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

ALEXXA NICOLE SAFKO

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1841959681
CMS profile
11405589
Location
WEXFORD, PA

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 · PY2022–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$2,310.61

164 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 $2,310.61 164

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $29.25 1
PY2023 $989.99 53
PY2024 $920.23 38
PY2025 $2,310.61 164

Payment records · PY2025 (164)

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

Program year 2025 202220232024 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
Janssen Biotech, Inc. $1.37 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1174667649 CMS
Janssen Biotech, Inc. $6.73 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1174669372 CMS
Janssen Biotech, Inc. $18.55 12/15/2025 Food and Beverage No dispute reported 06/30/2026 1174669757 CMS
Janssen Biotech, Inc. $12.27 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1174669393 CMS
UCB, Inc. $8.67 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1224486296 CMS
ABBVIE INC. $3.62 12/09/2025 Food and Beverage No dispute reported 06/30/2026 1203217397 CMS
ABBVIE INC. $4.25 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1203217382 CMS
ABBVIE INC. $5.96 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1203217389 CMS
UCB, Inc. $9.28 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1224486294 CMS
Novartis Pharmaceuticals Corporation $23.82 12/01/2025 Food and Beverage No dispute reported 06/30/2026 1200417045 CMS
GENZYME CORPORATION $33.21 11/26/2025 Food and Beverage No dispute reported 06/30/2026 1233443271 CMS
ABBVIE INC. $1.76 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1203217375 CMS
Janssen Biotech, Inc. $3.11 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1174669074 CMS
Janssen Biotech, Inc. $2.98 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1174669574 CMS
Janssen Biotech, Inc. $1.36 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1174669631 CMS
UCB, Inc. $0.85 11/24/2025 Food and Beverage No dispute reported 06/30/2026 1224486290 CMS
UCB, Inc. $24.92 11/24/2025 Food and Beverage No dispute reported 06/30/2026 1224486292 CMS
ABBVIE INC. $3.46 11/19/2025 Food and Beverage No dispute reported 06/30/2026 1203217368 CMS
Janssen Biotech, Inc. $7.24 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1174668524 CMS
ABBVIE INC. $117.83 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1203217362 CMS
ABBVIE INC. $0.06 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1203217350 CMS
ABBVIE INC. $2.19 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1203217356 CMS
UCB, Inc. $12.69 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1224486288 CMS
Biofrontera Inc. $21.55 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1208911785 CMS
ABBVIE INC. $22.03 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1203217336 CMS
ABBVIE INC. $0.87 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1203217343 CMS
ABBVIE INC. $6.33 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1203217331 CMS
ABBVIE INC. $3.45 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1203217325 CMS
Amgen Inc. $20.56 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1229755429 CMS
MAYNE PHARMA COMMERCIAL LLC $5.94 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1254320405 CMS
UCB, Inc. $16.44 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1224486286 CMS
E.R. Squibb & Sons, L.L.C. $16.94 10/20/2025 Food and Beverage No dispute reported 06/30/2026 1184448396 CMS
ABBVIE INC. $34.17 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1203217319 CMS
ABBVIE INC. $6.84 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1203217313 CMS
Lilly USA, LLC $18.42 10/08/2025 Food and Beverage No dispute reported 06/30/2026 1186956631 CMS
ABBVIE INC. $6.10 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1203217307 CMS
Janssen Biotech, Inc. $7.95 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1174669519 CMS
GENZYME CORPORATION $39.30 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1233443243 CMS
Lilly USA, LLC $8.14 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1187064632 CMS
ABBVIE INC. $6.49 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1203217300 CMS
ABBVIE INC. $21.21 09/24/2025 Food and Beverage No dispute reported 06/30/2026 1203217294 CMS
ABBVIE INC. $6.21 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1203217288 CMS
ABBVIE INC. $5.88 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1203217274 CMS
ABBVIE INC. $24.58 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1203217280 CMS
ABBVIE INC. $7.00 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1203217268 CMS
ABBVIE INC. $4.83 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1203217256 CMS
ABBVIE INC. $4.11 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1203217262 CMS
ABBVIE INC. $7.66 09/02/2025 Food and Beverage No dispute reported 06/30/2026 1203217250 CMS
Janssen Biotech, Inc. $14.42 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1174669130 CMS
ABBVIE INC. $20.92 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1203217244 CMS
Janssen Biotech, Inc. $4.13 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1174667225 CMS
ABBVIE INC. $6.42 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1203217238 CMS
Janssen Biotech, Inc. $7.38 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1174667145 CMS
Amgen Inc. $17.99 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1229755463 CMS
Janssen Biotech, Inc. $10.43 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1174668402 CMS
Lilly USA, LLC $15.96 08/20/2025 Food and Beverage No dispute reported 06/30/2026 1186992612 CMS
ABBVIE INC. $5.18 08/19/2025 Food and Beverage No dispute reported 06/30/2026 1203217232 CMS
Organon LLC $3.19 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1237784746 CMS
ABBVIE INC. $5.00 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1203217226 CMS
Amgen Inc. $15.73 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1229755474 CMS
Janssen Biotech, Inc. $10.11 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1174668936 CMS
PFIZER INC. $19.45 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1229282347 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.30 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1222777402 CMS
ABBVIE INC. $5.11 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1203217220 CMS
ABBVIE INC. $27.13 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1203217214 CMS
Regeneron Healthcare Solutions, Inc. $28.32 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1213200348 CMS
ABBVIE INC. $4.66 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1203217206 CMS
UCB, Inc. $8.84 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1224486284 CMS
Lilly USA, LLC $18.89 07/23/2025 Food and Beverage No dispute reported 06/30/2026 1187054083 CMS
ABBVIE INC. $6.27 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1203217200 CMS
ABBVIE INC. $21.54 07/21/2025 Food and Beverage No dispute reported 06/30/2026 1203217193 CMS
Novartis Pharmaceuticals Corporation $19.75 07/17/2025 Food and Beverage No dispute reported 06/30/2026 1200463306 CMS
ABBVIE INC. $5.71 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1203217188 CMS
ABBVIE INC. $13.17 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1203217180 CMS
ABBVIE INC. $21.54 07/10/2025 Food and Beverage No dispute reported 06/30/2026 1203217173 CMS
Janssen Biotech, Inc. $18.94 07/10/2025 Food and Beverage No dispute reported 06/30/2026 1174669143 CMS
ABBVIE INC. $6.72 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1203217167 CMS
Journey Medical Corporation $22.12 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1250931358 CMS
UCB, Inc. $15.67 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1224486282 CMS
ABBVIE INC. $6.03 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1203217161 CMS
ABBVIE INC. $10.92 06/20/2025 Food and Beverage No dispute reported 06/30/2026 1203217155 CMS
UCB, Inc. $2.78 06/19/2025 Food and Beverage No dispute reported 06/30/2026 1224486280 CMS
ABBVIE INC. $16.67 06/18/2025 Food and Beverage No dispute reported 06/30/2026 1203217149 CMS
ABBVIE INC. $6.17 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1203217143 CMS
Novartis Pharmaceuticals Corporation $18.92 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1200463298 CMS
Lilly USA, LLC $18.62 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1186985020 CMS
ABBVIE INC. $0.31 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1203217115 CMS
ABBVIE INC. $4.40 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1203217121 CMS
ABBVIE INC. $4.16 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1203217127 CMS
ABBVIE INC. $114.30 06/10/2025 Food and Beverage No dispute reported 06/30/2026 1203217135 CMS
MAYNE PHARMA COMMERCIAL LLC $14.77 06/04/2025 Food and Beverage No dispute reported 06/30/2026 1254320129 CMS
ABBVIE INC. $5.90 06/03/2025 Food and Beverage No dispute reported 06/30/2026 1203217109 CMS
ABBVIE INC. $14.67 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1203217101 CMS
ABBVIE INC. $12.71 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1203217095 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.00 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1222777400 CMS
ABBVIE INC. $5.05 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1203217089 CMS
Janssen Biotech, Inc. $20.11 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1174669797 CMS
ABBVIE INC. $6.76 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1203217081 CMS
ABBVIE INC. $24.10 05/12/2025 Food and Beverage No dispute reported 06/30/2026 1203217075 CMS
ABBVIE INC. $15.79 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1203217069 CMS
LEO Pharma Inc. $19.04 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1252088961 CMS
UCB, Inc. $12.62 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1224486278 CMS
ABBVIE INC. $5.31 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1203217064 CMS
ABBVIE INC. $16.22 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1203217059 CMS
ABBVIE INC. $19.30 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1203217047 CMS
ABBVIE INC. $6.71 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1203217053 CMS
Amgen Inc. $22.07 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1229755454 CMS
Galderma Laboratories, L.P. $29.69 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1234817639 CMS
ABBVIE INC. $5.54 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1203217041 CMS
Biofrontera Inc. $15.75 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1208911783 CMS
ABBVIE INC. $7.58 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1203217033 CMS
UCB, Inc. $22.26 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1224486276 CMS
ABBVIE INC. $5.68 04/08/2025 Food and Beverage No dispute reported 06/30/2026 1203217026 CMS
ABBVIE INC. $11.80 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1203217019 CMS
Lilly USA, LLC $15.08 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1186967246 CMS
Janssen Biotech, Inc. $14.02 04/02/2025 Food and Beverage No dispute reported 06/30/2026 1174668299 CMS
ABBVIE INC. $6.14 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1203217007 CMS
ABBVIE INC. $9.66 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1203217013 CMS
ABBVIE INC. $3.42 03/29/2025 Food and Beverage No dispute reported 06/30/2026 1203216999 CMS
LEO Pharma Inc. $24.56 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1252088959 CMS
UCB, Inc. $7.00 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1224486274 CMS
ABBVIE INC. $4.52 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1203216991 CMS
ABBVIE INC. $20.79 03/24/2025 Food and Beverage No dispute reported 06/30/2026 1203216985 CMS
Arcutis Biotherapeutics, Inc. $16.38 03/24/2025 Food and Beverage No dispute reported 06/30/2026 1252380637 CMS
Lilly USA, LLC $6.31 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1186950463 CMS
Janssen Biotech, Inc. $17.15 03/19/2025 Food and Beverage No dispute reported 06/30/2026 1174669291 CMS
ABBVIE INC. $8.41 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1203216979 CMS
UCB, Inc. $2.89 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1224486272 CMS
Novartis Pharmaceuticals Corporation $20.30 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1200463292 CMS
ABBVIE INC. $5.43 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1203216971 CMS
Janssen Biotech, Inc. $9.03 03/10/2025 Food and Beverage No dispute reported 06/30/2026 1174669436 CMS
Janssen Biotech, Inc. $24.91 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1174667658 CMS
ABBVIE INC. $15.89 03/05/2025 Food and Beverage No dispute reported 06/30/2026 1203216963 CMS
ABBVIE INC. $7.26 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1203216955 CMS
ABBVIE INC. $117.47 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1203216951 CMS
UCB, Inc. $20.34 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1224486270 CMS
ABBVIE INC. $7.48 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1203216943 CMS
Janssen Biotech, Inc. $7.11 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1174667629 CMS
Janssen Biotech, Inc. $4.33 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1174668567 CMS
PFIZER INC. $18.37 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1231462439 CMS
ABBVIE INC. $20.51 02/21/2025 Food and Beverage No dispute reported 06/30/2026 1203216937 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $22.25 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1251073915 CMS
Lilly USA, LLC $15.01 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1186950461 CMS
ABBVIE INC. $8.62 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1203216931 CMS
Janssen Biotech, Inc. $6.39 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1174668263 CMS
Amgen Inc. $20.96 02/17/2025 Food and Beverage No dispute reported 06/30/2026 1229755443 CMS
ABBVIE INC. $11.02 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1203216925 CMS
Janssen Biotech, Inc. $19.25 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1174669229 CMS
Janssen Biotech, Inc. $16.82 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1174669593 CMS
Novartis Pharmaceuticals Corporation $17.42 02/06/2025 Food and Beverage No dispute reported 06/30/2026 1200463290 CMS
UCB, Inc. $9.43 02/06/2025 Food and Beverage No dispute reported 06/30/2026 1224486268 CMS
PFIZER INC. $18.77 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1231367408 CMS
ABBVIE INC. $7.85 02/04/2025 Food and Beverage No dispute reported 06/30/2026 1203216919 CMS
Janssen Biotech, Inc. $5.75 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1174668024 CMS
Novartis Pharmaceuticals Corporation $25.98 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1200463288 CMS
ABBVIE INC. $6.60 01/21/2025 Food and Beverage No dispute reported 06/30/2026 1203216911 CMS
Lilly USA, LLC $3.95 01/21/2025 Food and Beverage No dispute reported 06/30/2026 1186985018 CMS
ABBVIE INC. $0.17 01/18/2025 Food and Beverage No dispute reported 06/30/2026 1203216905 CMS
ABBVIE INC. $16.20 01/17/2025 Food and Beverage No dispute reported 06/30/2026 1203216899 CMS
Regeneron Healthcare Solutions, Inc. $23.97 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1213200346 CMS
UCB, Inc. $5.17 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1224486266 CMS
ABBVIE INC. $6.86 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1203216887 CMS
ABBVIE INC. $13.80 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1203216893 CMS
ABBVIE INC. $10.73 01/13/2025 Food and Beverage No dispute reported 06/30/2026 1203216881 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
2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · 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
ALEXXA NICOLE SAFKO, NPI 1841959681. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1841959681.
APA 7
IndustryPayments. (2026). ALEXXA NICOLE SAFKO, NPI 1841959681 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1841959681
Bluebook
ALEXXA NICOLE SAFKO, NPI 1841959681, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1841959681.

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