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.

VENKAT P TUMMALA
Is This Your Doctor?

VENKAT P TUMMALA

Listed Specialty: Diagnostic Radiology
2125 CRYSTAL GROVE DR, LAKELAND, FL, 33801-6875
Is This Your Doctor?

DR. VENKAT TUMMALA,
Yearly Payment Breakdown:

2018 Payments At a Glance

143

payments

$20,368

payment total

17

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
Consulting
5 $11,820
Promotional Speaking/Other
2 $4,800
Food and Beverage
133 $3,054
Travel and Lodging
2 $690
Entertainment
1 $3

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
PENUMBRA RUBY COIL

device

$3,957
CLEARVUE

device

$3,600
DORADO

device

$3,200
PENUMBRA SYSTEM

device

$2,457
DENALI

device

$2,400
VIABAHN ENDOPROSTHESIS

device

$1,120
CLOTTRIEVER

device

$986
FLOWTRIEVER

device

$986
IGT_D PERIPHERAL

device

$350
IMAGE GUIDED THERAPY DEVICES _ PERIPHERAL

device

$235
LUTONIX

device

$209
EXCLUDER AAA ENDOPROSTHESIS

device

$201
VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS

device

$198
PERIPHERAL ORBITAL ATHERECTOMY SYSTEM

device

$181
OSTEOCOOL RF ABLATION

device

$173
ENDURANT

device

$157
SUPERA PERIPHERAL STENT SYSTEM

device

$140
GENERAL VASCULAR INTERVENTION

device

$122
EMBOZENE

device

$113
Payments with no listed product

N/A

$105
FLUENCY

device

$72
VIABAHN ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE

device

$58
PERCLOSE PROGLIDE SUTURE MEDIATED CLOSURE SYSTEM

device

$53
CROSSER

device

$49
GLIDEPATH

device

$49
LIFESTENT

device

$49
SOLITAIRE

device

$37
VASCULAR CLOSURE DEVICE

device

$29
OVATION

device

$25
TIGRIS STENT

device

$25
ANGIOJET

device

$24
GENERAL THROMBECTOMY

device

$22
RELAY PLUS

device

$21
MVP

device

$21
GENERAL ANGIOGRAPHY

device

$20
TURBO ELITE

device

$20
CVX-300

device

$17
AZUR

device

$15
HYDROPEARL

device

$15
THERASPHERE

device

$14
EKOSONIC

device

$14
PRECISION INFUSION SYSTEM

device

$13
SUREFIRE INFUSION SYSTEMS

device

$11
TURBO-POWER

device

$4
† 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 29, 2018 $3,600 CLEARVUE Consulting BARD PERIPHERAL VASCULAR, INC.
Mar 22, 2018 $3,200 DORADO Consulting BARD PERIPHERAL VASCULAR, INC.
Jul 26, 2018 $2,400 PENUMBRA RUBY COIL Promotional Speaking/Other PENUMBRA, INC.
Jul 20, 2018 $2,400 PENUMBRA SYSTEM Promotional Speaking/Other PENUMBRA, INC.
Jun 8, 2018 $2,400 DENALI Consulting BARD PERIPHERAL VASCULAR, INC.
Jun 1, 2018 $1,500 PENUMBRA RUBY COIL Consulting PENUMBRA, INC.
Nov 2, 2018 $1,120 VIABAHN ENDOPROSTHESIS Consulting W. L. GORE & ASSOCIATES, INC.
Nov 12, 2018 $634 FLOWTRIEVER CLOTTRIEVER Travel and Lodging INARI MEDICAL, INC.
Nov 12, 2018 $328 FLOWTRIEVER CLOTTRIEVER Food and Beverage INARI MEDICAL, INC.
Feb 24, 2018 $140 SUPERA PERIPHERAL STENT SYSTEM Food and Beverage ABBOTT LABORATORIES
Oct 15, 2018 $120 EXCLUDER AAA ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Nov 7, 2018 $119 IMAGE GUIDED THERAPY DEVICES _ PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Apr 9, 2018 $110 ENDURANT Food and Beverage MEDTRONIC VASCULAR, INC.
Jun 7, 2018 $97 No Listed Product Food and Beverage CARDIOVASCULAR SYSTEMS INC.
May 19, 2018 $72 OSTEOCOOL RF ABLATION Food and Beverage MEDTRONIC USA, INC.
Nov 28, 2018 $69 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Aug 15, 2018 $61 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Jul 26, 2018 $57 PENUMBRA RUBY COIL Travel and Lodging PENUMBRA, INC.
Jul 20, 2018 $57 PENUMBRA SYSTEM Food and Beverage PENUMBRA, INC.
May 19, 2018 $55 OSTEOCOOL RF ABLATION Food and Beverage MEDTRONIC USA, INC.
Jan 20, 2018 $53 PERCLOSE PROGLIDE SUTURE MEDIATED CLOSURE SYSTEM Food and Beverage ABBOTT LABORATORIES
Feb 27, 2018 $49 LUTONIX LIFESTENT FLUENCY CROSSER GLIDEPATH Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Nov 13, 2018 $48 GENERAL VASCULAR INTERVENTION Food and Beverage BOSTON SCIENTIFIC CORPORATION
Jun 11, 2018 $47 GENERAL VASCULAR INTERVENTION Food and Beverage BOSTON SCIENTIFIC CORPORATION
Oct 11, 2018 $45 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
May 19, 2018 $45 OSTEOCOOL RF ABLATION Food and Beverage MEDTRONIC USA, INC.
Aug 11, 2018 $38 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Jul 11, 2018 $37 SOLITAIRE Food and Beverage MEDTRONIC USA, INC.
Nov 8, 2018 $33 IMAGE GUIDED THERAPY DEVICES _ PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Jul 18, 2018 $33 EXCLUDER AAA ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
May 9, 2018 $33 EMBOZENE Food and Beverage BOSTON SCIENTIFIC CORPORATION
Jul 13, 2018 $29 VASCULAR CLOSURE DEVICE Food and Beverage CARDIVA MEDICAL, INC.
May 21, 2018 $29 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Aug 11, 2018 $28 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Jun 5, 2018 $27 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Mar 6, 2018 $27 GENERAL VASCULAR INTERVENTION Food and Beverage BOSTON SCIENTIFIC CORPORATION
Jun 6, 2018 $25 OVATION Food and Beverage ENDOLOGIX, INC.
Jun 28, 2018 $25 EMBOZENE Food and Beverage BOSTON SCIENTIFIC CORPORATION
Aug 15, 2018 $24 ANGIOJET Food and Beverage BOSTON SCIENTIFIC CORPORATION
Jun 13, 2018 $24 EMBOZENE Food and Beverage BOSTON SCIENTIFIC CORPORATION
Jun 5, 2018 $23 FLUENCY Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Sep 12, 2018 $22 GENERAL THROMBECTOMY Food and Beverage BOSTON SCIENTIFIC CORPORATION
Nov 10, 2018 $22 IMAGE GUIDED THERAPY DEVICES _ PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Aug 1, 2018 $21 RELAY PLUS Food and Beverage BOLTON MEDICAL INC
Jun 21, 2018 $21 MVP Food and Beverage MEDTRONIC VASCULAR, INC.
Sep 14, 2018 $21 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Sep 7, 2018 $20 GENERAL ANGIOGRAPHY Food and Beverage BOSTON SCIENTIFIC CORPORATION
Sep 7, 2018 $20 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Nov 14, 2018 $19 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Jan 30, 2018 $19 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Nov 14, 2018 $18 IMAGE GUIDED THERAPY DEVICES _ PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Oct 10, 2018 $17 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Nov 14, 2018 $17 IMAGE GUIDED THERAPY DEVICES _ PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Mar 12, 2018 $17 CVX-300 Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Aug 11, 2018 $17 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Jun 5, 2018 $17 EXCLUDER AAA ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
May 15, 2018 $17 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
May 22, 2018 $16 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
May 23, 2018 $16 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Apr 18, 2018 $16 EMBOZENE Food and Beverage BOSTON SCIENTIFIC CORPORATION
Oct 31, 2018 $16 FLOWTRIEVER CLOTTRIEVER Food and Beverage INARI MEDICAL, INC.
Jan 24, 2018 $16 ENDURANT Food and Beverage MEDTRONIC VASCULAR, INC.
Jan 24, 2018 $16 EMBOZENE Food and Beverage BOSTON SCIENTIFIC CORPORATION
Dec 15, 2018 $16 IMAGE GUIDED THERAPY DEVICES _ PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Nov 5, 2018 $15 EXCLUDER AAA ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Feb 28, 2018 $15 HYDROPEARL AZUR Food and Beverage TERUMO MEDICAL CORPORATION
May 24, 2018 $15 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Mar 12, 2018 $15 TURBO ELITE Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Feb 19, 2018 $15 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Mar 1, 2018 $14 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Dec 20, 2018 $14 THERASPHERE Food and Beverage BIOCOMPATIBLES, INC.
Jan 18, 2018 $14 EKOSONIC Food and Beverage EKOS CORPORATION
May 23, 2018 $14 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Nov 9, 2018 $14 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
May 25, 2018 $14 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Oct 24, 2018 $13 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Oct 22, 2018 $13 TIGRIS STENT Food and Beverage W. L. GORE & ASSOCIATES, INC.
Oct 17, 2018 $13 VIABAHN ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE Food and Beverage W. L. GORE & ASSOCIATES, INC.
Nov 26, 2018 $13 VIABAHN ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE Food and Beverage W. L. GORE & ASSOCIATES, INC.
Apr 16, 2018 $13 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Nov 7, 2018 $13 PRECISION INFUSION SYSTEM Food and Beverage SUREFIRE MEDICAL, INC.
Jul 6, 2018 $13 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Apr 2, 2018 $12 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Nov 28, 2018 $12 ENDURANT Food and Beverage MEDTRONIC VASCULAR, INC.
Feb 12, 2018 $12 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Oct 29, 2018 $12 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Jun 11, 2018 $12 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Oct 17, 2018 $11 VIABAHN ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE Food and Beverage W. L. GORE & ASSOCIATES, INC.
Dec 5, 2018 $11 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Sep 5, 2018 $11 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Sep 17, 2018 $11 TIGRIS STENT Food and Beverage W. L. GORE & ASSOCIATES, INC.
Aug 12, 2018 $11 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Dec 4, 2018 $11 IMAGE GUIDED THERAPY DEVICES _ PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Mar 6, 2018 $11 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Apr 20, 2018 $11 SUREFIRE INFUSION SYSTEMS Food and Beverage SUREFIRE MEDICAL, INC.
Oct 15, 2018 $11 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Aug 20, 2018 $10 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Nov 9, 2018 $10 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Oct 12, 2018 $10 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Aug 22, 2018 $10 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Nov 16, 2018 $10 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Jun 28, 2018 $10 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Jun 5, 2018 $10 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Mar 12, 2018 $9 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Jun 12, 2018 $9 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Oct 8, 2018 $9 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Jul 16, 2018 $9 VIABAHN ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE Food and Beverage W. L. GORE & ASSOCIATES, INC.
Aug 11, 2018 $9 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Dec 19, 2018 $8 No Listed Product Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Sep 20, 2018 $8 EXCLUDER AAA ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Apr 12, 2018 $8 VIABAHN ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE Food and Beverage W. L. GORE & ASSOCIATES, INC.
Jun 27, 2018 $8 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Dec 13, 2018 $7 EXCLUDER AAA ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Apr 26, 2018 $7 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Jun 18, 2018 $7 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Aug 22, 2018 $7 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Apr 5, 2018 $6 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Nov 30, 2018 $6 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Nov 5, 2018 $6 ENDURANT Food and Beverage MEDTRONIC VASCULAR, INC.
Oct 31, 2018 $6 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Jul 8, 2018 $5 ENDURANT Food and Beverage MEDTRONIC VASCULAR, INC.
Aug 21, 2018 $5 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Apr 24, 2018 $5 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
Nov 15, 2018 $5 FLOWTRIEVER CLOTTRIEVER Food and Beverage INARI MEDICAL, INC.
Feb 27, 2018 $5 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Mar 17, 2018 $5 TURBO ELITE Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
May 25, 2018 $4 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Jan 2, 2018 $4 TURBO-POWER Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Feb 13, 2018 $4 VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS Food and Beverage W. L. GORE & ASSOCIATES, INC.
Apr 5, 2018 $3 LUTONIX Food and Beverage BARD PERIPHERAL VASCULAR, INC.
May 9, 2018 $3 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Aug 2, 2018 $3 IGT_D PERIPHERAL Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Nov 10, 2018 $3 FLOWTRIEVER CLOTTRIEVER Food and Beverage INARI MEDICAL, INC.
Dec 7, 2018 $3 ENDURANT Food and Beverage MEDTRONIC VASCULAR, INC.
Apr 18, 2018 $3 VIABAHN ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE Food and Beverage W. L. GORE & ASSOCIATES, INC.
Jul 13, 2018 $3 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Oct 29, 2018 $3 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Jun 28, 2018 $3 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Nov 6, 2018 $3 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Apr 18, 2018 $3 IGT_D PERIPHERAL Entertainment PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Feb 2, 2018 $3 ENDURANT Food and Beverage MEDTRONIC VASCULAR, INC.
Aug 20, 2018 $2 PERIPHERAL ORBITAL ATHERECTOMY SYSTEM Food and Beverage CARDIOVASCULAR SYSTEMS INC.
Dec 21, 2018 $2 ENDURANT Food and Beverage MEDTRONIC VASCULAR, 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.