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.

DAVID J FRIEDMAN
Is This Your Doctor?

DAVID J FRIEDMAN

Listed Specialty: Hematology & Oncology
4411 MEDICAL DR, SAN ANTONIO, TX, 78229-3822
Is This Your Doctor?

DAVID FRIEDMAN,
Yearly Payment Breakdown:

2018 Payments At a Glance

187

payments

$2,957

payment total

36

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
Food and Beverage
180 $2,772
Education
7 $185

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
Payments with no listed product

N/A

$310
TECENTRIQ

drug

$220
ADCETRIS

drug

$196
KEYTRUDA

drug

$183
XARELTO

drug

$177
KISQALI

drug

$114
CALQUENCE

drug

$109
ZEJULA

drug

$99
XGEVA

drug

$92
ERLEADA

drug

$90
DARZALEX

drug

$89
RYDAPT

drug

$88
XTANDI

drug

$86
TASIGNA

drug

$85
JAKAFI

drug

$84
KYPROLIS

drug

$70
IMBRUVICA

drug

$69
MYLOTARG

drug

$67
VENCLEXTA

drug

$65
JADENU

drug

$64
PROMACTA

drug

$64
AFINITOR

drug

$57
SANDOSTATIN LAR

drug

$57
NEXAVAR

drug

$48
STIVARGA

drug

$48
BESPONSA

drug

$47
BOSULIF

drug

$47
IBRANCE

drug

$47
VYXEOS

drug

$42
BLINCYTO

drug

$40
CYRAMZA

drug

$38
VERZENIO

drug

$38
ALIQOPA

drug

$31
LONSURF

drug

$29
GILOTRIF

drug

$29
NINLARO

drug

$28
LIBTAYO

drug

$28
IMMULITE IMMUNOASSAY REAGENTS/TEST KIT/CLINICAL UTILIZATION

device

$25
VENCLEXTA

drug

$24
IMFINZI

drug

$24
ZARXIO

drug

$23
FOLOTYN

drug

$23
WATCHMAN

device

$22
NPLATE

drug

$22
ZYTIGA

drug

$20
IMLYGIC

drug

$20
BAVENCIO

drug

$19
INLYTA

drug

$19
SUTENT

drug

$19
INJECTAFER

drug

$16
SPRYCEL

drug

$16
XOFIGO

drug

$15
AKYNZEO

drug

$15
ZYKADIA

drug

$15
REVLIMID

drug

$15
NEULASTA

drug

$15
LENVIMA

drug

$13
NERLYNX

drug

$13
PROLIA

drug

$13
FOUNDATIONACT

device

$12
FOUNDATIONONE

device

$12
FOUNDATIONFOCUS

device

$12
FOUNDATIONONE HEME

device

$12
OPDIVO

drug

$11
FARESTON

drug

$11
SANCUSO

drug

$11
EMEND

drug

$9
LYNPARZA

drug

$9
MEKINIST

drug

$8
TAFINLAR

drug

$8
VOTRIENT

drug

$8
DAURISMO

drug

$7
AVASTIN

drug

$3
† 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
Aug 28, 2018 $137 ADCETRIS Food and Beverage SEATTLE GENETICS, INC.
Oct 23, 2018 $123 No Listed Product Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Feb 27, 2018 $115 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Mar 27, 2018 $104 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Jul 20, 2018 $100 No Listed Product Education INCYTE CORPORATION
Jun 26, 2018 $90 CALQUENCE Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 3, 2018 $39 IMBRUVICA Food and Beverage JANSSEN BIOTECH, INC.
Aug 16, 2018 $29 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Apr 17, 2018 $27 ZEJULA Food and Beverage TESARO, INC.
Nov 27, 2018 $25 VYXEOS Food and Beverage JAZZ PHARMACEUTICALS INC.
Jul 9, 2018 $24 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Apr 5, 2018 $22 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Feb 26, 2018 $22 WATCHMAN Food and Beverage BOSTON SCIENTIFIC CORPORATION
Feb 7, 2018 $22 TASIGNA Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Nov 2, 2018 $22 ZEJULA Food and Beverage TESARO, INC.
Jun 29, 2018 $22 TASIGNA Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Mar 22, 2018 $21 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jan 2, 2018 $21 TASIGNA Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Sep 21, 2018 $21 KISQALI Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Mar 20, 2018 $21 KISQALI Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
May 25, 2018 $20 ERLEADA ZYTIGA DARZALEX Food and Beverage JANSSEN BIOTECH, INC.
Sep 20, 2018 $20 AFINITOR SANDOSTATIN LAR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Feb 5, 2018 $20 BLINCYTO IMLYGIC Food and Beverage AMGEN INC.
Aug 24, 2018 $20 MYLOTARG Education PFIZER INC.
Feb 14, 2018 $20 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Nov 21, 2018 $20 BLINCYTO Food and Beverage AMGEN INC.
Jun 7, 2018 $19 No Listed Product Food and Beverage ASTELLAS PHARMA US INC
Jul 24, 2018 $19 KISQALI Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Aug 8, 2018 $19 RYDAPT Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Feb 5, 2018 $19 No Listed Product Education AMGEN INC.
Nov 19, 2018 $19 ALIQOPA Food and Beverage BAYER HEALTHCARE PHARMACEUTICALS INC.
Nov 9, 2018 $19 KISQALI Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Aug 14, 2018 $19 KISQALI Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
May 11, 2018 $19 ZEJULA Food and Beverage TESARO, INC.
Oct 8, 2018 $18 RYDAPT Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Feb 8, 2018 $18 JADENU PROMACTA Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Apr 10, 2018 $18 ERLEADA DARZALEX Food and Beverage JANSSEN BIOTECH, INC.
Jun 28, 2018 $18 VYXEOS Food and Beverage JAZZ PHARMACEUTICALS INC.
Jan 11, 2018 $18 JADENU PROMACTA Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Jul 17, 2018 $18 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Mar 30, 2018 $18 NEXAVAR STIVARGA Food and Beverage BAYER HEALTHCARE PHARMACEUTICALS INC.
Jan 5, 2018 $18 LONSURF Food and Beverage TAIHO ONCOLOGY, INC.
Aug 23, 2018 $17 VENCLEXTA Food and Beverage ABBVIE, INC.
Jan 9, 2018 $17 JAKAFI Food and Beverage INCYTE CORPORATION
Sep 8, 2018 $17 ZEJULA Food and Beverage TESARO, INC.
Dec 14, 2018 $17 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jun 29, 2018 $17 JAKAFI Food and Beverage INCYTE CORPORATION
Sep 28, 2018 $17 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Jul 11, 2018 $17 VENCLEXTA Food and Beverage ABBVIE, INC.
Dec 21, 2018 $17 STIVARGA NEXAVAR Food and Beverage BAYER HEALTHCARE PHARMACEUTICALS INC.
Oct 18, 2018 $17 LIBTAYO Food and Beverage GENZYME CORPORATION
Dec 6, 2018 $17 RYDAPT Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Apr 23, 2018 $17 DARZALEX Food and Beverage JANSSEN BIOTECH, INC.
Sep 19, 2018 $16 No Listed Product Education EXELIXIS INC.
Oct 12, 2018 $16 ERLEADA DARZALEX Food and Beverage JANSSEN BIOTECH, INC.
Mar 1, 2018 $16 AFINITOR SANDOSTATIN LAR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Jan 11, 2018 $16 INJECTAFER Food and Beverage DAIICHI SANKYO INC.
Mar 8, 2018 $16 IMBRUVICA Food and Beverage JANSSEN BIOTECH, INC.
Feb 23, 2018 $16 JAKAFI Food and Beverage INCYTE CORPORATION
Mar 12, 2018 $16 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Sep 20, 2018 $16 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Feb 5, 2018 $16 KISQALI Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Nov 8, 2018 $16 XTANDI Food and Beverage PFIZER INC.
Jan 17, 2018 $16 KYPROLIS XGEVA Food and Beverage AMGEN INC.
Apr 5, 2018 $16 RYDAPT Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Mar 14, 2018 $16 NINLARO Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Aug 31, 2018 $16 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Feb 21, 2018 $16 No Listed Product Food and Beverage CELGENE CORPORATION
Mar 2, 2018 $16 SPRYCEL Food and Beverage OTSUKA AMERICA PHARMACEUTICAL, INC.
Oct 22, 2018 $16 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Jul 26, 2018 $16 TASIGNA Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Aug 10, 2018 $15 XTANDI Food and Beverage PFIZER INC.
Feb 14, 2018 $15 VENCLEXTA Food and Beverage ABBVIE, INC.
May 7, 2018 $15 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Sep 20, 2018 $15 XOFIGO Food and Beverage BAYER HEALTHCARE PHARMACEUTICALS INC.
Mar 9, 2018 $15 ZYKADIA AKYNZEO Food and Beverage HELSINN THERAPEUTICS (U.S.), INC.
Oct 29, 2018 $15 JADENU PROMACTA Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Nov 6, 2018 $15 RYDAPT Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Jul 12, 2018 $15 No Listed Product Food and Beverage CELGENE CORPORATION
Dec 26, 2018 $15 GILOTRIF Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jan 10, 2018 $15 KYPROLIS XGEVA Food and Beverage AMGEN INC.
Nov 8, 2018 $15 VENCLEXTA Food and Beverage ABBVIE, INC.
Jun 27, 2018 $15 REVLIMID Food and Beverage CELGENE CORPORATION
Jul 18, 2018 $15 NEULASTA Food and Beverage AMGEN INC.
Jun 7, 2018 $15 ZEJULA Food and Beverage TESARO, INC.
Jan 10, 2018 $14 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Apr 9, 2018 $14 IMBRUVICA Food and Beverage PHARMACYCLICS LLC, AN ABBVIE COMPANY
Feb 15, 2018 $14 KYPROLIS XGEVA Food and Beverage AMGEN INC.
Jun 4, 2018 $14 ADCETRIS Food and Beverage SEATTLE GENETICS, INC.
Nov 7, 2018 $14 CALQUENCE Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Mar 21, 2018 $14 CYRAMZA VERZENIO Food and Beverage LILLY USA, LLC
Aug 1, 2018 $14 ADCETRIS Food and Beverage SEATTLE GENETICS, INC.
Nov 29, 2018 $14 ADCETRIS Food and Beverage SEATTLE GENETICS, INC.
Nov 1, 2018 $14 GILOTRIF Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Oct 3, 2018 $13 STIVARGA NEXAVAR Food and Beverage BAYER HEALTHCARE PHARMACEUTICALS INC.
Oct 24, 2018 $13 CYRAMZA VERZENIO Food and Beverage LILLY USA, LLC
Feb 23, 2018 $13 LENVIMA Food and Beverage EISAI INC.
Aug 22, 2018 $13 JAKAFI Food and Beverage INCYTE CORPORATION
Feb 26, 2018 $13 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Mar 5, 2018 $13 IBRANCE Food and Beverage PFIZER INC.
Jul 18, 2018 $13 IBRANCE Food and Beverage PFIZER INC.
Oct 16, 2018 $13 KYPROLIS XGEVA Food and Beverage AMGEN INC.
Oct 23, 2018 $13 XTANDI Food and Beverage ASTELLAS PHARMA US INC
Aug 27, 2018 $13 NERLYNX Food and Beverage PUMA BIOTECHNOLOGY, INC.
Dec 18, 2018 $13 JAKAFI Food and Beverage INCYTE CORPORATION
Nov 21, 2018 $13 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Feb 22, 2018 $13 NINLARO Food and Beverage TAKEDA PHARMACEUTICALS U.S.A., INC.
Oct 17, 2018 $13 NPLATE PROLIA XGEVA Food and Beverage AMGEN INC.
Jan 12, 2018 $12 IMMULITE IMMUNOASSAY REAGENTS/TEST KIT/CLINICAL UTILIZATION Food and Beverage SIEMENS MEDICAL SOLUTIONS USA, INC.
Jan 12, 2018 $12 IMMULITE IMMUNOASSAY REAGENTS/TEST KIT/CLINICAL UTILIZATION Food and Beverage SIEMENS MEDICAL SOLUTIONS USA, INC.
May 3, 2018 $12 KYPROLIS XGEVA Food and Beverage AMGEN INC.
Jan 3, 2018 $12 FOUNDATIONONE FOUNDATIONFOCUS FOUNDATIONACT FOUNDATIONONE HEME Food and Beverage FOUNDATION MEDICINE, INC.
Feb 14, 2018 $12 IMFINZI Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Feb 12, 2018 $12 ZARXIO Food and Beverage SANDOZ INC.
Mar 21, 2018 $12 ADCETRIS Education SEATTLE GENETICS, INC.
Aug 6, 2018 $12 ALIQOPA Food and Beverage BAYER HEALTHCARE PHARMACEUTICALS INC.
Mar 15, 2018 $12 FOLOTYN Food and Beverage SPECTRUM PHARMACEUTICALS INC.
Nov 20, 2018 $12 VENCLEXTA Food and Beverage GENENTECH USA, INC.
Nov 5, 2018 $12 IMFINZI Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Nov 7, 2018 $11 ERLEADA DARZALEX Food and Beverage JANSSEN BIOTECH, INC.
Feb 21, 2018 $11 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Jan 4, 2018 $11 XTANDI Food and Beverage PFIZER INC.
May 18, 2018 $11 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Jun 26, 2018 $11 CYRAMZA VERZENIO Food and Beverage LILLY USA, LLC
Dec 3, 2018 $11 LIBTAYO Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Mar 20, 2018 $11 XTANDI Food and Beverage PFIZER INC.
Nov 15, 2018 $11 LONSURF Food and Beverage TAIHO ONCOLOGY, INC.
Oct 26, 2018 $11 OPDIVO Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Apr 12, 2018 $11 MYLOTARG BOSULIF BESPONSA Food and Beverage PFIZER INC.
Apr 18, 2018 $11 AFINITOR SANDOSTATIN LAR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Apr 25, 2018 $11 ZARXIO Food and Beverage SANDOZ INC.
Jul 6, 2018 $11 FARESTON SANCUSO Food and Beverage KYOWA KIRIN, INC.
Nov 12, 2018 $11 FOLOTYN Food and Beverage SPECTRUM PHARMACEUTICALS INC.
Jan 3, 2018 $11 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Nov 2, 2018 $10 IBRANCE Food and Beverage PFIZER INC.
May 31, 2018 $10 AFINITOR SANDOSTATIN LAR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Mar 15, 2018 $10 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Sep 17, 2018 $9 NPLATE XGEVA Food and Beverage AMGEN INC.
Oct 22, 2018 $9 EMEND KEYTRUDA LYNPARZA Food and Beverage MERCK SHARP & DOHME CORPORATION
Mar 5, 2018 $9 SUTENT INLYTA BAVENCIO Food and Beverage PFIZER INC.
Nov 7, 2018 $9 ERLEADA Education JANSSEN PHARMACEUTICALS, INC
Dec 3, 2018 $9 ERLEADA Education JANSSEN PHARMACEUTICALS, INC
Sep 10, 2018 $8 MEKINIST TAFINLAR VOTRIENT Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
May 30, 2018 $8 SUTENT INLYTA BAVENCIO Food and Beverage PFIZER INC.
May 3, 2018 $8 XTANDI Food and Beverage PFIZER INC.
Apr 19, 2018 $8 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Aug 8, 2018 $8 JADENU PROMACTA Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Feb 15, 2018 $8 TECENTRIQ Food and Beverage GENENTECH USA, INC.
Oct 8, 2018 $7 JAKAFI Food and Beverage INCYTE CORPORATION
Jul 12, 2018 $7 MYLOTARG BOSULIF BESPONSA Food and Beverage PFIZER INC.
Aug 20, 2018 $7 VENCLEXTA Food and Beverage GENENTECH USA, INC.
Dec 20, 2018 $7 MYLOTARG BOSULIF BESPONSA DAURISMO Food and Beverage PFIZER INC.
Dec 3, 2018 $7 ERLEADA DARZALEX Food and Beverage JANSSEN BIOTECH, INC.
Jun 25, 2018 $6 MYLOTARG BOSULIF BESPONSA Food and Beverage PFIZER INC.
Aug 13, 2018 $6 KEYTRUDA Food and Beverage MERCK SHARP & DOHME CORPORATION
Sep 5, 2018 $6 JADENU PROMACTA Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Mar 29, 2018 $6 MYLOTARG BOSULIF BESPONSA Food and Beverage PFIZER INC.
Mar 21, 2018 $6 ADCETRIS Food and Beverage SEATTLE GENETICS, INC.
Feb 6, 2018 $5 CALQUENCE Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Feb 8, 2018 $5 IBRANCE Food and Beverage PFIZER INC.
Sep 18, 2018 $4 TASIGNA Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Sep 6, 2018 $3 RYDAPT Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Oct 4, 2018 $3 XTANDI Food and Beverage PFIZER INC.
Oct 4, 2018 $3 VENCLEXTA Food and Beverage GENENTECH USA, INC.
Dec 17, 2018 $3 XTANDI Food and Beverage PFIZER INC.
Mar 16, 2018 $3 AVASTIN Food and Beverage GENENTECH USA, INC.
Feb 8, 2018 $2 IBRANCE Food and Beverage PFIZER INC.
Aug 13, 2018 $2 IBRANCE Food and Beverage PFIZER INC.
Oct 4, 2018 $2 VENCLEXTA Food and Beverage GENENTECH USA, INC.
Nov 1, 2018 $2 No Listed Product Food and Beverage MERCK SHARP & DOHME CORPORATION
Oct 4, 2018 $2 XTANDI Food and Beverage PFIZER INC.
Dec 17, 2018 $2 XTANDI Food and Beverage PFIZER INC.
Nov 5, 2018 $2 MYLOTARG BOSULIF BESPONSA Food and Beverage PFIZER INC.
Oct 10, 2018 $2 MYLOTARG BOSULIF BESPONSA Food and Beverage PFIZER INC.
Oct 10, 2018 $2 MYLOTARG BOSULIF BESPONSA Food and Beverage PFIZER INC.
Aug 24, 2018 $2 MYLOTARG BOSULIF BESPONSA Food and Beverage PFIZER INC.
Aug 13, 2018 $1 IBRANCE Food and Beverage PFIZER INC.
Mar 5, 2018 $1 SUTENT INLYTA BAVENCIO Food and Beverage PFIZER INC.
Oct 10, 2018 $1 MYLOTARG BOSULIF BESPONSA Food and Beverage PFIZER INC.
Aug 24, 2018 $1 MYLOTARG BOSULIF BESPONSA Food and Beverage PFIZER INC.
Nov 5, 2018 $1 MYLOTARG BOSULIF BESPONSA Food and Beverage PFIZER INC.
May 30, 2018 $0 SUTENT INLYTA BAVENCIO Food and Beverage PFIZER INC.
Nov 1, 2018 $0 IBRANCE Food and Beverage PFIZER INC.
Oct 3, 2018 $0 XTANDI Food and Beverage PFIZER INC.
Dec 16, 2018 $0 XTANDI Food and Beverage PFIZER INC.
Jul 18, 2018 $0 IBRANCE Food and Beverage PFIZER INC.
Aug 13, 2018 $0 IBRANCE Food and Beverage PFIZER INC.
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.