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

KAREN M SHAINSKY

Allopathic & Osteopathic Physicians Internal Medicine Rheumatology

NPI
1740409283
CMS profile
215838
Location
WEST HOLLYWOOD, CA

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

$3,718.63

158 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
Food and Beverage $3,718.63 158

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $2,348.52 126
PY2020 $2,317.86 119
PY2021 $2,970.75 149
PY2022 $4,778.98 174
PY2023 $2,812.47 130
PY2024 $3,054.46 126
PY2025 $3,718.63 158

Payment records · PY2025 (158)

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
ABBVIE INC. $9.51 12/18/2025 Food and Beverage No dispute reported 06/30/2026 1204206634 CMS
Amgen Inc. $30.27 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1228287675 CMS
IBSA Pharma Inc. $21.96 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1211696158 CMS
IBSA Pharma Inc. $2.02 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1211700686 CMS
UCB, Inc. $5.34 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1224556651 CMS
UCB, Inc. $37.67 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1224556653 CMS
Amgen Inc. $28.53 12/05/2025 Food and Beverage No dispute reported 06/30/2026 1228287671 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.67 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1225788422 CMS
Sumitomo Pharma America, Inc. $22.32 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1176719196 CMS
ANI Pharmaceuticals, Inc. $9.04 11/26/2025 Food and Beverage No dispute reported 06/30/2026 1248609349 CMS
ANI Pharmaceuticals, Inc. $26.90 11/26/2025 Food and Beverage No dispute reported 06/30/2026 1248645606 CMS
ABBVIE INC. $27.87 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1204206629 CMS
Novartis Pharmaceuticals Corporation $26.64 11/24/2025 Food and Beverage No dispute reported 06/30/2026 1200400727 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $17.47 11/24/2025 Food and Beverage No dispute reported 06/30/2026 1173650320 CMS
Amgen Inc. $23.97 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1228287669 CMS
Radius Health, Inc. $32.21 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1249513805 CMS
Amgen Inc. $10.67 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1227203612 CMS
UCB, Inc. $39.22 11/18/2025 Food and Beverage No dispute reported 06/30/2026 1224556649 CMS
ABBVIE INC. $32.26 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1204206622 CMS
Janssen Biotech, Inc. $36.64 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1174878984 CMS
Amgen Inc. $4.90 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1227203608 CMS
ABBVIE INC. $30.26 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1204206612 CMS
ABBVIE INC. $30.23 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1204206617 CMS
AstraZeneca Pharmaceuticals LP $24.34 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1206756582 CMS
Bayer Healthcare Pharmaceuticals Inc. $30.90 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1225788428 CMS
Esperion Therapeutics, Inc. $20.23 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1243975064 CMS
Novo Nordisk Inc $24.06 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1188652269 CMS
GlaxoSmithKline, LLC. $18.24 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1190673369 CMS
ABBVIE INC. $23.63 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1204206605 CMS
SHIELD THERAPEUTICS INC $21.83 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1249628415 CMS
Radius Health, Inc. $29.08 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1249513803 CMS
Novartis Pharmaceuticals Corporation $18.96 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1200400721 CMS
UCB, Inc. $32.99 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1224556647 CMS
ABBVIE INC. $21.10 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1204206599 CMS
Lilly USA, LLC $27.86 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1186741617 CMS
IBSA Pharma Inc. $19.08 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1211694940 CMS
Amgen Inc. $29.59 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1228287693 CMS
Amgen Inc. $33.06 10/10/2025 Food and Beverage No dispute reported 06/30/2026 1228287687 CMS
GlaxoSmithKline, LLC. $19.76 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1190743613 CMS
Amgen Inc. $21.43 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1228287661 CMS
ABBVIE INC. $33.98 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1204206593 CMS
Radius Health, Inc. $29.08 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1249513799 CMS
Radius Health, Inc. $4.50 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1249513801 CMS
ANI Pharmaceuticals, Inc. $29.18 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1248655812 CMS
Novartis Pharmaceuticals Corporation $21.05 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1200472117 CMS
Sumitomo Pharma America, Inc. $20.83 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1176719194 CMS
DePuy Synthes Sales Inc. $29.62 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1174088014 CMS
Amgen Inc. $33.52 09/11/2025 Food and Beverage No dispute reported 06/30/2026 1228287681 CMS
Amgen Inc. $17.86 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1228287665 CMS
ABBVIE INC. $24.70 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1204206587 CMS
Novartis Pharmaceuticals Corporation $16.29 09/08/2025 Food and Beverage No dispute reported 06/30/2026 1200472111 CMS
Amgen Inc. $31.07 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1228287691 CMS
ABBVIE INC. $26.81 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1204206581 CMS
Esperion Therapeutics, Inc. $17.42 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1243975062 CMS
Bayer Healthcare Pharmaceuticals Inc. $32.74 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1225788417 CMS
Novartis Pharmaceuticals Corporation $5.17 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1200472109 CMS
Vifor Pharma, Inc. $28.43 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1172023381 CMS
Radius Health, Inc. $27.70 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1249513787 CMS
Janssen Biotech, Inc. $37.18 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1174878861 CMS
PFIZER INC. $26.67 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1229166907 CMS
Lilly USA, LLC $24.65 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1186705639 CMS
ABBVIE INC. $5.77 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1204206575 CMS
Bayer Healthcare Pharmaceuticals Inc. $28.78 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1225788410 CMS
GlaxoSmithKline, LLC. $22.11 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1191410421 CMS
Novartis Pharmaceuticals Corporation $24.24 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1200472107 CMS
Mallinckrodt Hospital Products Inc. $21.77 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1211998426 CMS
Aimmune Therapeutics, Inc. $20.31 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1249714792 CMS
Amgen Inc. $11.53 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1227203622 CMS
IBSA Pharma Inc. $16.47 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1211693029 CMS
UCB, Inc. $43.17 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1224556645 CMS
ABBVIE INC. $27.83 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1204206568 CMS
Amgen Inc. $29.65 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1228287679 CMS
Amgen Inc. $10.64 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1227203620 CMS
PFIZER INC. $14.29 07/30/2025 Food and Beverage No dispute reported 06/30/2026 1229361757 CMS
ABBVIE INC. $7.62 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1204206563 CMS
Ferring Pharmaceuticals Inc. $18.44 07/25/2025 Food and Beverage No dispute reported 06/30/2026 1242084145 CMS
Amgen Inc. $4.66 07/24/2025 Food and Beverage No dispute reported 06/30/2026 1227203618 CMS
Sumitomo Pharma America, Inc. $27.77 07/23/2025 Food and Beverage No dispute reported 06/30/2026 1176719192 CMS
Amgen Inc. $7.22 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1227203614 CMS
Amgen Inc. $30.99 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1228287689 CMS
Amgen Inc. $21.43 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1228287685 CMS
Radius Health, Inc. $34.09 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1249513797 CMS
Amgen Inc. $9.44 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1227203616 CMS
Novartis Pharmaceuticals Corporation $24.91 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1200472105 CMS
PFIZER INC. $25.01 07/11/2025 Food and Beverage No dispute reported 06/30/2026 1230080249 CMS
UCB, Inc. $46.70 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1224556643 CMS
ANI Pharmaceuticals, Inc. $34.29 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1248596419 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.86 07/02/2025 Food and Beverage No dispute reported 06/30/2026 1225788405 CMS
SHIELD THERAPEUTICS INC $28.30 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1249618333 CMS
Amgen Inc. $30.04 06/27/2025 Food and Beverage No dispute reported 06/30/2026 1228287697 CMS
ABBVIE INC. $24.78 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1204206558 CMS
Novo Nordisk Inc $19.48 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1188834892 CMS
Novartis Pharmaceuticals Corporation $21.77 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1200472103 CMS
Avanos Medical $17.91 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1242578980 CMS
IBSA Pharma Inc. $18.50 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1211691758 CMS
PFIZER INC. $31.54 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1228806362 CMS
UCB, Inc. $18.06 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1224556641 CMS
GlaxoSmithKline, LLC. $22.26 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1191654981 CMS
Merck Sharp & Dohme LLC $29.80 06/09/2025 Food and Beverage No dispute reported 06/30/2026 1238272338 CMS
ABBVIE INC. $21.47 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1204206552 CMS
Novartis Pharmaceuticals Corporation $26.41 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1200472087 CMS
Novartis Pharmaceuticals Corporation $24.13 06/02/2025 Food and Beverage No dispute reported 06/30/2026 1200472101 CMS
Edwards Lifesciences Corporation $45.26 05/19/2025 Food and Beverage No dispute reported 06/30/2026 1225248343 CMS
Radius Health, Inc. $32.31 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1249513795 CMS
Amgen Inc. $24.82 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1228287701 CMS
ANI Pharmaceuticals, Inc. $29.84 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1248624370 CMS
GlaxoSmithKline, LLC. $21.33 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1190538136 CMS
ABBVIE INC. $23.27 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1204206546 CMS
Amgen Inc. $34.99 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1228287695 CMS
Novartis Pharmaceuticals Corporation $21.54 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1200472095 CMS
Sumitomo Pharma America, Inc. $28.14 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1176719190 CMS
SHIELD THERAPEUTICS INC $20.00 05/01/2025 Food and Beverage No dispute reported 06/30/2026 1249614058 CMS
Amgen Inc. $7.51 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1227203610 CMS
GlaxoSmithKline, LLC. $19.10 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1190619758 CMS
Amgen Inc. $23.38 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1228287677 CMS
PFIZER INC. $31.96 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1231581148 CMS
Novartis Pharmaceuticals Corporation $32.43 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1200472085 CMS
ABBVIE INC. $8.06 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1204206540 CMS
Novo Nordisk Inc $28.49 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1188773993 CMS
Novartis Pharmaceuticals Corporation $23.28 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1200472093 CMS
ABBVIE INC. $25.25 04/20/2025 Food and Beverage No dispute reported 06/30/2026 1204206533 CMS
ABBVIE INC. $6.69 04/18/2025 Food and Beverage No dispute reported 06/30/2026 1204206521 CMS
ABBVIE INC. $22.65 04/18/2025 Food and Beverage No dispute reported 06/30/2026 1204206527 CMS
IBSA Pharma Inc. $23.73 04/16/2025 Food and Beverage No dispute reported 06/30/2026 1211690106 CMS
Mallinckrodt Hospital Products Inc. $30.14 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1211998424 CMS
ABBVIE INC. $25.63 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1204206515 CMS
Novo Nordisk Inc $26.33 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1188428578 CMS
ANI Pharmaceuticals, Inc. $32.03 04/08/2025 Food and Beverage No dispute reported 06/30/2026 1248658487 CMS
Novartis Pharmaceuticals Corporation $22.04 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1200472091 CMS
Radius Health, Inc. $34.18 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1249513793 CMS
Avanos Medical $16.78 03/31/2025 Food and Beverage No dispute reported 06/30/2026 1242578978 CMS
Amgen Inc. $20.05 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1228287673 CMS
GlaxoSmithKline, LLC. $1.10 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1191605861 CMS
GlaxoSmithKline, LLC. $20.50 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1191798661 CMS
Radius Health, Inc. $10.93 03/26/2025 Food and Beverage No dispute reported 06/30/2026 1249513791 CMS
Genentech USA, Inc. $17.02 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1211529592 CMS
Amgen Inc. $23.27 03/24/2025 Food and Beverage No dispute reported 06/30/2026 1228287667 CMS
Amgen Inc. $25.75 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1228287699 CMS
ANI Pharmaceuticals, Inc. $31.84 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1248612275 CMS
Radius Health, Inc. $24.63 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1249513789 CMS
AstraZeneca Pharmaceuticals LP $26.67 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1207039128 CMS
IBSA Pharma Inc. $23.30 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1211688862 CMS
Novartis Pharmaceuticals Corporation $24.38 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1200472083 CMS
ABBVIE INC. $26.35 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1204206509 CMS
PFIZER INC. $20.08 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1231616545 CMS
GlaxoSmithKline, LLC. $19.17 02/11/2025 Food and Beverage No dispute reported 06/30/2026 1190438965 CMS
Amgen Inc. $24.46 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1228287663 CMS
ABBVIE INC. $28.68 02/04/2025 Food and Beverage No dispute reported 06/30/2026 1204206503 CMS
Novartis Pharmaceuticals Corporation $18.72 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1200472081 CMS
Aimmune Therapeutics, Inc. $23.09 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1249714794 CMS
Mallinckrodt Hospital Products Inc. $35.66 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1211998422 CMS
Radius Health, Inc. $34.04 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1249513785 CMS
Novartis Pharmaceuticals Corporation $28.36 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1200472077 CMS
Amgen Inc. $23.38 01/22/2025 Food and Beverage No dispute reported 06/30/2026 1228287683 CMS
GlaxoSmithKline, LLC. $24.09 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1190685871 CMS
Lilly USA, LLC $22.60 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1186741619 CMS
IBSA Pharma Inc. $15.59 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1211696782 CMS
ABBVIE INC. $20.16 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1204206494 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
KAREN M SHAINSKY, NPI 1740409283. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1740409283.
APA 7
IndustryPayments. (2026). KAREN M SHAINSKY, NPI 1740409283 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1740409283
Bluebook
KAREN M SHAINSKY, NPI 1740409283, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1740409283.

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