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

LUIZIANA M MARINESCU

Allopathic & Osteopathic Physicians Internal Medicine Rheumatology

NPI
1790978096
CMS profile
81707
Location
SMITHTOWN, NY

General Payments · PY2018–2024

$23,309.98

  • Reported across 1,102 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$3,595.63

168 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: Rheumatology NY All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $3,491.05 166
Education $104.58 2

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Amgen Inc. $869.67 38
Janssen Biotech, Inc. $618.55 26
UCB, Inc. $313.77 17
PFIZER INC. $281.15 16
ABBVIE INC. $275.29 13
NOVARTIS PHARMACEUTICALS CORPORATION $182.81 9
Acerta Pharma LLC $158.21 7
GlaxoSmithKline, LLC. $150.89 7
Lilly USA, LLC $117.39 5
Aurinia Pharma U.S., Inc. $114.66 6
Kiniksa Pharmaceuticals International, plc $112.17 5
ANI Pharmaceuticals, Inc. $91.80 4
Sandoz Inc. $60.54 3
Radius Health, Inc. $55.48 3
Boehringer Ingelheim Pharmaceuticals, Inc. $53.11 2
E.R. Squibb & Sons, L.L.C. $41.29 2
Ferring Pharmaceuticals Inc. $40.24 2
Alexion Pharmaceuticals, Inc. $28.69 1
GENZYME CORPORATION $15.92 1
FIDIA PHARMA USA INC. $14.00 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $3,030.34 194
PY2019 $3,162.58 178
PY2020 $1,394.73 73
PY2021 $2,868.60 146
PY2022 $3,235.66 154
PY2023 $6,022.44 189
PY2024 $3,595.63 168

Payment records · PY2024 (168)

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

Program year 2024 201820192020202120222023 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. $18.13 01/23/2024 Food and Beverage Undisputed 01/23/2026 1104966880 CMS
ABBVIE INC. $24.10 02/06/2024 Food and Beverage Undisputed 01/23/2026 1104966882 CMS
ABBVIE INC. $1.16 02/26/2024 Food and Beverage Undisputed 01/23/2026 1104966884 CMS
ABBVIE INC. $19.32 02/26/2024 Food and Beverage Undisputed 01/23/2026 1104966886 CMS
ABBVIE INC. $25.62 02/29/2024 Food and Beverage Undisputed 01/23/2026 1104966888 CMS
ABBVIE INC. $34.73 03/19/2024 Food and Beverage Undisputed 01/23/2026 1104966890 CMS
ABBVIE INC. $23.85 04/15/2024 Food and Beverage Undisputed 01/23/2026 1104966892 CMS
ABBVIE INC. $30.01 07/30/2024 Food and Beverage Undisputed 01/23/2026 1104966894 CMS
ABBVIE INC. $18.85 10/29/2024 Food and Beverage Undisputed 01/23/2026 1104966896 CMS
ABBVIE INC. $21.59 10/29/2024 Food and Beverage Undisputed 01/23/2026 1104966898 CMS
ABBVIE INC. $18.28 11/08/2024 Food and Beverage Undisputed 01/23/2026 1104966900 CMS
ABBVIE INC. $30.67 11/12/2024 Food and Beverage Undisputed 01/23/2026 1104966902 CMS
ABBVIE INC. $8.98 12/03/2024 Food and Beverage Undisputed 01/23/2026 1104966904 CMS
Alexion Pharmaceuticals, Inc. $28.69 04/05/2024 Food and Beverage Undisputed 01/23/2026 1093925373 CMS
Amgen Inc. $5.58 01/04/2024 Education Undisputed 01/23/2026 1111643928 CMS
Amgen Inc. $29.15 01/08/2024 Food and Beverage Undisputed 01/23/2026 1111643904 CMS
Amgen Inc. $31.06 01/11/2024 Food and Beverage Undisputed 01/23/2026 1111643922 CMS
Amgen Inc. $31.36 01/17/2024 Food and Beverage Undisputed 01/23/2026 1117318932 CMS
Amgen Inc. $11.80 01/29/2024 Food and Beverage Undisputed 01/23/2026 1111643884 CMS
Amgen Inc. $24.63 02/08/2024 Food and Beverage Undisputed 01/23/2026 1117318934 CMS
Amgen Inc. $15.90 02/19/2024 Food and Beverage Undisputed 01/23/2026 1111643906 CMS
Amgen Inc. $10.79 02/28/2024 Food and Beverage Undisputed 01/23/2026 1111643886 CMS
Amgen Inc. $32.10 03/11/2024 Food and Beverage Undisputed 01/23/2026 1111643908 CMS
Amgen Inc. $28.56 03/14/2024 Food and Beverage Undisputed 01/23/2026 1111643924 CMS
Amgen Inc. $22.42 04/03/2024 Food and Beverage Undisputed 01/23/2026 1111643910 CMS
Amgen Inc. $15.17 04/23/2024 Food and Beverage Undisputed 01/23/2026 1111643888 CMS
Amgen Inc. $27.88 04/24/2024 Food and Beverage Undisputed 01/23/2026 1111643926 CMS
Amgen Inc. $34.22 05/13/2024 Food and Beverage Undisputed 01/23/2026 1117318936 CMS
Amgen Inc. $18.49 05/21/2024 Food and Beverage Undisputed 01/23/2026 1111643890 CMS
Amgen Inc. $29.32 05/23/2024 Food and Beverage Undisputed 01/23/2026 1111643912 CMS
Amgen Inc. $28.29 06/05/2024 Food and Beverage Undisputed 01/23/2026 1111643914 CMS
Amgen Inc. $25.03 06/27/2024 Food and Beverage Undisputed 01/23/2026 1111643930 CMS
Amgen Inc. $32.90 07/24/2024 Food and Beverage Undisputed 01/23/2026 1111643916 CMS
Amgen Inc. $30.71 08/05/2024 Food and Beverage Undisputed 01/23/2026 1117318938 CMS
Amgen Inc. $24.23 08/12/2024 Food and Beverage Undisputed 01/23/2026 1111643918 CMS
Amgen Inc. $18.10 08/14/2024 Food and Beverage Undisputed 01/23/2026 1111643892 CMS
Amgen Inc. $32.91 08/21/2024 Food and Beverage Undisputed 01/23/2026 1111643920 CMS
Amgen Inc. $14.96 08/29/2024 Food and Beverage Undisputed 01/23/2026 1111643932 CMS
Amgen Inc. $19.17 09/10/2024 Food and Beverage Undisputed 01/23/2026 1111643894 CMS
Amgen Inc. $26.47 09/13/2024 Food and Beverage Undisputed 01/23/2026 1111643936 CMS
Amgen Inc. $28.57 09/24/2024 Food and Beverage Undisputed 01/23/2026 1111643934 CMS
Amgen Inc. $20.10 10/10/2024 Food and Beverage Undisputed 01/23/2026 1117619862 CMS
Amgen Inc. $22.33 10/15/2024 Food and Beverage Undisputed 01/23/2026 1117619860 CMS
Amgen Inc. $9.17 10/31/2024 Food and Beverage Undisputed 01/23/2026 1111643896 CMS
Amgen Inc. $15.26 11/13/2024 Food and Beverage Undisputed 01/23/2026 1117619864 CMS
Amgen Inc. $17.00 11/19/2024 Food and Beverage Undisputed 01/23/2026 1111643898 CMS
Amgen Inc. $34.51 11/25/2024 Food and Beverage Undisputed 01/23/2026 1117318940 CMS
Amgen Inc. $21.99 11/26/2024 Food and Beverage Undisputed 01/23/2026 1117318930 CMS
Amgen Inc. $19.81 12/04/2024 Food and Beverage Undisputed 01/23/2026 1111643900 CMS
Amgen Inc. $33.66 12/09/2024 Food and Beverage Undisputed 01/23/2026 1117318942 CMS
Amgen Inc. $20.40 12/10/2024 Food and Beverage Undisputed 01/23/2026 1111643902 CMS
Amgen Inc. $5.67 12/17/2024 Food and Beverage Undisputed 01/23/2026 1117619866 CMS
ANI Pharmaceuticals, Inc. $25.54 07/22/2024 Food and Beverage Undisputed 01/23/2026 1091155112 CMS
ANI Pharmaceuticals, Inc. $16.45 09/30/2024 Food and Beverage Undisputed 01/23/2026 1091140014 CMS
ANI Pharmaceuticals, Inc. $21.67 11/04/2024 Food and Beverage Undisputed 01/23/2026 1091168820 CMS
ANI Pharmaceuticals, Inc. $28.14 12/02/2024 Food and Beverage Undisputed 01/23/2026 1091147948 CMS
AstraZeneca Pharmaceuticals LP $24.79 02/20/2024 Food and Beverage Undisputed 01/23/2026 1104759704 CMS
AstraZeneca Pharmaceuticals LP $22.75 03/20/2024 Food and Beverage Undisputed 01/23/2026 1105577368 CMS
AstraZeneca Pharmaceuticals LP $22.08 04/23/2024 Food and Beverage Undisputed 01/23/2026 1104204991 CMS
AstraZeneca Pharmaceuticals LP $23.89 05/30/2024 Food and Beverage Undisputed 01/23/2026 1105230923 CMS
AstraZeneca Pharmaceuticals LP $23.89 06/26/2024 Food and Beverage Undisputed 01/23/2026 1105688159 CMS
AstraZeneca Pharmaceuticals LP $18.06 07/30/2024 Food and Beverage Undisputed 01/23/2026 1105452305 CMS
AstraZeneca Pharmaceuticals LP $22.75 09/04/2024 Food and Beverage Undisputed 01/23/2026 1104569304 CMS
Aurinia Pharma U.S., Inc. $20.17 01/23/2024 Food and Beverage Undisputed 01/23/2026 1150686931 CMS
Aurinia Pharma U.S., Inc. $16.10 03/19/2024 Food and Beverage Undisputed 01/23/2026 1150686933 CMS
Aurinia Pharma U.S., Inc. $20.32 03/21/2024 Food and Beverage Undisputed 01/23/2026 1150686935 CMS
Aurinia Pharma U.S., Inc. $19.48 04/18/2024 Food and Beverage Undisputed 01/23/2026 1150686937 CMS
Aurinia Pharma U.S., Inc. $21.29 05/22/2024 Food and Beverage Undisputed 01/23/2026 1150686939 CMS
Aurinia Pharma U.S., Inc. $17.30 09/19/2024 Food and Beverage Undisputed 01/23/2026 1150686941 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.81 07/17/2024 Food and Beverage Undisputed 01/23/2026 1118158237 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.30 10/07/2024 Food and Beverage Undisputed 01/23/2026 1118158239 CMS
E.R. Squibb & Sons, L.L.C. $13.26 03/08/2024 Food and Beverage Undisputed 01/23/2026 1101650449 CMS
E.R. Squibb & Sons, L.L.C. $28.03 10/31/2024 Food and Beverage Undisputed 01/23/2026 1101650560 CMS
Ferring Pharmaceuticals Inc. $19.91 10/03/2024 Food and Beverage Undisputed 01/23/2026 1137493540 CMS
Ferring Pharmaceuticals Inc. $20.33 11/07/2024 Food and Beverage Undisputed 01/23/2026 1137493544 CMS
Fidia Pharma USA Inc. $14.00 11/20/2024 Food and Beverage Undisputed 01/23/2026 1141158093 CMS
GENZYME CORPORATION $15.92 12/12/2024 Food and Beverage Undisputed 01/23/2026 1139991443 CMS
GlaxoSmithKline, LLC. $23.84 01/11/2024 Food and Beverage Undisputed 01/23/2026 1116605766 CMS
GlaxoSmithKline, LLC. $18.71 03/13/2024 Food and Beverage Undisputed 01/23/2026 1116689651 CMS
GlaxoSmithKline, LLC. $17.72 06/05/2024 Food and Beverage Undisputed 01/23/2026 1116163052 CMS
GlaxoSmithKline, LLC. $18.61 09/11/2024 Food and Beverage Undisputed 01/23/2026 1116116015 CMS
GlaxoSmithKline, LLC. $22.73 10/09/2024 Food and Beverage Undisputed 01/23/2026 1116311929 CMS
GlaxoSmithKline, LLC. $21.34 11/06/2024 Food and Beverage Undisputed 01/23/2026 1116098189 CMS
GlaxoSmithKline, LLC. $27.94 12/11/2024 Food and Beverage Undisputed 01/23/2026 1116676045 CMS
Janssen Biotech, Inc. $29.47 01/24/2024 Food and Beverage Undisputed 01/23/2026 1078469460 CMS
Janssen Biotech, Inc. $11.46 02/21/2024 Food and Beverage Undisputed 01/23/2026 1078469966 CMS
Janssen Biotech, Inc. $28.03 02/27/2024 Food and Beverage Undisputed 01/23/2026 1078469163 CMS
Janssen Biotech, Inc. $22.35 03/05/2024 Food and Beverage Undisputed 01/23/2026 1078470304 CMS
Janssen Biotech, Inc. $37.02 03/08/2024 Food and Beverage Undisputed 01/23/2026 1078470184 CMS
Janssen Biotech, Inc. $30.70 03/27/2024 Food and Beverage Undisputed 01/23/2026 1078469412 CMS
Janssen Biotech, Inc. $10.50 04/23/2024 Food and Beverage Undisputed 01/23/2026 1078469754 CMS
Janssen Biotech, Inc. $99.00 04/25/2024 Education Undisputed 01/23/2026 1078469320 CMS
Janssen Biotech, Inc. $11.83 04/29/2024 Food and Beverage Undisputed 01/23/2026 1078469408 CMS
Janssen Biotech, Inc. $17.64 05/09/2024 Food and Beverage Undisputed 01/23/2026 1078469227 CMS
Janssen Biotech, Inc. $5.28 05/16/2024 Food and Beverage Undisputed 01/23/2026 1078470065 CMS
Janssen Biotech, Inc. $33.19 05/29/2024 Food and Beverage Undisputed 01/23/2026 1078469388 CMS
Janssen Biotech, Inc. $13.03 06/04/2024 Food and Beverage Undisputed 01/23/2026 1078468887 CMS
Janssen Biotech, Inc. $22.33 06/17/2024 Food and Beverage Undisputed 01/23/2026 1078469915 CMS
Janssen Biotech, Inc. $4.77 07/09/2024 Food and Beverage Undisputed 01/23/2026 1078469068 CMS
Janssen Biotech, Inc. $20.87 07/16/2024 Food and Beverage Undisputed 01/23/2026 1078469291 CMS
Janssen Biotech, Inc. $39.21 07/25/2024 Food and Beverage Undisputed 01/23/2026 1078469023 CMS
Janssen Biotech, Inc. $6.90 08/06/2024 Food and Beverage Undisputed 01/23/2026 1078470123 CMS
Janssen Biotech, Inc. $5.38 08/20/2024 Food and Beverage Undisputed 01/23/2026 1078469384 CMS
Janssen Biotech, Inc. $17.55 09/03/2024 Food and Beverage Undisputed 01/23/2026 1078469795 CMS
Janssen Biotech, Inc. $37.64 09/09/2024 Food and Beverage Undisputed 01/23/2026 1078469158 CMS
Janssen Biotech, Inc. $26.91 09/26/2024 Food and Beverage Undisputed 01/23/2026 1078469079 CMS
Janssen Biotech, Inc. $21.72 11/20/2024 Food and Beverage Undisputed 01/23/2026 1078469087 CMS
Janssen Biotech, Inc. $17.06 12/02/2024 Food and Beverage Undisputed 01/23/2026 1078468919 CMS
Janssen Biotech, Inc. $18.46 12/16/2024 Food and Beverage Undisputed 01/23/2026 1078468865 CMS
Janssen Biotech, Inc. $30.25 12/19/2024 Food and Beverage Undisputed 01/23/2026 1078469102 CMS
Kiniksa Pharmaceuticals International, plc $19.89 01/31/2024 Food and Beverage Undisputed 01/23/2026 1154874884 CMS
Kiniksa Pharmaceuticals International, plc $28.10 04/25/2024 Food and Beverage Undisputed 01/23/2026 1154874944 CMS
Kiniksa Pharmaceuticals International, plc $21.55 06/24/2024 Food and Beverage Undisputed 01/23/2026 1154874976 CMS
Kiniksa Pharmaceuticals International, plc $17.70 08/22/2024 Food and Beverage Undisputed 01/23/2026 1154875000 CMS
Kiniksa Pharmaceuticals International, plc $24.93 09/25/2024 Food and Beverage Undisputed 01/23/2026 1154875018 CMS
Lilly USA, LLC $26.52 04/11/2024 Food and Beverage Undisputed 01/23/2026 1135136412 CMS
Lilly USA, LLC $21.86 07/18/2024 Food and Beverage Undisputed 01/23/2026 1135140748 CMS
Lilly USA, LLC $25.54 10/01/2024 Food and Beverage Undisputed 01/23/2026 1135150436 CMS
Lilly USA, LLC $23.07 11/14/2024 Food and Beverage Undisputed 01/23/2026 1135136414 CMS
Lilly USA, LLC $20.40 12/03/2024 Food and Beverage Undisputed 01/23/2026 1135150438 CMS
Novartis Pharmaceuticals Corporation $18.32 01/18/2024 Food and Beverage Undisputed 01/23/2026 1087041968 CMS
Novartis Pharmaceuticals Corporation $20.57 01/30/2024 Food and Beverage Undisputed 01/23/2026 1087041970 CMS
Novartis Pharmaceuticals Corporation $24.42 03/26/2024 Food and Beverage Undisputed 01/23/2026 1087041978 CMS
Novartis Pharmaceuticals Corporation $19.99 04/17/2024 Food and Beverage Undisputed 01/23/2026 1087041986 CMS
Novartis Pharmaceuticals Corporation $20.21 04/30/2024 Food and Beverage Undisputed 01/23/2026 1087041988 CMS
Novartis Pharmaceuticals Corporation $21.41 05/16/2024 Food and Beverage Undisputed 01/23/2026 1087041992 CMS
Novartis Pharmaceuticals Corporation $18.25 06/25/2024 Food and Beverage Undisputed 01/23/2026 1087041996 CMS
Novartis Pharmaceuticals Corporation $18.76 08/15/2024 Food and Beverage Undisputed 01/23/2026 1087041998 CMS
Novartis Pharmaceuticals Corporation $20.88 11/21/2024 Food and Beverage Undisputed 01/23/2026 1087042000 CMS
PFIZER INC. $25.36 01/04/2024 Food and Beverage Undisputed 01/23/2026 1131014502 CMS
PFIZER INC. $5.11 01/17/2024 Food and Beverage Undisputed 01/23/2026 1131559729 CMS
PFIZER INC. $23.50 01/24/2024 Food and Beverage Undisputed 01/23/2026 1130949505 CMS
PFIZER INC. $3.50 02/06/2024 Food and Beverage Undisputed 01/23/2026 1131627285 CMS
PFIZER INC. $3.92 03/19/2024 Food and Beverage Undisputed 01/23/2026 1131662676 CMS
PFIZER INC. $4.70 03/26/2024 Food and Beverage Undisputed 01/23/2026 1131663566 CMS
PFIZER INC. $18.49 03/28/2024 Food and Beverage Undisputed 01/23/2026 1131214471 CMS
PFIZER INC. $22.29 04/05/2024 Food and Beverage Undisputed 01/23/2026 1131354004 CMS
PFIZER INC. $23.00 05/22/2024 Food and Beverage Undisputed 01/23/2026 1131475569 CMS
PFIZER INC. $26.36 06/03/2024 Food and Beverage Undisputed 01/23/2026 1131642925 CMS
PFIZER INC. $25.70 07/23/2024 Food and Beverage Undisputed 01/23/2026 1131739444 CMS
PFIZER INC. $3.69 08/08/2024 Food and Beverage Undisputed 01/23/2026 1131839224 CMS
PFIZER INC. $25.61 08/28/2024 Food and Beverage Undisputed 01/23/2026 1131880083 CMS
PFIZER INC. $22.21 09/17/2024 Food and Beverage Undisputed 01/23/2026 1131975367 CMS
PFIZER INC. $26.07 10/16/2024 Food and Beverage Undisputed 01/23/2026 1132100995 CMS
PFIZER INC. $21.64 10/29/2024 Food and Beverage Undisputed 01/23/2026 1132132525 CMS
Radius Health, Inc. $19.98 02/20/2024 Food and Beverage Undisputed 01/23/2026 1089970736 CMS
Radius Health, Inc. $19.55 05/30/2024 Food and Beverage Undisputed 01/23/2026 1089970731 CMS
Radius Health, Inc. $15.95 07/11/2024 Food and Beverage Undisputed 01/23/2026 1089970742 CMS
Sandoz Inc. $20.28 03/19/2024 Food and Beverage Undisputed 01/23/2026 1089365045 CMS
Sandoz Inc. $22.40 08/26/2024 Food and Beverage Undisputed 01/23/2026 1089365085 CMS
Sandoz Inc. $17.86 10/15/2024 Food and Beverage Undisputed 01/23/2026 1089365099 CMS
UCB, Inc. $21.08 01/02/2024 Food and Beverage Undisputed 01/23/2026 1143182567 CMS
UCB, Inc. $33.24 01/04/2024 Food and Beverage Undisputed 01/23/2026 1143182571 CMS
UCB, Inc. $18.49 02/05/2024 Food and Beverage Undisputed 01/23/2026 1143197418 CMS
UCB, Inc. $19.06 03/07/2024 Food and Beverage Undisputed 01/23/2026 1143197422 CMS
UCB, Inc. $31.10 03/07/2024 Food and Beverage Undisputed 01/23/2026 1143197426 CMS
UCB, Inc. $10.13 03/12/2024 Food and Beverage Undisputed 01/23/2026 1143197430 CMS
UCB, Inc. $10.70 04/15/2024 Food and Beverage Undisputed 01/23/2026 1143197435 CMS
UCB, Inc. $9.65 04/30/2024 Food and Beverage Undisputed 01/23/2026 1143197439 CMS
UCB, Inc. $27.18 06/20/2024 Food and Beverage Undisputed 01/23/2026 1143197444 CMS
UCB, Inc. $14.96 07/02/2024 Food and Beverage Undisputed 01/23/2026 1143197448 CMS
UCB, Inc. $9.53 07/22/2024 Food and Beverage Undisputed 01/23/2026 1143197452 CMS
UCB, Inc. $10.48 08/19/2024 Food and Beverage Undisputed 01/23/2026 1143197456 CMS
UCB, Inc. $27.92 09/12/2024 Food and Beverage Undisputed 01/23/2026 1143197461 CMS
UCB, Inc. $19.99 09/18/2024 Food and Beverage Undisputed 01/23/2026 1143197465 CMS
UCB, Inc. $14.93 10/14/2024 Food and Beverage Undisputed 01/23/2026 1143197470 CMS
UCB, Inc. $5.24 11/18/2024 Food and Beverage Undisputed 01/23/2026 1143197474 CMS
UCB, Inc. $30.09 12/05/2024 Food and Beverage Undisputed 01/23/2026 1143197479 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , 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.

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