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

SARA AMEND BLANKENSHIP

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1811518780
CMS profile
10844855
Location
SHREVEPORT, LA

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 · PY2021–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$2,442.27

148 records · 0 disputed

Other CMS categories — not shown on this page

Research Payments

CMS also publishes Research Payments as a separate dataset. This site does not currently mirror it, and no research figure is shown on this page. This provider appears in that dataset.

“If you are a physician who served as a principal investigator on a research study, you may see the payments associated with that research study listed under your name. This does not necessarily mean the payments are attributed to you. The dollar amount of the record corresponds to the total payment; the amounts are not attributed to each individual on the record.”

— Centers for Medicare & Medicaid Services, Open Payments Frequently Asked Questions, FAQ #12224

These records are published by CMS and can be viewed on this provider’s official CMS record. View this provider on CMS Open Payments ↗

“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 $2,442.27 148

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,794.49 130
PY2022 $2,998.38 114
PY2023 $2,281.46 134
PY2024 $2,748.74 169
PY2025 $2,442.27 148

Payment records · PY2025 (148)

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

Program year 2025 2021202220232024 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
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.96 12/21/2025 Food and Beverage No dispute reported 06/30/2026 1232138410 CMS
Tonix Medicines, Inc. $22.25 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1235875541 CMS
ABBVIE INC. $6.31 12/12/2025 Food and Beverage No dispute reported 06/30/2026 1205199972 CMS
ABBVIE INC. $8.19 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1205199965 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.56 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1232138408 CMS
Axsome Therapeutics, Inc. $13.34 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1235651075 CMS
Novo Nordisk Inc $23.90 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1188986499 CMS
ABBVIE INC. $10.33 12/03/2025 Food and Beverage No dispute reported 06/30/2026 1205199959 CMS
AstraZeneca Pharmaceuticals LP $23.03 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1206842551 CMS
Axsome Therapeutics, Inc. $125.00 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1235776244 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.31 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1222963415 CMS
ABBVIE INC. $10.46 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1205199954 CMS
Axsome Therapeutics, Inc. $18.45 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1235594123 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.53 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1232138406 CMS
ABBVIE INC. $10.47 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1205199943 CMS
ABBVIE INC. $6.62 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1205199949 CMS
AstraZeneca Pharmaceuticals LP $18.75 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1207317019 CMS
ABBVIE INC. $29.39 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1205199937 CMS
Corcept Therapeutics $17.17 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1214238576 CMS
ABBVIE INC. $17.41 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1205199929 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.23 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1223944884 CMS
Takeda Pharmaceuticals U.S.A., Inc. $6.57 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1223951638 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.17 10/20/2025 Food and Beverage No dispute reported 06/30/2026 1225469665 CMS
ABBVIE INC. $24.38 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1205199924 CMS
Amgen Inc. $10.49 10/15/2025 Food and Beverage No dispute reported 06/30/2026 1229691002 CMS
PFIZER INC. $18.81 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1230433121 CMS
Axsome Therapeutics, Inc. $9.00 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1235542788 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $16.56 10/06/2025 Food and Beverage No dispute reported 06/30/2026 1232138404 CMS
PFIZER INC. $15.33 10/03/2025 Food and Beverage No dispute reported 06/30/2026 1230427746 CMS
Takeda Pharmaceuticals U.S.A., Inc. $14.52 10/03/2025 Food and Beverage No dispute reported 06/30/2026 1223968474 CMS
Abbott Laboratories $14.89 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1240979628 CMS
Axsome Therapeutics, Inc. $125.00 10/02/2025 Food and Beverage No dispute reported 06/30/2026 1235782682 CMS
ABBVIE INC. $31.50 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1205199918 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.93 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1225469663 CMS
ABBVIE INC. $3.69 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1205199910 CMS
Amgen Inc. $13.56 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1229691046 CMS
ABBVIE INC. $13.73 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1205199906 CMS
ABBVIE INC. $32.35 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1205199900 CMS
Takeda Pharmaceuticals U.S.A., Inc. $12.28 09/12/2025 Food and Beverage No dispute reported 06/30/2026 1223958635 CMS
Lilly USA, LLC $16.31 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1187299417 CMS
PFIZER INC. $4.93 09/06/2025 Food and Beverage No dispute reported 06/30/2026 1230302169 CMS
PFIZER INC. $22.95 09/06/2025 Food and Beverage No dispute reported 06/30/2026 1230302178 CMS
Amgen Inc. $16.60 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1229691035 CMS
ABBVIE INC. $15.16 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1205199894 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.47 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1222963413 CMS
AstraZeneca Pharmaceuticals LP $14.91 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1206982874 CMS
Amgen Inc. $11.72 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1229690992 CMS
Amgen Inc. $10.43 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1229691012 CMS
Axsome Therapeutics, Inc. $13.39 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1235461540 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.34 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1223944990 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.75 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1223955322 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.52 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1223956170 CMS
Axsome Therapeutics, Inc. $14.99 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1235461496 CMS
ABBVIE INC. $20.60 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1205199886 CMS
GlaxoSmithKline, LLC. $23.47 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1190593873 CMS
ABBVIE INC. $13.29 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1205199880 CMS
Exact Sciences Corporation $19.29 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1235609773 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.16 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1225469661 CMS
Takeda Pharmaceuticals U.S.A., Inc. $7.08 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1223952245 CMS
AstraZeneca Pharmaceuticals LP $18.78 08/01/2025 Food and Beverage No dispute reported 06/30/2026 1206153566 CMS
AstraZeneca Pharmaceuticals LP $16.15 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1206885909 CMS
ABBVIE INC. $5.83 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1205199875 CMS
PFIZER INC. $18.36 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1230227855 CMS
Lilly USA, LLC $18.25 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1187318088 CMS
Corcept Therapeutics $27.92 07/25/2025 Food and Beverage No dispute reported 06/30/2026 1214238534 CMS
GlaxoSmithKline, LLC. $21.31 07/24/2025 Food and Beverage No dispute reported 06/30/2026 1191146621 CMS
AstraZeneca Pharmaceuticals LP $25.38 07/23/2025 Food and Beverage No dispute reported 06/30/2026 1206319914 CMS
Amgen Inc. $15.49 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1229691023 CMS
Amgen Inc. $15.96 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1229691101 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.26 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1223944904 CMS
Takeda Pharmaceuticals U.S.A., Inc. $7.28 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1223952453 CMS
Ardelyx, Inc. $13.64 07/02/2025 Food and Beverage No dispute reported 06/30/2026 1247900249 CMS
ABBVIE INC. $12.49 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1205199870 CMS
Lilly USA, LLC $18.81 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1187261815 CMS
ABBVIE INC. $12.45 06/20/2025 Food and Beverage No dispute reported 06/30/2026 1205199864 CMS
ABBVIE INC. $7.42 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1205199858 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.98 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1223955586 CMS
PFIZER INC. $18.31 06/16/2025 Food and Beverage No dispute reported 06/30/2026 1229966236 CMS
Axsome Therapeutics, Inc. $22.77 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1235745280 CMS
ABBVIE INC. $4.41 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1205199854 CMS
Lundbeck LLC $23.33 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1251874322 CMS
ABBVIE INC. $13.63 06/02/2025 Food and Beverage No dispute reported 06/30/2026 1205199847 CMS
Axsome Therapeutics, Inc. $21.96 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1235745212 CMS
Novo Nordisk Inc $22.30 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1188556136 CMS
Amgen Inc. $15.00 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1229691091 CMS
Takeda Pharmaceuticals U.S.A., Inc. $7.67 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1223952859 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.07 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1222963411 CMS
ABBVIE INC. $17.97 05/16/2025 Food and Beverage No dispute reported 06/30/2026 1205199837 CMS
ABBVIE INC. $13.08 05/16/2025 Food and Beverage No dispute reported 06/30/2026 1205199843 CMS
Axsome Therapeutics, Inc. $7.67 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1235715146 CMS
PFIZER INC. $1.01 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1230096065 CMS
PFIZER INC. $10.37 05/12/2025 Food and Beverage No dispute reported 06/30/2026 1230084636 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.06 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1223959939 CMS
AstraZeneca Pharmaceuticals LP $19.24 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1206229980 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.93 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1225469657 CMS
ABBVIE INC. $5.66 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1205199831 CMS
Novo Nordisk Inc $14.88 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1188837878 CMS
ABBVIE INC. $17.05 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1205199826 CMS
PFIZER INC. $20.11 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1230020162 CMS
ABBVIE INC. $15.01 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1205199819 CMS
AstraZeneca Pharmaceuticals LP $16.39 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1206416669 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.06 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1222963409 CMS
Phathom Pharmaceuticals, Inc. $21.85 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1219376963 CMS
ABIOMED $31.77 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1174656002 CMS
Otsuka America Pharmaceutical, Inc. $15.83 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1227593741 CMS
Takeda Pharmaceuticals U.S.A., Inc. $5.81 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1223950767 CMS
Otsuka America Pharmaceutical, Inc. $24.90 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1227593738 CMS
Collegium Pharmaceutical, Inc. $15.92 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1224230049 CMS
Ardelyx, Inc. $17.92 03/24/2025 Food and Beverage No dispute reported 06/30/2026 1247900247 CMS
ABBVIE INC. $15.84 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1205199809 CMS
ABBVIE INC. $0.91 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1205199815 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.10 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1222963407 CMS
Amgen Inc. $10.59 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1229691081 CMS
Lilly USA, LLC $17.97 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1187261813 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.95 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1225469655 CMS
AstraZeneca Pharmaceuticals LP $19.24 03/14/2025 Food and Beverage No dispute reported 06/30/2026 1206650565 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.45 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1223954968 CMS
Supernus Pharmaceuticals, Inc. $16.25 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1244981083 CMS
PFIZER INC. $18.62 03/10/2025 Food and Beverage No dispute reported 06/30/2026 1230075756 CMS
Axsome Therapeutics, Inc. $13.37 03/07/2025 Food and Beverage No dispute reported 06/30/2026 1235445093 CMS
Corcept Therapeutics $21.13 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1214238454 CMS
ABBVIE INC. $20.63 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1205199802 CMS
ABBVIE INC. $22.86 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1205199796 CMS
ABBVIE INC. $0.69 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1205199785 CMS
ABBVIE INC. $7.23 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1205199791 CMS
Novo Nordisk Inc $16.13 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1188649007 CMS
ABBVIE INC. $21.34 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1205199779 CMS
ABBVIE INC. $4.10 02/21/2025 Food and Beverage No dispute reported 06/30/2026 1205199773 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.01 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1222963405 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.53 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1232138402 CMS
Takeda Pharmaceuticals U.S.A., Inc. $6.16 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1223951137 CMS
GlaxoSmithKline, LLC. $17.08 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1191236355 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.33 02/11/2025 Food and Beverage No dispute reported 06/30/2026 1225469659 CMS
PFIZER INC. $16.29 02/07/2025 Food and Beverage No dispute reported 06/30/2026 1230005585 CMS
Amgen Inc. $10.90 02/06/2025 Food and Beverage No dispute reported 06/30/2026 1229691058 CMS
Otsuka America Pharmaceutical, Inc. $19.00 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1227593734 CMS
ABBVIE INC. $15.14 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1205199767 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.50 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1223985029 CMS
Ardelyx, Inc. $18.16 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1247900245 CMS
Takeda Pharmaceuticals U.S.A., Inc. $0.26 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1223944902 CMS
Takeda Pharmaceuticals U.S.A., Inc. $7.30 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1223952461 CMS
Lilly USA, LLC $15.50 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1187261811 CMS
Axsome Therapeutics, Inc. $18.86 01/11/2025 Food and Beverage No dispute reported 06/30/2026 1235342672 CMS
Amgen Inc. $13.40 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1229691070 CMS
ABBVIE INC. $20.63 01/07/2025 Food and Beverage No dispute reported 06/30/2026 1205199761 CMS
IDORSIA PHARMACEUTICALS US INC $18.47 01/06/2025 Food and Beverage No dispute reported 06/30/2026 1243393555 CMS
ABBVIE INC. $17.87 01/02/2025 Food and Beverage No dispute reported 06/30/2026 1205199755 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.00 01/02/2025 Food and Beverage No dispute reported 06/30/2026 1223980601 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
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · 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
SARA AMEND BLANKENSHIP, NPI 1811518780. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1811518780.
APA 7
IndustryPayments. (2026). SARA AMEND BLANKENSHIP, NPI 1811518780 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1811518780
Bluebook
SARA AMEND BLANKENSHIP, NPI 1811518780, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1811518780.

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