20.11 11/06/2024 Food and Beverage Undisputed 01/23/2026 1107158819 CMS
ABBVIE INC. $5.07 11/12/2024 Food and Beverage Undisputed 01/23/2026 1107158821 CMS
ABBVIE INC. $19.06 11/21/2024 Food and Beverage Undisputed 01/23/2026 1107158823 CMS
ABBVIE INC. $14.75 12/05/2024 Food and Beverage Undisputed 01/23/2026 1107158825 CMS
ABBVIE INC. $33.83 12/16/2024 Food and Beverage Undisputed 01/23/2026 1107158827 CMS
Alkermes, Inc. $23.34 01/04/2024 Food and Beverage Undisputed 01/23/2026 1120503438 CMS
Alkermes, Inc. $9.76 01/09/2024 Food and Beverage Undisputed 01/23/2026 1120503440 CMS
Alkermes, Inc. $17.34 01/10/2024 Food and Beverage Undisputed 01/23/2026 1120503442 CMS
Alkermes, Inc. $7.50 02/15/2024 Food and Beverage Undisputed 01/23/2026 1120503444 CMS
Alkermes, Inc. $8.86 03/01/2024 Food and Beverage Undisputed 01/23/2026 1120503446 CMS
Alkermes, Inc. $25.50 03/07/2024 Food and Beverage Undisputed 01/23/2026 1120503448 CMS
Alkermes, Inc. $16.61 04/16/2024 Food and Beverage Undisputed 01/23/2026 1120503450 CMS
Alkermes, Inc. $22.14 04/25/2024 Food and Beverage Undisputed 01/23/2026 1120503452 CMS
Alkermes, Inc. $20.08 07/09/2024 Food and Beverage Undisputed 01/23/2026 1120503454 CMS
Alkermes, Inc. $16.41 08/08/2024 Food and Beverage Undisputed 01/23/2026 1120503456 CMS
Alkermes, Inc. $25.36 09/19/2024 Food and Beverage Undisputed 01/23/2026 1120503458 CMS
Alkermes, Inc. $18.33 09/26/2024 Food and Beverage Undisputed 01/23/2026 1120503460 CMS
Alkermes, Inc. $13.26 12/12/2024 Food and Beverage Undisputed 01/23/2026 1120503462 CMS
Axsome Therapeutics, Inc. $20.76 02/06/2024 Food and Beverage Undisputed 01/23/2026 1148374068 CMS
Axsome Therapeutics, Inc. $29.08 03/20/2024 Food and Beverage Undisputed 01/23/2026 1148374070 CMS
Axsome Therapeutics, Inc. $34.05 04/18/2024 Food and Beverage Undisputed 01/23/2026 1148374072 CMS
Axsome Therapeutics, Inc. $27.83 05/01/2024 Food and Beverage Undisputed 01/23/2026 1148374074 CMS
Axsome Therapeutics, Inc. $26.81 07/17/2024 Food and Beverage Undisputed 01/23/2026 1148374076 CMS
Axsome Therapeutics, Inc. $16.64 12/03/2024 Food and Beverage Undisputed 01/23/2026 1148374078 CMS
Bausch Health US, LLC $13.48 11/20/2024 Food and Beverage Undisputed 01/23/2026 1148030624 CMS
Braeburn Inc. $13.60 09/18/2024 Food and Beverage Undisputed 01/23/2026 1125615968 CMS
Corium, LLC $15.07 01/22/2024 Food and Beverage Undisputed 01/23/2026 1100112648 CMS
Corium, LLC $18.48 06/19/2024 Food and Beverage Undisputed 01/23/2026 1100173330 CMS
Corium, LLC $28.25 07/18/2024 Food and Beverage Undisputed 01/23/2026 1100197968 CMS
HARMONY BIOSCIENCES LLC $22.61 04/19/2024 Food and Beverage Undisputed 01/23/2026 1126089241 CMS
HARMONY BIOSCIENCES LLC $19.21 04/30/2024 Food and Beverage Undisputed 01/23/2026 1126089243 CMS
HARMONY BIOSCIENCES LLC $18.32 05/06/2024 Food and Beverage Undisputed 01/23/2026 1126089245 CMS
HARMONY BIOSCIENCES LLC $17.45 05/18/2024 Food and Beverage Undisputed 01/23/2026 1126089247 CMS
IDORSIA PHARMACEUTICALS US INC $20.33 04/25/2024 Food and Beverage Undisputed 01/23/2026 1146776856 CMS
IDORSIA PHARMACEUTICALS US INC $17.56 10/16/2024 Food and Beverage Undisputed 01/23/2026 1146782216 CMS
Indivior Inc. $17.64 02/28/2024 Food and Beverage Undisputed 01/23/2026 1144553212 CMS
Indivior Inc. $16.36 06/13/2024 Food and Beverage Undisputed 01/23/2026 1144553214 CMS
Indivior Inc. $20.54 10/02/2024 Food and Beverage Undisputed 01/23/2026 1144553216 CMS
Indivior Inc. $20.16 11/21/2024 Food and Beverage Undisputed 01/23/2026 1144553218 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.44 01/17/2024 Food and Beverage Undisputed 01/23/2026 1143459976 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.97 02/08/2024 Food and Beverage Undisputed 01/23/2026 1143459981 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $24.08 03/06/2024 Food and Beverage Undisputed 01/23/2026 1143459984 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $17.35 03/21/2024 Food and Beverage Undisputed 01/23/2026 1143459988 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.24 05/03/2024 Food and Beverage Undisputed 01/23/2026 1143459992 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $12.15 06/12/2024 Education Undisputed 01/23/2026 1143459996 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.60 06/12/2024 Food and Beverage Undisputed 01/23/2026 1143459999 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $23.64 11/20/2024 Food and Beverage Undisputed 01/23/2026 1143460003 CMS
Janssen Pharmaceuticals, Inc $14.50 01/23/2024 Food and Beverage Undisputed 01/23/2026 1078174595 CMS
Janssen Pharmaceuticals, Inc $23.80 02/20/2024 Food and Beverage Undisputed 01/23/2026 1078174555 CMS
Janssen Pharmaceuticals, Inc $19.91 02/27/2024 Food and Beverage Undisputed 01/23/2026 1078174223 CMS
Janssen Pharmaceuticals, Inc $16.57 03/26/2024 Food and Beverage Undisputed 01/23/2026 1078174313 CMS
Janssen Pharmaceuticals, Inc $20.14 07/24/2024 Food and Beverage Undisputed 01/23/2026 1078174703 CMS
Janssen Pharmaceuticals, Inc $18.56 09/04/2024 Food and Beverage Undisputed 01/23/2026 1078174277 CMS
Janssen Pharmaceuticals, Inc $99.68 10/09/2024 Food and Beverage Undisputed 01/23/2026 1078174297 CMS
Janssen Pharmaceuticals, Inc $18.74 11/12/2024 Food and Beverage Undisputed 01/23/2026 1078174697 CMS
Lundbeck LLC $21.05 02/07/2024 Food and Beverage Undisputed 01/23/2026 1146025229 CMS
Lundbeck LLC $4.34 03/08/2024 Food and Beverage Undisputed 01/23/2026 1146025231 CMS
Lundbeck LLC $21.05 03/25/2024 Food and Beverage Undisputed 01/23/2026 1146025233 CMS
Lundbeck LLC $22.67 04/09/2024 Food and Beverage Undisputed 01/23/2026 1146025235 CMS
Lundbeck LLC $18.42 05/09/2024 Food and Beverage Undisputed 01/23/2026 1146025237 CMS
Lundbeck LLC $3.20 07/15/2024 Food and Beverage Undisputed 01/23/2026 1146025239 CMS
Lundbeck LLC $19.27 07/25/2024 Food and Beverage Undisputed 01/23/2026 1146025241 CMS
Lundbeck LLC $27.67 09/04/2024 Food and Beverage Undisputed 01/23/2026 1146025243 CMS
Lundbeck LLC $3.47 09/11/2024 Food and Beverage Undisputed 01/23/2026 1146025245 CMS
Lundbeck LLC $25.69 10/23/2024 Food and Beverage Undisputed 01/23/2026 1146025247 CMS
Lundbeck LLC $6.96 12/16/2024 Food and Beverage Undisputed 01/23/2026 1146025249 CMS
Neos Therapeutics, LP $10.17 02/20/2024 Food and Beverage Undisputed 01/23/2026 1082667631 CMS
Neos Therapeutics, LP $10.89 02/27/2024 Food and Beverage Undisputed 01/23/2026 1082667633 CMS
Neos Therapeutics, LP $15.17 03/07/2024 Food and Beverage Undisputed 01/23/2026 1082674619 CMS
Neos Therapeutics, LP $10.36 03/12/2024 Food and Beverage Undisputed 01/23/2026 1082674631 CMS
Neos Therapeutics, LP $4.39 03/19/2024 Food and Beverage Undisputed 01/23/2026 1082674645 CMS
Neos Therapeutics, LP $13.31 03/26/2024 Food and Beverage Undisputed 01/23/2026 1082674655 CMS
Neos Therapeutics, LP $1.48 04/16/2024 Food and Beverage Undisputed 01/23/2026 1082664499 CMS
Neos Therapeutics, LP $10.36 04/17/2024 Food and Beverage Undisputed 01/23/2026 1082664505 CMS
Neos Therapeutics, LP $13.20 05/29/2024 Food and Beverage Undisputed 01/23/2026 1082668061 CMS
Neos Therapeutics, LP $8.65 06/10/2024 Food and Beverage Undisputed 01/23/2026 1082669887 CMS
Neos Therapeutics, LP $12.11 07/09/2024 Food and Beverage Undisputed 01/23/2026 1082672585 CMS
Neos Therapeutics, LP $7.56 07/29/2024 Food and Beverage Undisputed 01/23/2026 1082672603 CMS
Neos Therapeutics, LP $10.24 09/04/2024 Food and Beverage Undisputed 01/23/2026 1082674393 CMS
Neos Therapeutics, LP $6.87 09/19/2024 Food and Beverage Undisputed 01/23/2026 1082674405 CMS
Neos Therapeutics, LP $13.95 10/10/2024 Food and Beverage Undisputed 01/23/2026 1082677251 CMS
Neos Therapeutics, LP $10.54 10/24/2024 Food and Beverage Undisputed 01/23/2026 1082677265 CMS
Neos Therapeutics, LP $15.01 11/14/2024 Food and Beverage Undisputed 01/23/2026 1082677841 CMS
Neurocrine Biosciences, Inc. $25.97 02/02/2024 Food and Beverage Undisputed 01/23/2026 1150951611 CMS
Neurocrine Biosciences, Inc. $27.95 05/22/2024 Food and Beverage Undisputed 01/23/2026 1150945071 CMS
Neurocrine Biosciences, Inc. $29.58 06/07/2024 Food and Beverage Undisputed 01/23/2026 1150940502 CMS
Neurocrine Biosciences, Inc. $27.86 12/09/2024 Food and Beverage Undisputed 01/23/2026 1150945329 CMS
Noven Therapeutics, LLC $24.84 01/04/2024 Food and Beverage Undisputed 01/23/2026 1084833260 CMS
Noven Therapeutics, LLC $24.54 11/18/2024 Food and Beverage Undisputed 01/23/2026 1084833258 CMS
Otsuka America Pharmaceutical, Inc. $19.35 01/23/2024 Food and Beverage Undisputed 01/23/2026 1119078042 CMS
Otsuka America Pharmaceutical, Inc. $21.89 02/15/2024 Food and Beverage Undisputed 01/23/2026 1119078044 CMS
Otsuka America Pharmaceutical, Inc. $20.25 03/05/2024 Food and Beverage Undisputed 01/23/2026 1119078046 CMS
Otsuka America Pharmaceutical, Inc. $19.73 03/22/2024 Food and Beverage Undisputed 01/23/2026 1119078048 CMS
Otsuka America Pharmaceutical, Inc. $20.73 04/17/2024 Food and Beverage Undisputed 01/23/2026 1119078050 CMS
Otsuka America Pharmaceutical, Inc. $13.05 05/07/2024 Food and Beverage Undisputed 01/23/2026 1119078052 CMS
Otsuka America Pharmaceutical, Inc. $19.86 05/08/2024 Food and Beverage Undisputed 01/23/2026 1119078054 CMS
Otsuka America Pharmaceutical, Inc. $12.22 06/12/2024 Food and Beverage Undisputed 01/23/2026 1119078056 CMS
Otsuka America Pharmaceutical, Inc. $15.69 07/25/2024 Food and Beverage Undisputed 01/23/2026 1119078058 CMS
Otsuka America Pharmaceutical, Inc. $17.90 09/10/2024 Food and Beverage Undisputed 01/23/2026 1119078060 CMS
Otsuka America Pharmaceutical, Inc. $17.37 09/26/2024 Food and Beverage Undisputed 01/23/2026 1119078062 CMS
Otsuka America Pharmaceutical, Inc. $13.15 11/26/2024 Food and Beverage Undisputed 01/23/2026 1119078064 CMS
Supernus Pharmaceuticals, Inc. $24.42 05/03/2024 Food and Beverage Undisputed 01/23/2026 1147811009 CMS
Supernus Pharmaceuticals, Inc. $20.90 08/13/2024 Food and Beverage Undisputed 01/23/2026 1147811007 CMS
Takeda Pharmaceuticals U.S.A., Inc. $31.02 01/23/2024 Food and Beverage Undisputed 01/23/2026 1137751765 CMS
Takeda Pharmaceuticals U.S.A., Inc. $23.72 06/13/2024 Food and Beverage Undisputed 01/23/2026 1137751769 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.27 11/06/2024 Food and Beverage Undisputed 01/23/2026 1137751772 CMS
Teva Pharmaceuticals USA, Inc. $18.71 09/03/2024 Food and Beverage Undisputed 01/23/2026 1151643981 CMS
Teva Pharmaceuticals USA, Inc. $13.07 11/19/2024 Food and Beverage Undisputed 01/23/2026 1151643987 CMS
Tris Pharma Inc $19.28 06/04/2024 Food and Beverage Undisputed 01/23/2026 1147238557 CMS
Tris Pharma Inc $20.58 07/16/2024 Food and Beverage Undisputed 01/23/2026 1147238559 CMS
Tris Pharma Inc $22.05 08/27/2024 Food and Beverage Undisputed 01/23/2026 1147238563 CMS
Tris Pharma Inc $22.03 11/05/2024 Food and Beverage Undisputed 01/23/2026 1147238561 CMS
Vanda Pharmaceuticals Inc. $32.83 01/18/2024 Food and Beverage Undisputed 01/23/2026 1133944012 CMS
Vanda Pharmaceuticals Inc. $34.63 02/12/2024 Food and Beverage Undisputed 01/23/2026 1133944014 CMS
Vanda Pharmaceuticals Inc. $39.41 04/04/2024 Food and Beverage Undisputed 01/23/2026 1133944016 CMS
Vanda Pharmaceuticals Inc. $20.20 05/03/2024 Food and Beverage Undisputed 01/23/2026 1133944018 CMS
Vanda Pharmaceuticals Inc. $26.66 05/09/2024 Food and Beverage Undisputed 01/23/2026 1133944020 CMS
Vanda Pharmaceuticals Inc. $13.62 06/07/2024 Food and Beverage Undisputed 01/23/2026 1133944022 CMS
Vanda Pharmaceuticals Inc. $17.69 06/25/2024 Food and Beverage Undisputed 01/23/2026 1133944024 CMS
Vanda Pharmaceuticals Inc. $12.43 07/12/2024 Food and Beverage Undisputed 01/23/2026 1133944026 CMS
Vanda Pharmaceuticals Inc. $28.76 09/18/2024 Food and Beverage Undisputed 01/23/2026 1133944028 CMS
Vanda Pharmaceuticals Inc. $14.21 10/08/2024 Food and Beverage Undisputed 01/23/2026 1133944030 CMS
Vanda Pharmaceuticals Inc. $31.19 10/15/2024 Food and Beverage Undisputed 01/23/2026 1133944032 CMS
Vanda Pharmaceuticals Inc. $16.95 10/22/2024 Food and Beverage Undisputed 01/23/2026 1133944034 CMS
Vanda Pharmaceuticals Inc. $28.93 11/05/2024 Food and Beverage Undisputed 01/23/2026 1133944036 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.