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.

PATRICK J TROY
Is This Your Doctor?

PATRICK J TROY

Listed Specialty: Critical Care Medicine
85 SEYMOUR ST, SUITE 923, HARTFORD, CT, 06106-5501
Is This Your Doctor?

DR. PATRICK TROY,
Yearly Payment Breakdown:

2018 Payments At a Glance

178

payments

$17,919

payment total

22

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
5 $11,925
Food and Beverage
161 $2,840
Travel and Lodging
9 $1,842
Consulting
3 $1,313

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
EKOSONIC

device

$15,565
FASENRA

drug

$450
SYMBICORT

drug

$229
XARELTO

drug

$225
BREO

drug

$201
LONHALA MAGNAIR

drug

$181
STIOLTO RESPIMAT

drug

$164
BEVESPI AEROSPHERE

drug

$163
OFEV

drug

$114
ANORO

drug

$106
ELIQUIS

drug

$94
XOLAIR

drug

$94
XYREM

drug

$88
BROVANA

drug

$86
SEEBRI

drug

$86
UTIBRON

drug

$86
SPIRIVA RESPIMAT

drug

$83
THE VEST SYSTEM MODEL 105 HOME CARE

device

$76
TRELEGY ELLIPTA

drug

$75
UPTRAVI

drug

$67
GLASSIA

drug

$63
RESPIRATORIY CARE UNDIV

device

$52
PROLASTIN-C

drug

$47
INCRUSE

drug

$45
ESBRIET

drug

$44
SPIRIVA

drug

$34
OPSUMIT

drug

$29
ZERBAXA

drug

$29
ACTHAR

drug

$28
BOOSTRIX

drug

$26
SHINGRIX

drug

$26
DYMISTA

drug

$21
PERFOROMIST

drug

$21
AVYCAZ

drug

$19
TUDORZA PRESSAIR

drug

$19
FLUARIX

drug

$16
Payments with no listed product

N/A

$12
CHANTIX

drug

$12
BEVYXXA

drug

$11
NUCALA

drug

$5
† 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
Dec 14, 2018 $4,725 EKOSONIC Promotional Speaking/Other EKOS CORPORATION
Apr 5, 2018 $2,850 EKOSONIC Promotional Speaking/Other EKOS CORPORATION
Jan 5, 2018 $1,500 EKOSONIC Promotional Speaking/Other EKOS CORPORATION
Mar 21, 2018 $1,500 EKOSONIC Promotional Speaking/Other EKOS CORPORATION
Feb 21, 2018 $1,350 EKOSONIC Promotional Speaking/Other EKOS CORPORATION
Apr 10, 2018 $700 EKOSONIC Consulting EKOS CORPORATION
Apr 10, 2018 $599 EKOSONIC Travel and Lodging EKOS CORPORATION
Jan 5, 2018 $526 EKOSONIC Travel and Lodging EKOS CORPORATION
Apr 24, 2018 $350 EKOSONIC Consulting EKOS CORPORATION
Dec 14, 2018 $275 EKOSONIC Travel and Lodging EKOS CORPORATION
Mar 8, 2018 $263 EKOSONIC Consulting EKOS CORPORATION
Nov 13, 2018 $257 EKOSONIC Travel and Lodging EKOS CORPORATION
Apr 10, 2018 $192 EKOSONIC Food and Beverage EKOS CORPORATION
Jan 26, 2018 $163 FASENRA SYMBICORT BEVESPI AEROSPHERE Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jan 5, 2018 $118 EKOSONIC Food and Beverage EKOS CORPORATION
Nov 29, 2018 $105 EKOSONIC Food and Beverage EKOS CORPORATION
Apr 24, 2018 $81 EKOSONIC Travel and Lodging EKOS CORPORATION
May 8, 2018 $43 EKOSONIC Travel and Lodging EKOS CORPORATION
Jan 5, 2018 $40 EKOSONIC Travel and Lodging EKOS CORPORATION
Oct 10, 2018 $30 THE VEST SYSTEM MODEL 105 HOME CARE Food and Beverage ADVANCED RESPIRATORY, INC
Dec 13, 2018 $29 OPSUMIT UPTRAVI Food and Beverage ACTELION PHARMACEUTICALS US, INC.
May 1, 2018 $29 THE VEST SYSTEM MODEL 105 HOME CARE Food and Beverage ADVANCED RESPIRATORY, INC
Dec 14, 2018 $28 EKOSONIC Food and Beverage EKOS CORPORATION
Sep 18, 2018 $25 STIOLTO RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jun 28, 2018 $24 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 26, 2018 $24 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jan 29, 2018 $24 GLASSIA Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Mar 31, 2018 $24 PROLASTIN-C Food and Beverage GRIFOLS USA, LLC
Mar 1, 2018 $24 PROLASTIN-C Food and Beverage GRIFOLS USA, LLC
Aug 28, 2018 $23 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Feb 26, 2018 $23 SPIRIVA STIOLTO RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jul 24, 2018 $23 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 28, 2018 $22 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Aug 8, 2018 $22 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 25, 2018 $22 XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Mar 1, 2018 $22 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Mar 6, 2018 $22 GLASSIA Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Jun 26, 2018 $22 XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Dec 20, 2018 $21 OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Mar 26, 2018 $21 STIOLTO RESPIMAT SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Mar 8, 2018 $21 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Oct 29, 2018 $21 DYMISTA PERFOROMIST Food and Beverage MYLAN SPECIALTY L.P.
May 22, 2018 $21 STIOLTO RESPIMAT SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jun 1, 2018 $21 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Jan 29, 2018 $21 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Feb 21, 2018 $20 STIOLTO RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Sep 27, 2018 $20 OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Feb 1, 2018 $20 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 18, 2018 $20 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Apr 27, 2018 $19 AVYCAZ Food and Beverage ALLERGAN INC.
Aug 27, 2018 $19 STIOLTO RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jun 15, 2018 $19 XYREM Food and Beverage JAZZ PHARMACEUTICALS INC.
Jul 2, 2018 $19 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
May 30, 2018 $19 XOLAIR Food and Beverage GENENTECH USA, INC.
Dec 5, 2018 $19 XYREM Food and Beverage JAZZ PHARMACEUTICALS INC.
Aug 9, 2018 $19 XYREM Food and Beverage JAZZ PHARMACEUTICALS INC.
Nov 21, 2018 $19 TUDORZA PRESSAIR Food and Beverage CIRCASSIA PHARMACEUTICALS INC
May 2, 2018 $19 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 26, 2018 $19 OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Nov 1, 2018 $19 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jan 13, 2018 $19 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Apr 17, 2018 $18 RESPIRATORIY CARE UNDIV Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Jan 22, 2018 $18 TRELEGY ELLIPTA BREO INCRUSE Food and Beverage GLAXOSMITHKLINE, LLC.
May 8, 2018 $18 XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Nov 9, 2018 $18 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Dec 4, 2018 $18 SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Dec 11, 2018 $18 THE VEST SYSTEM MODEL 105 HOME CARE Food and Beverage ADVANCED RESPIRATORY, INC
Feb 16, 2018 $18 EKOSONIC Food and Beverage EKOS CORPORATION
Sep 6, 2018 $18 OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jan 15, 2018 $18 RESPIRATORIY CARE UNDIV Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Oct 19, 2018 $18 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Apr 3, 2018 $17 XYREM Food and Beverage JAZZ PHARMACEUTICALS INC.
Apr 4, 2018 $17 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 11, 2018 $17 ELIQUIS Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Sep 5, 2018 $17 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Aug 1, 2018 $17 STIOLTO RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Aug 7, 2018 $17 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 12, 2018 $17 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 8, 2018 $17 GLASSIA Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Jul 10, 2018 $17 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Aug 3, 2018 $17 OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
May 18, 2018 $17 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Mar 14, 2018 $16 SHINGRIX BOOSTRIX FLUARIX Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 4, 2018 $16 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Mar 5, 2018 $16 RESPIRATORIY CARE UNDIV Food and Beverage PHILIPS ELECTRONICS NORTH AMERICA CORPORATION
Jul 13, 2018 $16 EKOSONIC Food and Beverage EKOS CORPORATION
Mar 21, 2018 $16 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Nov 6, 2018 $16 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Apr 18, 2018 $16 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Sep 13, 2018 $16 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Oct 8, 2018 $16 ACTHAR Food and Beverage MALLINCKRODT LLC
Jan 18, 2018 $16 ESBRIET Food and Beverage GENENTECH USA, INC.
Oct 23, 2018 $15 ZERBAXA Food and Beverage MERCK SHARP & DOHME CORPORATION
Mar 7, 2018 $15 ESBRIET Food and Beverage GENENTECH USA, INC.
Mar 29, 2018 $15 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 16, 2018 $15 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Sep 11, 2018 $15 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Sep 14, 2018 $15 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
Apr 10, 2018 $15 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 8, 2018 $15 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Aug 14, 2018 $14 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Feb 5, 2018 $14 OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Oct 22, 2018 $14 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 17, 2018 $14 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jul 11, 2018 $14 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jan 23, 2018 $14 XYREM Food and Beverage JAZZ PHARMACEUTICALS INC.
Aug 31, 2018 $14 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 17, 2018 $13 TRELEGY ELLIPTA Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 19, 2018 $13 ZERBAXA Food and Beverage MERCK SHARP & DOHME CORPORATION
Jun 13, 2018 $13 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 19, 2018 $13 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Oct 18, 2018 $13 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
Jan 24, 2018 $13 TRELEGY ELLIPTA BREO INCRUSE Food and Beverage GLAXOSMITHKLINE, LLC.
Apr 6, 2018 $13 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Nov 20, 2018 $13 TRELEGY ELLIPTA Food and Beverage GLAXOSMITHKLINE, LLC.
Nov 7, 2018 $13 XOLAIR ESBRIET Food and Beverage GENENTECH USA, INC.
Oct 30, 2018 $13 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
Feb 6, 2018 $13 TRELEGY ELLIPTA BREO INCRUSE Food and Beverage GLAXOSMITHKLINE, LLC.
Jan 19, 2018 $13 UPTRAVI Food and Beverage ACTELION PHARMACEUTICALS US, INC.
Mar 19, 2018 $13 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
May 17, 2018 $13 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 24, 2018 $13 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
May 10, 2018 $13 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Oct 23, 2018 $13 ACTHAR Food and Beverage MALLINCKRODT LLC
Feb 26, 2018 $13 UPTRAVI Food and Beverage ACTELION PHARMACEUTICALS US, INC.
Jan 11, 2018 $13 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Oct 11, 2018 $12 UPTRAVI Food and Beverage ACTELION PHARMACEUTICALS US, INC.
Jun 27, 2018 $12 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jan 9, 2018 $12 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Jan 2, 2018 $12 No Listed Product Food and Beverage GLAXOSMITHKLINE, LLC.
Mar 15, 2018 $12 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Feb 1, 2018 $12 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 31, 2018 $12 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 7, 2018 $12 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
May 18, 2018 $12 CHANTIX ELIQUIS Food and Beverage PFIZER INC.
May 23, 2018 $11 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jan 12, 2018 $11 EKOSONIC Travel and Lodging EKOS CORPORATION
Jun 11, 2018 $11 EKOSONIC Travel and Lodging EKOS CORPORATION
Oct 1, 2018 $11 SPIRIVA STIOLTO RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jul 9, 2018 $11 BEVYXXA Food and Beverage PORTOLA PHARMACEUTICALS, INC.
May 15, 2018 $10 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Feb 21, 2018 $10 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jun 21, 2018 $10 SHINGRIX BOOSTRIX Food and Beverage GLAXOSMITHKLINE, LLC.
Aug 14, 2018 $9 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Jul 23, 2018 $8 SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jul 24, 2018 $8 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
Jan 3, 2018 $8 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 1, 2018 $7 SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
May 24, 2018 $7 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 16, 2018 $7 STIOLTO RESPIMAT SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Nov 8, 2018 $6 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
Sep 11, 2018 $6 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
Jun 13, 2018 $6 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Jul 11, 2018 $6 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
Mar 1, 2018 $6 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Mar 12, 2018 $6 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Sep 27, 2018 $6 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, INC
Aug 3, 2018 $6 OFEV Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Oct 18, 2018 $5 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
Oct 16, 2018 $5 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
Sep 17, 2018 $5 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 2, 2018 $5 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Mar 26, 2018 $5 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 11, 2018 $5 EKOSONIC Food and Beverage EKOS CORPORATION
Jan 2, 2018 $5 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Aug 7, 2018 $5 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 4, 2018 $4 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Apr 12, 2018 $4 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Aug 7, 2018 $4 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 18, 2018 $4 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Dec 19, 2018 $4 TRELEGY ELLIPTA Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 20, 2018 $4 LONHALA MAGNAIR Food and Beverage SUNOVION PHARMACEUTICALS INC.
Feb 20, 2018 $4 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Feb 12, 2018 $3 UTIBRON SEEBRI LONHALA MAGNAIR BROVANA Food and Beverage SUNOVION PHARMACEUTICALS INC.
Aug 1, 2018 $3 EKOSONIC Food and Beverage EKOS CORPORATION
Jun 14, 2018 $3 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jan 16, 2018 $2 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Jul 11, 2018 $2 XARELTO Food and Beverage JANSSEN PHARMACEUTICALS, 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.