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

MICHAEL D SIMANOVSKY

Allopathic & Osteopathic Physicians Family Medicine

NPI
1578579561
CMS profile
252293
Location
KANSAS CITY, MO

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

$3,104.36

157 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 program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,770.70 128
PY2020 $1,282.67 89
PY2021 $2,505.79 172
PY2022 $2,166.83 131
PY2023 $2,682.68 163
PY2024 $2,756.99 156
PY2025 $3,104.36 157

Payment records · PY2025 (157)

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
Novo Nordisk Inc $7.68 12/18/2025 Food and Beverage No dispute reported 06/30/2026 1188206559 CMS
Astellas Pharma US Inc $15.22 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1238597152 CMS
AstraZeneca Pharmaceuticals LP $14.15 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1206655940 CMS
ViiV Healthcare Company $21.70 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1189510038 CMS
AstraZeneca Pharmaceuticals LP $15.03 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1206857187 CMS
Amgen Inc. $18.29 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1228495180 CMS
Medtronic, Inc. $30.71 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1218947792 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.65 11/24/2025 Food and Beverage No dispute reported 06/30/2026 1222952863 CMS
Amgen Inc. $17.35 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1228495184 CMS
Kowa Pharmaceuticals America, Inc. $116.52 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1243119892 CMS
PFIZER INC. $18.77 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1229402620 CMS
ViiV Healthcare Company $22.97 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1189521264 CMS
PFIZER INC. $17.36 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1229659180 CMS
ABBVIE INC. $19.11 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1204299735 CMS
Novo Nordisk Inc $19.94 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1188204323 CMS
Medtronic, Inc. $108.44 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1218947790 CMS
Novo Nordisk Inc $1.81 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1188736528 CMS
Boston Scientific Corporation $40.78 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1181245634 CMS
PFIZER INC. $12.07 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1230061559 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.20 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1231964992 CMS
Amgen Inc. $12.75 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1227166971 CMS
AstraZeneca Pharmaceuticals LP $15.29 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1206821478 CMS
Astellas Pharma US Inc $18.25 10/20/2025 Food and Beverage No dispute reported 06/30/2026 1238691694 CMS
AstraZeneca Pharmaceuticals LP $17.44 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1206706539 CMS
Lilly USA, LLC $20.12 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1186814123 CMS
ViiV Healthcare Company $22.97 10/12/2025 Food and Beverage No dispute reported 06/30/2026 1189582432 CMS
Corcept Therapeutics $18.54 10/10/2025 Food and Beverage No dispute reported 06/30/2026 1214160004 CMS
AstraZeneca Pharmaceuticals LP $16.67 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1206255155 CMS
Eisai Inc. $18.88 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1244498790 CMS
Sumitomo Pharma America, Inc. $23.63 10/08/2025 Food and Beverage No dispute reported 06/30/2026 1176721531 CMS
ABBVIE INC. $11.33 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1204299728 CMS
ABBVIE INC. $6.97 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1204299731 CMS
Exact Sciences Corporation $15.22 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1235307528 CMS
ABBVIE INC. $17.81 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1204299724 CMS
Lilly USA, LLC $19.75 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1186798685 CMS
AstraZeneca Pharmaceuticals LP $14.60 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1206691184 CMS
Axsome Therapeutics, Inc. $26.37 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1235534516 CMS
PFIZER INC. $18.47 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1229652127 CMS
ABBVIE INC. $14.60 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1204299720 CMS
Abbott Laboratories $19.16 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1240976786 CMS
AstraZeneca Pharmaceuticals LP $16.46 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1206860551 CMS
Novo Nordisk Inc $16.44 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1188176512 CMS
Teva Pharmaceuticals USA, Inc. $20.21 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1247470826 CMS
ABBVIE INC. $13.83 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1204299717 CMS
Abbott Laboratories $21.66 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1240974570 CMS
Astellas Pharma US Inc $14.56 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1238667081 CMS
ABBVIE INC. $23.39 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1204299713 CMS
ABBVIE INC. $15.57 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1204299710 CMS
GlaxoSmithKline, LLC. $15.27 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1190704412 CMS
Gilead Sciences, Inc. $26.74 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1234460428 CMS
AstraZeneca Pharmaceuticals LP $23.40 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1206377609 CMS
AstraZeneca Pharmaceuticals LP $17.57 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1206870248 CMS
Corcept Therapeutics $15.14 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1214159966 CMS
Lilly USA, LLC $20.12 08/16/2025 Food and Beverage No dispute reported 06/30/2026 1186766388 CMS
ABBVIE INC. $15.11 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1204299707 CMS
Novo Nordisk Inc $22.05 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1188171727 CMS
Astellas Pharma US Inc $14.91 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1238646353 CMS
Abbott Laboratories $22.00 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1240963939 CMS
Teva Pharmaceuticals USA, Inc. $31.76 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1247470816 CMS
Novo Nordisk Inc $21.88 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1188140924 CMS
Tris Pharma Inc $16.57 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1192284385 CMS
ABBVIE INC. $1.50 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1204299698 CMS
ABBVIE INC. $5.16 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1204299703 CMS
E.R. Squibb & Sons, L.L.C. $18.89 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1184896982 CMS
ViiV Healthcare Company $30.42 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1189616882 CMS
ABBVIE INC. $23.55 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1204299693 CMS
Novo Nordisk Inc $16.96 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1188716204 CMS
ViiV Healthcare Company $17.07 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1189520948 CMS
Abbott Laboratories $22.25 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1240960088 CMS
SHIELD THERAPEUTICS INC $19.22 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1249620524 CMS
PFIZER INC. $14.37 07/25/2025 Food and Beverage No dispute reported 06/30/2026 1229013564 CMS
AstraZeneca Pharmaceuticals LP $24.36 07/24/2025 Food and Beverage No dispute reported 06/30/2026 1206472708 CMS
Amgen Inc. $10.20 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1227166973 CMS
Lilly USA, LLC $19.75 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1186776778 CMS
Amgen Inc. $15.10 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1228495176 CMS
AstraZeneca Pharmaceuticals LP $20.94 07/10/2025 Food and Beverage No dispute reported 06/30/2026 1206561824 CMS
PFIZER INC. $18.66 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1231693527 CMS
Lilly USA, LLC $15.14 07/07/2025 Food and Beverage No dispute reported 06/30/2026 1186791243 CMS
Novo Nordisk Inc $17.12 07/07/2025 Food and Beverage No dispute reported 06/30/2026 1188187250 CMS
AstraZeneca Pharmaceuticals LP $23.94 06/30/2025 Food and Beverage No dispute reported 06/30/2026 1207036047 CMS
AstraZeneca Pharmaceuticals LP $16.47 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1206387397 CMS
ABBVIE INC. $9.84 06/20/2025 Food and Beverage No dispute reported 06/30/2026 1204299689 CMS
PFIZER INC. $16.59 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1231725078 CMS
ViiV Healthcare Company $21.28 06/16/2025 Food and Beverage No dispute reported 06/30/2026 1189524146 CMS
ABBVIE INC. $13.98 06/15/2025 Food and Beverage No dispute reported 06/30/2026 1204299683 CMS
Lilly USA, LLC $19.64 06/14/2025 Food and Beverage No dispute reported 06/30/2026 1186814121 CMS
Amgen Inc. $14.69 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1227166977 CMS
ABBVIE INC. $31.03 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1204299680 CMS
ViiV Healthcare Company $21.86 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1189562364 CMS
GlaxoSmithKline, LLC. $21.91 06/06/2025 Food and Beverage No dispute reported 06/30/2026 1191639519 CMS
Novo Nordisk Inc $17.44 06/06/2025 Food and Beverage No dispute reported 06/30/2026 1188811435 CMS
AstraZeneca Pharmaceuticals LP $16.96 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1207051485 CMS
Daiichi Sankyo Inc. $25.21 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1197098745 CMS
AstraZeneca Pharmaceuticals LP $24.91 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1206765864 CMS
Exact Sciences Corporation $15.22 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1235307524 CMS
GlaxoSmithKline, LLC. $15.36 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1190815793 CMS
Novo Nordisk Inc $19.35 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1188829987 CMS
Radius Health, Inc. $33.57 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1249517654 CMS
GlaxoSmithKline, LLC. $16.13 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1190631304 CMS
ABBVIE INC. $22.57 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1204299676 CMS
Astellas Pharma US Inc $22.63 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1238784565 CMS
PFIZER INC. $17.84 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1231606709 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.27 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1225801869 CMS
PFIZER INC. $17.84 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1228854229 CMS
PFIZER INC. $18.60 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1229649511 CMS
Collegium Pharmaceutical, Inc. $21.11 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1224190266 CMS
ABBVIE INC. $17.51 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1204299672 CMS
AstraZeneca Pharmaceuticals LP $17.00 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1206220470 CMS
PROTEGA PHARMACEUTIALS INC $14.76 04/16/2025 Food and Beverage No dispute reported 06/30/2026 1235987209 CMS
Sumitomo Pharma America, Inc. $19.39 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1176721529 CMS
Esperion Therapeutics, Inc. $18.20 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1243975650 CMS
Amgen Inc. $17.11 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1228495178 CMS
E.R. Squibb & Sons, L.L.C. $17.75 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1184896934 CMS
Amgen Inc. $10.96 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1227166975 CMS
Lilly USA, LLC $19.51 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1186752221 CMS
Astellas Pharma US Inc $18.77 04/04/2025 Food and Beverage No dispute reported 06/30/2026 1238778000 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.75 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1222952861 CMS
Abbott Laboratories $21.93 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1240918077 CMS
AstraZeneca Pharmaceuticals LP $21.82 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1206627366 CMS
Amgen Inc. $11.94 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1227166969 CMS
Novartis Pharmaceuticals Corporation $18.13 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1200510520 CMS
Daiichi Sankyo Inc. $21.37 03/24/2025 Food and Beverage No dispute reported 06/30/2026 1197045757 CMS
Collegium Pharmaceutical, Inc. $15.31 03/23/2025 Food and Beverage No dispute reported 06/30/2026 1224190264 CMS
AstraZeneca Pharmaceuticals LP $25.44 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1206273456 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.30 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1231964988 CMS
Amgen Inc. $17.09 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1228495182 CMS
PFIZER INC. $15.75 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1230045846 CMS
Lilly USA, LLC $20.15 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1186776776 CMS
ViiV Healthcare Company $24.47 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1189524446 CMS
Merck Sharp & Dohme LLC $14.55 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1238273779 CMS
AstraZeneca Pharmaceuticals LP $16.34 03/14/2025 Food and Beverage No dispute reported 06/30/2026 1207301888 CMS
PROTEGA PHARMACEUTIALS INC $19.21 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1235986873 CMS
Phathom Pharmaceuticals, Inc. $15.57 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1219352776 CMS
Phathom Pharmaceuticals, Inc. $27.09 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1219352802 CMS
Kowa Pharmaceuticals America, Inc. $17.81 03/10/2025 Food and Beverage No dispute reported 06/30/2026 1243119888 CMS
Novo Nordisk Inc $17.38 03/07/2025 Food and Beverage No dispute reported 06/30/2026 1188191296 CMS
E.R. Squibb & Sons, L.L.C. $17.88 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1184896930 CMS
Esperion Therapeutics, Inc. $22.24 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1243975648 CMS
AstraZeneca Pharmaceuticals LP $16.37 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1206143920 CMS
GlaxoSmithKline, LLC. $16.90 02/21/2025 Food and Beverage No dispute reported 06/30/2026 1191002562 CMS
Novartis Pharmaceuticals Corporation $17.70 02/17/2025 Food and Beverage No dispute reported 06/30/2026 1200510518 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.87 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1231964984 CMS
AstraZeneca Pharmaceuticals LP $17.87 02/11/2025 Food and Beverage No dispute reported 06/30/2026 1206833661 CMS
Exact Sciences Corporation $15.70 02/11/2025 Food and Beverage No dispute reported 06/30/2026 1235307520 CMS
Lilly USA, LLC $10.44 02/09/2025 Food and Beverage No dispute reported 06/30/2026 1186825356 CMS
PFIZER INC. $10.84 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1231359967 CMS
ABBVIE INC. $21.52 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1204299668 CMS
Radius Health, Inc. $31.52 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1249517652 CMS
ViiV Healthcare Company $21.46 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1189526816 CMS
Daiichi Sankyo Inc. $24.34 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1197073497 CMS
AstraZeneca Pharmaceuticals LP $16.33 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1206582650 CMS
Astellas Pharma US Inc $15.17 01/21/2025 Food and Beverage No dispute reported 06/30/2026 1238722664 CMS
AstraZeneca Pharmaceuticals LP $16.62 01/17/2025 Food and Beverage No dispute reported 06/30/2026 1206314288 CMS
Phathom Pharmaceuticals, Inc. $18.30 01/13/2025 Food and Beverage No dispute reported 06/30/2026 1219352774 CMS
AstraZeneca Pharmaceuticals LP $53.65 01/10/2025 Food and Beverage No dispute reported 06/30/2026 1206884765 CMS
Amgen Inc. $13.45 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1227166967 CMS
PFIZER INC. $16.72 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1231239996 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
MICHAEL D SIMANOVSKY, NPI 1578579561. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1578579561.
APA 7
IndustryPayments. (2026). MICHAEL D SIMANOVSKY, NPI 1578579561 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1578579561
Bluebook
MICHAEL D SIMANOVSKY, NPI 1578579561, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1578579561.

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