Dollars for Docs
How Industry Dollars Reach Your Doctors
This database was last updated in October 2019 and should only be used as a historical snapshot. Newer data is available at the Centers for Medicare and Medicaid Services Open Payments site.
MARTIN M GRAJOWER
Listed Specialty: Endocrinology, Diabetes & Metabolism
3736 HENRY HUDSON PKWY, BRONX, NY, 10463-1502
DR. MARTIN GRAJOWER,
Yearly Payment Breakdown:
2018 Payments At a Glance
176
payments
$85,902
payment total
20
companies paid this doctor
Payment Calendar in 2018
This doctor received a payment on days in 2018.
Each box below represents a single day during the disclosure period. A gray box indicates no payments. The darker the color, the more payments a doctor received that day.
2018
Types of Payments in 2018
Category | Payments | Payment Value |
---|---|---|
Promotional Speaking/Other |
26 | $71,279 |
Travel and Lodging |
58 | $10,924 |
Food and Beverage |
89 | $2,386 |
Consulting |
1 | $1,300 |
Education |
2 | $12 |
Drugs & Devices in 2018
Totals listed below account for all payments from that mention this product. Beginning in 2016, the government began classifying products as drugs, devices, biologics or medical supplies. Below, you will see drugs (drugs and biologics) and devices (devices and medical supplies). If a payment record mentions more than one product, the entire value will be included in each of those products. When no products are listed, they are not included in the list below.
Product Name | Product Type | Payments† |
---|---|---|
VICTOZA |
drug |
$36,324 |
OZEMPIC |
drug |
$21,096 |
TRESIBA |
drug |
$19,483 |
FREESTYLE LIBRE PRO |
device |
$7,886 |
TRULICITY |
drug |
$187 |
JARDIANCE |
drug |
$162 |
HUMULIN |
drug |
$146 |
FARXIGA |
drug |
$106 |
NATPARA |
drug |
$97 |
SYNTHROID |
drug |
$87 |
MYRBETRIQ |
drug |
$84 |
XARELTO |
drug |
$70 |
SAXENDA |
drug |
$69 |
BEVESPI AEROSPHERE |
drug |
$68 |
AFREZZA |
drug |
$66 |
CYCLOSET |
drug |
$58 |
SOLIQUA |
drug |
$49 |
TOUJEO |
drug |
$43 |
XULTOPHY 100/3.6 |
drug |
$41 |
KORLYM |
drug |
$38 |
LINZESS |
drug |
$35 |
T-SLIM INSULIN PUMP |
device |
$27 |
PRADAXA |
drug |
$25 |
BELVIQ |
drug |
$24 |
LEVEMIR |
drug |
$22 |
HUMALOG |
drug |
$22 |
CONTRAVE |
drug |
$19 |
FLUAD |
drug |
$18 |
JANUMET |
drug |
$17 |
JANUMET XR |
drug |
$17 |
JANUVIA |
drug |
$17 |
STEGLATRO |
drug |
$17 |
STEGLUJAN |
drug |
$17 |
TIROSINT |
drug |
$17 |
Payments with no listed product |
N/A |
$7 |
† May not add up to dollar total at top of page, since a payment record may not be associated with any product or can be associated with several products. |
Payment Details in 2018
When | How Much | Related To | What For | From | Third Party Payee |
---|---|---|---|---|---|
Apr 4, 2018 | $4,171 | VICTOZA | Promotional Speaking/Other | NOVO NORDISK INC | |
Aug 8, 2018 | $3,639 | OZEMPIC | Promotional Speaking/Other | NOVO NORDISK INC | |
Apr 19, 2018 | $3,639 | VICTOZA | Promotional Speaking/Other | NOVO NORDISK INC | |
Mar 13, 2018 | $3,639 | VICTOZA | Promotional Speaking/Other | NOVO NORDISK INC | |
Nov 7, 2018 | $3,639 | TRESIBA | Promotional Speaking/Other | NOVO NORDISK INC | |
Feb 27, 2018 | $3,639 | VICTOZA | Promotional Speaking/Other | NOVO NORDISK INC | |
Nov 7, 2018 | $3,639 | OZEMPIC | Promotional Speaking/Other | NOVO NORDISK INC | |
Apr 19, 2018 | $3,639 | TRESIBA | Promotional Speaking/Other | NOVO NORDISK INC | |
Feb 6, 2018 | $3,106 | VICTOZA | Promotional Speaking/Other | NOVO NORDISK INC | |
Mar 22, 2018 | $2,308 | VICTOZA | Promotional Speaking/Other | NOVO NORDISK INC | |
Jun 26, 2018 | $2,308 | OZEMPIC | Promotional Speaking/Other | NOVO NORDISK INC | |
Oct 18, 2018 | $2,308 | OZEMPIC | Promotional Speaking/Other | NOVO NORDISK INC | |
Jun 7, 2018 | $2,308 | TRESIBA | Promotional Speaking/Other | NOVO NORDISK INC | |
Apr 25, 2018 | $2,308 | VICTOZA | Promotional Speaking/Other | NOVO NORDISK INC | |
Feb 22, 2018 | $2,308 | TRESIBA | Promotional Speaking/Other | NOVO NORDISK INC | |
Mar 28, 2018 | $2,308 | TRESIBA | Promotional Speaking/Other | NOVO NORDISK INC | |
May 1, 2018 | $2,308 | VICTOZA | Promotional Speaking/Other | NOVO NORDISK INC | |
Jun 21, 2018 | $2,308 | OZEMPIC | Promotional Speaking/Other | NOVO NORDISK INC | |
Feb 7, 2018 | $2,308 | VICTOZA | Promotional Speaking/Other | NOVO NORDISK INC | |
Oct 25, 2018 | $2,308 | OZEMPIC | Promotional Speaking/Other | NOVO NORDISK INC | |
Apr 26, 2018 | $2,308 | VICTOZA | Promotional Speaking/Other | NOVO NORDISK INC | |
Jun 28, 2018 | $2,308 | OZEMPIC | Promotional Speaking/Other | NOVO NORDISK INC | |
Mar 27, 2018 | $2,308 | TRESIBA | Promotional Speaking/Other | NOVO NORDISK INC | |
Apr 30, 2018 | $2,075 | FREESTYLE LIBRE PRO | Promotional Speaking/Other | ABBOTT LABORATORIES | |
Jan 4, 2018 | $2,075 | FREESTYLE LIBRE PRO | Promotional Speaking/Other | ABBOTT LABORATORIES | |
Jan 4, 2018 | $2,075 | FREESTYLE LIBRE PRO | Promotional Speaking/Other | ABBOTT LABORATORIES | |
Jan 4, 2018 | $1,300 | FREESTYLE LIBRE PRO | Consulting | ABBOTT LABORATORIES | |
Aug 8, 2018 | $1,124 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Feb 27, 2018 | $1,065 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Mar 13, 2018 | $889 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Feb 6, 2018 | $764 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Apr 4, 2018 | $673 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Apr 4, 2018 | $515 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Nov 7, 2018 | $478 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Nov 7, 2018 | $393 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Apr 19, 2018 | $390 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Apr 19, 2018 | $343 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Nov 7, 2018 | $316 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Nov 7, 2018 | $316 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Apr 19, 2018 | $291 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Apr 19, 2018 | $291 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Apr 4, 2018 | $268 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Apr 19, 2018 | $247 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Apr 19, 2018 | $247 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Feb 7, 2018 | $117 | VICTOZA | Food and Beverage | NOVO NORDISK INC | |
Nov 7, 2018 | $111 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Apr 19, 2018 | $107 | VICTOZA | Food and Beverage | NOVO NORDISK INC | |
Mar 28, 2018 | $101 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Mar 13, 2018 | $98 | VICTOZA | Food and Beverage | NOVO NORDISK INC | |
Aug 8, 2018 | $95 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Apr 25, 2018 | $94 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Feb 27, 2018 | $93 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Feb 6, 2018 | $92 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Mar 27, 2018 | $92 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Apr 26, 2018 | $92 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Mar 13, 2018 | $91 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Jun 28, 2018 | $91 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Jun 21, 2018 | $91 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Feb 22, 2018 | $91 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Jun 26, 2018 | $89 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Feb 7, 2018 | $89 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Apr 25, 2018 | $89 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
May 1, 2018 | $89 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Mar 28, 2018 | $88 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Oct 18, 2018 | $87 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Mar 22, 2018 | $86 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Jan 4, 2018 | $86 | FREESTYLE LIBRE PRO | Food and Beverage | ABBOTT LABORATORIES | |
Jun 7, 2018 | $86 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Oct 25, 2018 | $85 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
May 7, 2018 | $83 | FREESTYLE LIBRE PRO | Food and Beverage | ABBOTT LABORATORIES | |
Jan 4, 2018 | $82 | FREESTYLE LIBRE PRO | Food and Beverage | ABBOTT LABORATORIES | |
Nov 7, 2018 | $60 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Nov 7, 2018 | $59 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Feb 27, 2018 | $55 | VICTOZA | Food and Beverage | NOVO NORDISK INC | |
Jan 4, 2018 | $52 | FREESTYLE LIBRE PRO | Travel and Lodging | ABBOTT LABORATORIES | |
Apr 4, 2018 | $46 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Mar 22, 2018 | $44 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Jun 7, 2018 | $44 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Oct 30, 2018 | $31 | JARDIANCE | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
May 7, 2018 | $31 | FREESTYLE LIBRE PRO | Travel and Lodging | ABBOTT LABORATORIES | |
Jul 3, 2018 | $28 | JARDIANCE | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Sep 5, 2018 | $28 | JARDIANCE | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Feb 28, 2018 | $27 | JARDIANCE | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Jul 17, 2018 | $27 | T-SLIM INSULIN PUMP | Food and Beverage | TANDEM DIABETES CARE, INC. | |
Oct 25, 2018 | $25 | XARELTO | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
May 29, 2018 | $25 | XARELTO | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Oct 24, 2018 | $25 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
May 22, 2018 | $25 | NATPARA | Food and Beverage | SHIRE NORTH AMERICAN GROUP INC | |
Mar 29, 2018 | $25 | NATPARA | Food and Beverage | SHIRE NORTH AMERICAN GROUP INC | |
Aug 22, 2018 | $25 | NATPARA | Food and Beverage | SHIRE NORTH AMERICAN GROUP INC | |
May 1, 2018 | $25 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Jul 31, 2018 | $25 | SOLIQUA | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Nov 8, 2018 | $25 | PRADAXA JARDIANCE | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Dec 4, 2018 | $24 | SAXENDA | Food and Beverage | NOVO NORDISK INC | |
Apr 17, 2018 | $24 | JARDIANCE | Food and Beverage | BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. | |
Feb 1, 2018 | $24 | TOUJEO SOLIQUA | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Aug 15, 2018 | $24 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Feb 15, 2018 | $24 | BELVIQ | Food and Beverage | EISAI INC. | |
Nov 13, 2018 | $24 | MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
Sep 5, 2018 | $23 | HUMULIN TRULICITY | Food and Beverage | LILLY USA, LLC | |
Jan 2, 2018 | $23 | CYCLOSET | Food and Beverage | SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC | |
May 10, 2018 | $23 | SAXENDA | Food and Beverage | NOVO NORDISK INC | |
Dec 20, 2018 | $23 | SYNTHROID | Food and Beverage | ABBVIE, INC. | |
Jun 26, 2018 | $23 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Nov 14, 2018 | $23 | NATPARA | Food and Beverage | SHIRE NORTH AMERICAN GROUP INC | |
Feb 6, 2018 | $23 | AFREZZA | Food and Beverage | MANNKIND CORPORATION | |
Jan 30, 2018 | $23 | BEVESPI AEROSPHERE | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Jun 14, 2018 | $22 | LEVEMIR TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Jan 9, 2018 | $22 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Oct 16, 2018 | $22 | HUMULIN TRULICITY | Food and Beverage | LILLY USA, LLC | |
Jan 16, 2018 | $22 | AFREZZA | Food and Beverage | MANNKIND CORPORATION | |
Jun 5, 2018 | $22 | HUMULIN TRULICITY | Food and Beverage | LILLY USA, LLC | |
Feb 27, 2018 | $22 | HUMALOG TRULICITY | Food and Beverage | LILLY USA, LLC | |
May 15, 2018 | $22 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Jul 19, 2018 | $22 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Aug 28, 2018 | $22 | SYNTHROID | Food and Beverage | ABBVIE, INC. | |
Oct 11, 2018 | $22 | SYNTHROID | Food and Beverage | ABBVIE, INC. | |
Feb 13, 2018 | $21 | SAXENDA | Food and Beverage | NOVO NORDISK INC | |
Dec 11, 2018 | $21 | HUMULIN TRULICITY | Food and Beverage | LILLY USA, LLC | |
Sep 13, 2018 | $21 | MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
Apr 10, 2018 | $21 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Oct 9, 2018 | $21 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Aug 8, 2018 | $21 | AFREZZA | Food and Beverage | MANNKIND CORPORATION | |
Jan 18, 2018 | $21 | LINZESS | Food and Beverage | ALLERGAN INC. | |
Feb 20, 2018 | $21 | VICTOZA TRESIBA XULTOPHY 100/3.6 | Food and Beverage | NOVO NORDISK INC | |
Nov 15, 2018 | $21 | SYNTHROID | Food and Beverage | ABBVIE, INC. | |
May 1, 2018 | $21 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Apr 18, 2018 | $20 | HUMULIN TRULICITY | Food and Beverage | LILLY USA, LLC | |
Aug 30, 2018 | $20 | XARELTO | Food and Beverage | JANSSEN PHARMACEUTICALS, INC | |
Jun 21, 2018 | $20 | MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
Mar 15, 2018 | $20 | VICTOZA TRESIBA XULTOPHY 100/3.6 | Food and Beverage | NOVO NORDISK INC | |
Mar 29, 2018 | $20 | KORLYM | Food and Beverage | CORCEPT THERAPEUTICS | |
Apr 12, 2018 | $20 | MYRBETRIQ | Food and Beverage | ASTELLAS PHARMA US INC | |
Oct 25, 2018 | $19 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Apr 25, 2018 | $19 | TOUJEO | Food and Beverage | SANOFI-AVENTIS U.S. LLC | |
Feb 8, 2018 | $19 | CONTRAVE | Food and Beverage | OREXIGEN THERAPEUTICS, INC. | |
Dec 6, 2018 | $19 | CYCLOSET | Food and Beverage | SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC | |
Nov 1, 2018 | $19 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Jan 25, 2018 | $18 | TRULICITY | Food and Beverage | LILLY USA, LLC | |
Sep 20, 2018 | $18 | BEVESPI AEROSPHERE | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Jun 19, 2018 | $18 | FLUAD | Food and Beverage | SEQIRUS USA INC | |
Jul 25, 2018 | $18 | HUMULIN TRULICITY | Food and Beverage | LILLY USA, LLC | |
Feb 22, 2018 | $18 | KORLYM | Food and Beverage | CORCEPT THERAPEUTICS | |
Nov 20, 2018 | $18 | HUMULIN TRULICITY | Food and Beverage | LILLY USA, LLC | |
Aug 23, 2018 | $17 | JANUVIA JANUMET JANUMET XR STEGLATRO STEGLUJAN | Food and Beverage | MERCK SHARP & DOHME CORPORATION | |
Jan 4, 2018 | $17 | FREESTYLE LIBRE PRO | Travel and Lodging | ABBOTT LABORATORIES | |
Dec 12, 2018 | $17 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Nov 27, 2018 | $17 | TIROSINT | Food and Beverage | IBSA PHARMA INC. | |
May 2, 2018 | $17 | BEVESPI AEROSPHERE | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Nov 6, 2018 | $16 | CYCLOSET | Food and Beverage | SALIX PHARMACEUTICALS, A DIVISION OF BAUSCH HEALTH US, LLC | |
Nov 7, 2018 | $16 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Apr 26, 2018 | $16 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Jun 21, 2018 | $16 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Feb 22, 2018 | $15 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Apr 19, 2018 | $15 | TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Mar 27, 2018 | $15 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
Jul 10, 2018 | $15 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Apr 19, 2018 | $15 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Jan 11, 2018 | $15 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
May 3, 2018 | $14 | LINZESS | Food and Beverage | ALLERGAN INC. | |
May 17, 2018 | $14 | VICTOZA TRESIBA | Food and Beverage | NOVO NORDISK INC | |
Jan 11, 2018 | $12 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
May 8, 2018 | $12 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Mar 8, 2018 | $12 | FARXIGA | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Mar 20, 2018 | $11 | BEVESPI AEROSPHERE | Food and Beverage | ASTRAZENECA PHARMACEUTICALS LP | |
Jun 26, 2018 | $10 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Apr 26, 2018 | $10 | VICTOZA | Travel and Lodging | NOVO NORDISK INC | |
Jun 28, 2018 | $9 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Oct 17, 2018 | $8 | OZEMPIC | Food and Beverage | NOVO NORDISK INC | |
Jan 4, 2018 | $8 | FREESTYLE LIBRE PRO | Travel and Lodging | ABBOTT LABORATORIES | |
Oct 18, 2018 | $7 | OZEMPIC | Travel and Lodging | NOVO NORDISK INC | |
Apr 26, 2018 | $7 | No Listed Product | Education | ASTRAZENECA PHARMACEUTICALS LP | |
Aug 7, 2018 | $5 | FARXIGA | Education | ASTRAZENECA PHARMACEUTICALS LP | |
Apr 19, 2018 | $5 | TRESIBA | Travel and Lodging | NOVO NORDISK INC | |
May 7, 2018 | $2 | FREESTYLE LIBRE PRO | Travel and Lodging | ABBOTT LABORATORIES | |
Apr 18, 2018 | $1 | HUMULIN TRULICITY | Food and Beverage | LILLY USA, LLC |
See this doctor’s Open Payments page →
Note: We have made some effort to normalize the data and eliminate duplicates, but the data is primarily as it has been reported by the companies to the Centers for Medicare and Medicaid Services. To purchase the normalized data, please visit the ProPublica Data Store. If you spot an error, please let us know at [email protected].
This site includes data published by the Centers for Medicare and Medicaid Services on June 28, 2019.