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.

JOSEPH A MARKENSON
Is This Your Doctor?

JOSEPH A MARKENSON

Listed Specialty: Rheumatology
535 E 70TH ST, NEW YORK, NY, 10021-4872
Is This Your Doctor?

JOSEPH MARKENSON,
Yearly Payment Breakdown:

2018 Payments At a Glance

213

payments

$195,136

payment total

12

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
59 $119K
Consulting
13 $45,613
Travel and Lodging
66 $26,355
Food and Beverage
72 $3,955
Education
3 $142

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

$86,910
TALTZ

drug

$34,900
SIMPONI ARIA

drug

$27,216
STELARA

drug

$18,065
KEVZARA

drug

$13,920
OTEZLA

drug

$13,530
ZILRETTA

drug

$10,849
ORENCIA

drug

$5,684
RENFLEXIS

drug

$2,065
PROLIA

drug

$35
FORTEO

drug

$26
XELJANZ

drug

$19
† 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
Nov 26, 2018 $6,825 No Listed Product Consulting LILLY USA, LLC
May 8, 2018 $6,825 No Listed Product Consulting LILLY USA, LLC
May 9, 2018 $6,000 ZILRETTA Consulting FLEXION THERAPEUTICS, INC.
Aug 2, 2018 $5,250 No Listed Product Consulting LILLY USA, LLC
Feb 9, 2018 $4,988 TALTZ Consulting LILLY USA, LLC
Feb 26, 2018 $4,253 KEVZARA Promotional Speaking/Other REGENERON HEALTHCARE SOLUTIONS, INC.
Mar 9, 2018 $4,125 No Listed Product Consulting MERCK SHARP & DOHME CORPORATION
Sep 14, 2018 $3,500 SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC
Dec 18, 2018 $3,500 STELARA SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC
Apr 19, 2018 $3,500 SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC
Oct 30, 2018 $3,500 STELARA SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC
Oct 9, 2018 $3,500 STELARA SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC
May 18, 2018 $3,000 No Listed Product Consulting MERCK SHARP & DOHME CORPORATION
Jul 25, 2018 $2,925 ORENCIA Consulting E.R. SQUIBB & SONS, L.L.C.
Dec 12, 2018 $2,878 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Feb 28, 2018 $2,878 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Dec 5, 2018 $2,878 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Jan 19, 2018 $2,878 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Sep 27, 2018 $2,400 ZILRETTA Consulting FLEXION THERAPEUTICS, INC.
Jun 5, 2018 $2,350 STELARA SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC
Jun 21, 2018 $2,126 KEVZARA Promotional Speaking/Other REGENERON HEALTHCARE SOLUTIONS, INC.
May 25, 2018 $2,125 No Listed Product Promotional Speaking/Other ABBVIE, INC.
Jun 11, 2018 $2,125 No Listed Product Promotional Speaking/Other ABBVIE, INC.
Nov 26, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Aug 16, 2018 $2,100 TALTZ Promotional Speaking/Other LILLY USA, LLC
Aug 14, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Jul 23, 2018 $2,100 TALTZ Promotional Speaking/Other LILLY USA, LLC
Aug 17, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Aug 9, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Sep 17, 2018 $2,100 TALTZ Promotional Speaking/Other LILLY USA, LLC
Aug 14, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Apr 17, 2018 $2,100 TALTZ Promotional Speaking/Other LILLY USA, LLC
Aug 9, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Mar 20, 2018 $2,100 TALTZ Promotional Speaking/Other LILLY USA, LLC
Aug 17, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Nov 26, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Nov 26, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Sep 13, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Aug 30, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Mar 20, 2018 $2,100 TALTZ Promotional Speaking/Other LILLY USA, LLC
May 21, 2018 $2,100 TALTZ Promotional Speaking/Other LILLY USA, LLC
Aug 14, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Sep 14, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Aug 14, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Jul 23, 2018 $2,100 TALTZ Promotional Speaking/Other LILLY USA, LLC
Jun 7, 2018 $2,100 TALTZ Promotional Speaking/Other LILLY USA, LLC
Sep 14, 2018 $2,100 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Apr 16, 2018 $2,065 RENFLEXIS Promotional Speaking/Other MERCK SHARP & DOHME CORPORATION
Sep 28, 2018 $2,000 ORENCIA Consulting E.R. SQUIBB & SONS, L.L.C.
Nov 26, 2018 $1,850 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Aug 14, 2018 $1,850 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Feb 26, 2018 $1,823 KEVZARA Promotional Speaking/Other REGENERON HEALTHCARE SOLUTIONS, INC.
Aug 16, 2018 $1,575 TALTZ Promotional Speaking/Other LILLY USA, LLC
Aug 20, 2018 $1,500 STELARA SIMPONI ARIA Promotional Speaking/Other JANSSEN SCIENTIFIC AFFAIRS, LLC
Apr 6, 2018 $1,461 ZILRETTA Travel and Lodging FLEXION THERAPEUTICS, INC.
Nov 1, 2018 $1,328 STELARA SIMPONI ARIA Travel and Lodging JANSSEN SCIENTIFIC AFFAIRS, LLC
Aug 30, 2018 $1,325 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Aug 9, 2018 $1,325 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Aug 17, 2018 $1,325 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Feb 26, 2018 $1,317 KEVZARA Travel and Lodging REGENERON HEALTHCARE SOLUTIONS, INC.
Apr 30, 2018 $1,215 KEVZARA Promotional Speaking/Other REGENERON HEALTHCARE SOLUTIONS, INC.
Feb 21, 2018 $1,117 KEVZARA Travel and Lodging REGENERON HEALTHCARE SOLUTIONS, INC.
Oct 10, 2018 $1,074 STELARA SIMPONI ARIA Travel and Lodging JANSSEN SCIENTIFIC AFFAIRS, LLC
Sep 17, 2018 $1,050 TALTZ Promotional Speaking/Other LILLY USA, LLC
Aug 22, 2018 $1,050 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Sep 14, 2018 $1,050 No Listed Product Promotional Speaking/Other LILLY USA, LLC
May 21, 2018 $1,050 TALTZ Promotional Speaking/Other LILLY USA, LLC
Jul 23, 2018 $1,050 TALTZ Promotional Speaking/Other LILLY USA, LLC
Jun 7, 2018 $1,050 TALTZ Promotional Speaking/Other LILLY USA, LLC
Apr 17, 2018 $1,050 TALTZ Promotional Speaking/Other LILLY USA, LLC
Aug 8, 2018 $1,042 No Listed Product Travel and Lodging LILLY USA, LLC
Feb 12, 2018 $968 OTEZLA Promotional Speaking/Other CELGENE CORPORATION
Dec 13, 2018 $911 KEVZARA Promotional Speaking/Other REGENERON HEALTHCARE SOLUTIONS, INC.
Nov 14, 2018 $857 No Listed Product Travel and Lodging LILLY USA, LLC
Mar 20, 2018 $800 TALTZ Promotional Speaking/Other LILLY USA, LLC
Sep 13, 2018 $800 No Listed Product Promotional Speaking/Other LILLY USA, LLC
Dec 19, 2018 $696 STELARA SIMPONI ARIA Travel and Lodging JANSSEN SCIENTIFIC AFFAIRS, LLC
Aug 23, 2018 $677 No Listed Product Travel and Lodging LILLY USA, LLC
Aug 7, 2018 $647 No Listed Product Travel and Lodging LILLY USA, LLC
Feb 1, 2018 $603 TALTZ Travel and Lodging LILLY USA, LLC
Apr 13, 2018 $541 SIMPONI ARIA Travel and Lodging JANSSEN SCIENTIFIC AFFAIRS, LLC
Aug 8, 2018 $538 No Listed Product Travel and Lodging LILLY USA, LLC
Sep 4, 2018 $528 TALTZ Travel and Lodging LILLY USA, LLC
Jul 17, 2018 $527 No Listed Product Travel and Lodging LILLY USA, LLC
Nov 14, 2018 $526 No Listed Product Travel and Lodging LILLY USA, LLC
Feb 1, 2018 $525 TALTZ Travel and Lodging LILLY USA, LLC
Jul 24, 2018 $525 TALTZ Consulting LILLY USA, LLC
Aug 7, 2018 $524 No Listed Product Travel and Lodging LILLY USA, LLC
Feb 15, 2018 $500 No Listed Product Consulting E.R. SQUIBB & SONS, L.L.C.
Aug 3, 2018 $483 No Listed Product Travel and Lodging LILLY USA, LLC
Apr 28, 2018 $467 No Listed Product Travel and Lodging LILLY USA, LLC
Nov 17, 2018 $458 No Listed Product Food and Beverage LILLY USA, LLC
Nov 14, 2018 $438 No Listed Product Travel and Lodging LILLY USA, LLC
Jul 28, 2018 $434 No Listed Product Travel and Lodging LILLY USA, LLC
Nov 17, 2018 $412 No Listed Product Travel and Lodging LILLY USA, LLC
Sep 8, 2018 $399 SIMPONI ARIA Travel and Lodging JANSSEN SCIENTIFIC AFFAIRS, LLC
Jul 26, 2018 $395 No Listed Product Travel and Lodging LILLY USA, LLC
Sep 5, 2018 $392 No Listed Product Travel and Lodging LILLY USA, LLC
Sep 7, 2018 $368 SIMPONI ARIA Travel and Lodging JANSSEN SCIENTIFIC AFFAIRS, LLC
Jan 19, 2018 $355 OTEZLA Travel and Lodging CELGENE CORPORATION
Jun 6, 2018 $346 STELARA SIMPONI ARIA Travel and Lodging JANSSEN SCIENTIFIC AFFAIRS, LLC
Jul 28, 2018 $340 No Listed Product Travel and Lodging LILLY USA, LLC
Apr 30, 2018 $339 No Listed Product Travel and Lodging MERCK SHARP & DOHME CORPORATION
Feb 20, 2018 $329 KEVZARA Travel and Lodging REGENERON HEALTHCARE SOLUTIONS, INC.
Feb 3, 2018 $315 TALTZ Food and Beverage LILLY USA, LLC
Dec 5, 2018 $314 OTEZLA Travel and Lodging CELGENE CORPORATION
Dec 12, 2018 $312 OTEZLA Travel and Lodging CELGENE CORPORATION
Mar 1, 2018 $295 KEVZARA Travel and Lodging REGENERON HEALTHCARE SOLUTIONS, INC.
Aug 3, 2018 $288 No Listed Product Travel and Lodging LILLY USA, LLC
Apr 28, 2018 $285 No Listed Product Food and Beverage LILLY USA, LLC
Sep 7, 2018 $281 SIMPONI ARIA Travel and Lodging JANSSEN SCIENTIFIC AFFAIRS, LLC
Nov 15, 2018 $277 No Listed Product Travel and Lodging LILLY USA, LLC
Apr 30, 2018 $275 No Listed Product Travel and Lodging MERCK SHARP & DOHME CORPORATION
Nov 15, 2018 $265 No Listed Product Travel and Lodging LILLY USA, LLC
Apr 28, 2018 $258 No Listed Product Travel and Lodging LILLY USA, LLC
Aug 8, 2018 $254 No Listed Product Travel and Lodging LILLY USA, LLC
Sep 21, 2018 $253 ORENCIA Travel and Lodging E.R. SQUIBB & SONS, L.L.C.
Apr 6, 2018 $252 ZILRETTA Travel and Lodging FLEXION THERAPEUTICS, INC.
Apr 18, 2018 $250 ORENCIA Consulting E.R. SQUIBB & SONS, L.L.C.
Nov 17, 2018 $248 No Listed Product Travel and Lodging LILLY USA, LLC
May 8, 2018 $227 SIMPONI ARIA Food and Beverage JANSSEN SCIENTIFIC AFFAIRS, LLC
Jul 28, 2018 $226 No Listed Product Food and Beverage LILLY USA, LLC
Nov 15, 2018 $215 No Listed Product Travel and Lodging LILLY USA, LLC
Jan 18, 2018 $195 KEVZARA Travel and Lodging REGENERON HEALTHCARE SOLUTIONS, INC.
Nov 14, 2018 $180 No Listed Product Travel and Lodging LILLY USA, LLC
May 9, 2018 $179 ZILRETTA Travel and Lodging FLEXION THERAPEUTICS, INC.
Feb 3, 2018 $175 TALTZ Travel and Lodging LILLY USA, LLC
Sep 22, 2018 $168 ORENCIA Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Aug 3, 2018 $165 No Listed Product Travel and Lodging LILLY USA, LLC
Nov 13, 2018 $158 No Listed Product Travel and Lodging LILLY USA, LLC
Nov 1, 2018 $157 No Listed Product Travel and Lodging LILLY USA, LLC
May 18, 2018 $150 No Listed Product Travel and Lodging MERCK SHARP & DOHME CORPORATION
Feb 2, 2018 $140 TALTZ Travel and Lodging LILLY USA, LLC
Feb 1, 2018 $139 TALTZ Travel and Lodging LILLY USA, LLC
Apr 6, 2018 $136 ZILRETTA Travel and Lodging FLEXION THERAPEUTICS, INC.
Apr 7, 2018 $136 ZILRETTA Travel and Lodging FLEXION THERAPEUTICS, INC.
Aug 15, 2018 $133 No Listed Product Travel and Lodging LILLY USA, LLC
Sep 27, 2018 $125 ZILRETTA Food and Beverage FLEXION THERAPEUTICS, INC.
Sep 7, 2018 $122 SIMPONI ARIA Food and Beverage JANSSEN SCIENTIFIC AFFAIRS, LLC
Jul 26, 2018 $120 No Listed Product Travel and Lodging LILLY USA, LLC
Oct 10, 2018 $120 STELARA SIMPONI ARIA Food and Beverage JANSSEN SCIENTIFIC AFFAIRS, LLC
Jun 15, 2018 $119 KEVZARA Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Feb 27, 2018 $117 KEVZARA Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Sep 4, 2018 $113 TALTZ Food and Beverage LILLY USA, LLC
Nov 14, 2018 $111 No Listed Product Food and Beverage LILLY USA, LLC
Nov 1, 2018 $101 STELARA SIMPONI ARIA Food and Beverage JANSSEN SCIENTIFIC AFFAIRS, LLC
Nov 17, 2018 $95 No Listed Product Travel and Lodging LILLY USA, LLC
Nov 13, 2018 $92 No Listed Product Travel and Lodging LILLY USA, LLC
Aug 8, 2018 $91 No Listed Product Food and Beverage LILLY USA, LLC
Sep 21, 2018 $86 ORENCIA Food and Beverage E.R. SQUIBB & SONS, L.L.C.
Aug 7, 2018 $83 No Listed Product Travel and Lodging LILLY USA, LLC
Feb 3, 2018 $79 TALTZ Education LILLY USA, LLC
May 18, 2018 $76 No Listed Product Travel and Lodging MERCK SHARP & DOHME CORPORATION
Aug 16, 2018 $75 No Listed Product Food and Beverage LILLY USA, LLC
Apr 7, 2018 $57 ZILRETTA Food and Beverage FLEXION THERAPEUTICS, INC.
Sep 8, 2018 $48 SIMPONI ARIA Food and Beverage JANSSEN SCIENTIFIC AFFAIRS, LLC
Apr 29, 2018 $44 No Listed Product Food and Beverage ELI LILLY AND COMPANY
Apr 14, 2018 $43 SIMPONI ARIA Food and Beverage JANSSEN SCIENTIFIC AFFAIRS, LLC
Nov 17, 2018 $40 TALTZ Food and Beverage LILLY USA, LLC
Mar 1, 2018 $40 KEVZARA Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Apr 7, 2018 $40 ZILRETTA Food and Beverage FLEXION THERAPEUTICS, INC.
Apr 7, 2018 $39 ZILRETTA Food and Beverage FLEXION THERAPEUTICS, INC.
Dec 6, 2018 $36 TALTZ Food and Beverage LILLY USA, LLC
Nov 1, 2018 $35 No Listed Product Travel and Lodging LILLY USA, LLC
Jun 6, 2018 $34 SIMPONI ARIA STELARA Food and Beverage JANSSEN BIOTECH, INC.
Sep 8, 2018 $34 SIMPONI ARIA Food and Beverage JANSSEN SCIENTIFIC AFFAIRS, LLC
Dec 8, 2018 $34 TALTZ Food and Beverage LILLY USA, LLC
Apr 14, 2018 $33 SIMPONI ARIA Food and Beverage JANSSEN SCIENTIFIC AFFAIRS, LLC
Nov 17, 2018 $32 No Listed Product Education LILLY USA, LLC
Apr 28, 2018 $32 No Listed Product Education LILLY USA, LLC
Feb 23, 2018 $30 KEVZARA Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Sep 8, 2018 $29 SIMPONI ARIA Food and Beverage JANSSEN SCIENTIFIC AFFAIRS, LLC
Apr 14, 2018 $27 SIMPONI ARIA Food and Beverage JANSSEN SCIENTIFIC AFFAIRS, LLC
May 9, 2018 $23 ZILRETTA Food and Beverage FLEXION THERAPEUTICS, INC.
Nov 14, 2018 $23 No Listed Product Food and Beverage LILLY USA, LLC
Nov 15, 2018 $22 No Listed Product Food and Beverage LILLY USA, LLC
Feb 28, 2018 $21 OTEZLA Food and Beverage CELGENE CORPORATION
Dec 19, 2018 $21 PROLIA Food and Beverage AMGEN INC.
Jan 18, 2018 $20 KEVZARA Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Dec 12, 2018 $19 OTEZLA Food and Beverage CELGENE CORPORATION
Oct 26, 2018 $19 XELJANZ Food and Beverage PFIZER INC.
Dec 19, 2018 $16 STELARA SIMPONI ARIA Food and Beverage JANSSEN SCIENTIFIC AFFAIRS, LLC
Jan 19, 2018 $15 OTEZLA Food and Beverage CELGENE CORPORATION
May 16, 2018 $15 TALTZ Food and Beverage LILLY USA, LLC
May 31, 2018 $15 TALTZ Food and Beverage LILLY USA, LLC
Mar 15, 2018 $15 TALTZ Food and Beverage LILLY USA, LLC
Aug 7, 2018 $14 No Listed Product Food and Beverage LILLY USA, LLC
Jan 17, 2018 $14 PROLIA Food and Beverage AMGEN INC.
Aug 8, 2018 $14 No Listed Product Food and Beverage LILLY USA, LLC
Dec 5, 2018 $13 OTEZLA Food and Beverage CELGENE CORPORATION
Aug 28, 2018 $13 No Listed Product Food and Beverage LILLY USA, LLC
Jan 18, 2018 $13 KEVZARA Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Aug 7, 2018 $13 No Listed Product Food and Beverage LILLY USA, LLC
Apr 2, 2018 $13 No Listed Product Food and Beverage CELGENE CORPORATION
Aug 7, 2018 $12 TALTZ Food and Beverage LILLY USA, LLC
Aug 23, 2018 $12 TALTZ Food and Beverage LILLY USA, LLC
Aug 23, 2018 $11 TALTZ Food and Beverage LILLY USA, LLC
Jul 17, 2018 $10 TALTZ Food and Beverage LILLY USA, LLC
Jun 12, 2018 $10 FORTEO TALTZ Food and Beverage LILLY USA, LLC
Mar 15, 2018 $10 TALTZ Food and Beverage LILLY USA, LLC
Jul 17, 2018 $10 TALTZ Food and Beverage LILLY USA, LLC
Aug 10, 2018 $9 No Listed Product Food and Beverage LILLY USA, LLC
Apr 26, 2018 $9 FORTEO Food and Beverage LILLY USA, LLC
Aug 16, 2018 $9 No Listed Product Food and Beverage LILLY USA, LLC
Aug 3, 2018 $9 No Listed Product Food and Beverage LILLY USA, LLC
Sep 5, 2018 $7 TALTZ Food and Beverage LILLY USA, LLC
Apr 24, 2018 $7 FORTEO TALTZ Food and Beverage LILLY USA, LLC
Aug 10, 2018 $5 No Listed Product Food and Beverage LILLY USA, LLC
Sep 6, 2018 $3 No Listed Product Food and Beverage CELGENE CORPORATION
Jul 17, 2018 $3 TALTZ Food and Beverage LILLY USA, LLC
Nov 15, 2018 $2 No Listed Product Food and Beverage LILLY USA, LLC
Sep 21, 2018 $1 ORENCIA Travel and Lodging E.R. SQUIBB & SONS, L.L.C.
Nov 15, 2018 $0 No Listed Product 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.