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.

PULIN P PATEL
Is This Your Doctor?

PULIN P PATEL

Listed Specialty: Allergy & Immunology
1030 HARRINGTON ST, SUITE #103, MOUNT CLEMENS, MI, 48043-2967
Is This Your Doctor?

DR. PULIN PATEL,
Yearly Payment Breakdown:

2018 Payments At a Glance

182

payments

$32,917

payment total

16

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
12 $22,590
Food and Beverage
144 $4,544
Consulting
2 $3,604
Travel and Lodging
20 $2,155
Education
4 $24

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
DUPIXENT

drug

$7,669
SYMBICORT

drug

$4,968
FASENRA

drug

$4,945
SPIRIVA RESPIMAT

drug

$4,029
BEVESPI AEROSPHERE

drug

$2,999
NIOX VERO DEVICE

device

$2,419
Payments with no listed product

N/A

$2,359
QVAR

drug

$1,645
HIZENTRA

drug

$368
NUCALA

drug

$337
HAEGARDA

drug

$297
XOLAIR

drug

$281
EUCRISA

drug

$116
DRG IPGS

device

$104
BREO

drug

$63
ASTHMA - DISEASE

drug

$58
CINQAIR

drug

$52
FIRAZYR

drug

$50
SPIRIVA

drug

$42
CUVITRU

drug

$40
HYQVIA

drug

$35
AIRDUO

drug

$33
CINRYZE

drug

$23
STIOLTO RESPIMAT

drug

$16
UTIBRON

drug

$15
AUVI-Q

drug

$11
TAKHZYRO

drug

$11
ANORO

drug

$4
TRELEGY ELLIPTA

drug

$2
† 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 8, 2018 $4,212 DUPIXENT Promotional Speaking/Other REGENERON HEALTHCARE SOLUTIONS, INC. ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP
May 8, 2018 $3,370 FASENRA Consulting ASTRAZENECA PHARMACEUTICALS LP
Jun 10, 2018 $2,700 SYMBICORT Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Mar 22, 2018 $2,300 NIOX VERO DEVICE Promotional Speaking/Other CIRCASSIA PHARMACEUTICALS INC
May 23, 2018 $1,845 SPIRIVA RESPIMAT Promotional Speaking/Other BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP
Oct 25, 2018 $1,845 No Listed Product Promotional Speaking/Other BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP
Apr 18, 2018 $1,845 SPIRIVA RESPIMAT Promotional Speaking/Other BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP
Dec 6, 2018 $1,843 DUPIXENT Promotional Speaking/Other REGENERON HEALTHCARE SOLUTIONS, INC. ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP
May 11, 2018 $1,500 QVAR Promotional Speaking/Other TEVA PHARMACEUTICALS USA, INC.
Jun 10, 2018 $1,350 BEVESPI AEROSPHERE Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Jun 17, 2018 $1,350 SYMBICORT Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Oct 17, 2018 $1,350 BEVESPI AEROSPHERE Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
May 23, 2018 $450 SYMBICORT Promotional Speaking/Other ASTRAZENECA PHARMACEUTICALS LP
Apr 13, 2018 $427 FASENRA Travel and Lodging ASTRAZENECA PHARMACEUTICALS LP
Sep 11, 2018 $404 DUPIXENT Travel and Lodging REGENERON HEALTHCARE SOLUTIONS, INC.
Dec 19, 2018 $253 DUPIXENT Travel and Lodging REGENERON HEALTHCARE SOLUTIONS, INC.
Apr 13, 2018 $243 FASENRA Travel and Lodging ASTRAZENECA PHARMACEUTICALS LP
Apr 18, 2018 $234 No Listed Product Consulting BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP
Apr 13, 2018 $220 FASENRA Travel and Lodging ASTRAZENECA PHARMACEUTICALS LP
Jun 7, 2018 $138 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 5, 2018 $131 BEVESPI AEROSPHERE Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Apr 13, 2018 $129 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jan 18, 2018 $127 HIZENTRA Food and Beverage CSL BEHRING
May 9, 2018 $125 SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Mar 7, 2018 $125 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Apr 24, 2018 $125 HAEGARDA Food and Beverage CSL BEHRING
Oct 4, 2018 $124 BEVESPI AEROSPHERE Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Nov 28, 2018 $122 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Oct 17, 2018 $122 XOLAIR Food and Beverage GENENTECH USA, INC.
Nov 7, 2018 $118 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Mar 2, 2018 $114 No Listed Product Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 12, 2018 $114 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Apr 19, 2018 $110 HIZENTRA Food and Beverage CSL BEHRING
Jan 24, 2018 $104 DRG IPGS Food and Beverage ABBOTT LABORATORIES
Mar 29, 2018 $100 SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jun 7, 2018 $100 DUPIXENT Food and Beverage SANOFI-AVENTIS U.S. LLC
Jun 19, 2018 $96 EUCRISA Food and Beverage PFIZER INC.
May 11, 2018 $92 QVAR Food and Beverage TEVA PHARMACEUTICALS USA, INC.
Mar 22, 2018 $92 NIOX VERO DEVICE Food and Beverage CIRCASSIA PHARMACEUTICALS INC
May 31, 2018 $90 SYMBICORT Travel and Lodging ASTRAZENECA PHARMACEUTICALS LP
Nov 12, 2018 $86 DUPIXENT Travel and Lodging REGENERON HEALTHCARE SOLUTIONS, INC.
Dec 19, 2018 $73 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Mar 3, 2018 $68 DUPIXENT Food and Beverage SANOFI-AVENTIS U.S. LLC
Sep 20, 2018 $64 No Listed Product Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
May 24, 2018 $62 No Listed Product Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Dec 19, 2018 $62 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Jun 4, 2018 $59 SPIRIVA RESPIMAT Travel and Lodging BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP
Apr 13, 2018 $59 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Nov 8, 2018 $58 DUPIXENT ASTHMA - DISEASE Food and Beverage GENZYME CORPORATION
Mar 15, 2018 $58 DUPIXENT Food and Beverage SANOFI-AVENTIS U.S. LLC
May 31, 2018 $56 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Apr 13, 2018 $46 FASENRA Travel and Lodging ASTRAZENECA PHARMACEUTICALS LP
Apr 13, 2018 $43 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Dec 4, 2018 $40 No Listed Product Travel and Lodging BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP
Apr 18, 2018 $39 SPIRIVA RESPIMAT Travel and Lodging BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. ALLERGY AND ASTHMA PHYSICIANS OF COMMERCE TOWNSHIP
Apr 13, 2018 $37 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Sep 11, 2018 $35 DUPIXENT Travel and Lodging REGENERON HEALTHCARE SOLUTIONS, INC.
Feb 2, 2018 $33 AIRDUO Travel and Lodging TEVA PHARMACEUTICALS USA, INC.
May 11, 2018 $32 QVAR Travel and Lodging TEVA PHARMACEUTICALS USA, INC.
Jan 9, 2018 $32 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Dec 19, 2018 $31 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Nov 12, 2018 $30 DUPIXENT Travel and Lodging REGENERON HEALTHCARE SOLUTIONS, INC.
Mar 22, 2018 $28 NIOX VERO DEVICE Travel and Lodging CIRCASSIA PHARMACEUTICALS INC
Dec 19, 2018 $28 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Nov 14, 2018 $24 HIZENTRA Food and Beverage CSL BEHRING
Dec 19, 2018 $23 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
May 3, 2018 $23 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Feb 8, 2018 $23 CUVITRU Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Oct 4, 2018 $23 BEVESPI AEROSPHERE Travel and Lodging ASTRAZENECA PHARMACEUTICALS LP
Jul 31, 2018 $23 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 12, 2018 $23 SYMBICORT Travel and Lodging ASTRAZENECA PHARMACEUTICALS LP
Jan 16, 2018 $22 HIZENTRA Food and Beverage CSL BEHRING
Aug 21, 2018 $22 XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Apr 30, 2018 $22 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 5, 2018 $22 BEVESPI AEROSPHERE Travel and Lodging ASTRAZENECA PHARMACEUTICALS LP
Jan 10, 2018 $21 HAEGARDA Food and Beverage CSL BEHRING
May 17, 2018 $21 CINQAIR Food and Beverage TEVA PHARMACEUTICALS USA, INC.
Aug 22, 2018 $21 HAEGARDA Food and Beverage CSL BEHRING
Apr 13, 2018 $21 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 3, 2018 $20 HAEGARDA Food and Beverage CSL BEHRING
Nov 28, 2018 $20 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
May 3, 2018 $20 HIZENTRA Food and Beverage CSL BEHRING
Feb 19, 2018 $20 EUCRISA Food and Beverage PFIZER INC.
Apr 18, 2018 $20 HAEGARDA Food and Beverage CSL BEHRING
Feb 26, 2018 $19 HIZENTRA Food and Beverage CSL BEHRING
Oct 22, 2018 $19 XOLAIR Food and Beverage GENENTECH USA, INC.
Sep 17, 2018 $19 XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
May 11, 2018 $19 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Feb 14, 2018 $19 HAEGARDA Food and Beverage CSL BEHRING
Nov 1, 2018 $19 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Apr 16, 2018 $19 XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Dec 19, 2018 $19 DUPIXENT Travel and Lodging REGENERON HEALTHCARE SOLUTIONS, INC.
Oct 17, 2018 $19 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Dec 4, 2018 $19 HYQVIA Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Oct 30, 2018 $19 HAEGARDA Food and Beverage CSL BEHRING
May 16, 2018 $18 HAEGARDA Food and Beverage CSL BEHRING
Oct 31, 2018 $18 CINQAIR Food and Beverage TEVA PHARMACEUTICALS USA, INC.
Apr 25, 2018 $18 HIZENTRA Food and Beverage CSL BEHRING
Jun 14, 2018 $18 XOLAIR Food and Beverage NOVARTIS PHARMACEUTICALS CORPORATION
Aug 21, 2018 $18 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jan 23, 2018 $18 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Feb 22, 2018 $17 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Dec 5, 2018 $17 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
May 22, 2018 $17 FIRAZYR Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Nov 27, 2018 $17 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Nov 5, 2018 $17 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Oct 15, 2018 $17 CUVITRU Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Feb 13, 2018 $17 QVAR Food and Beverage TEVA PHARMACEUTICALS USA, INC.
Jun 28, 2018 $17 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 20, 2018 $17 SPIRIVA Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jun 11, 2018 $16 HAEGARDA Food and Beverage CSL BEHRING
Mar 15, 2018 $16 HAEGARDA Food and Beverage CSL BEHRING
Feb 1, 2018 $16 XOLAIR Food and Beverage GENENTECH USA, INC.
Nov 8, 2018 $16 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Jan 30, 2018 $16 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Feb 21, 2018 $16 STIOLTO RESPIMAT SPIRIVA RESPIMAT Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Nov 6, 2018 $16 HYQVIA Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Mar 15, 2018 $16 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Aug 13, 2018 $15 FIRAZYR Food and Beverage SHIRE NORTH AMERICAN GROUP INC
May 8, 2018 $15 XOLAIR Food and Beverage GENENTECH USA, INC.
Apr 24, 2018 $15 FIRAZYR Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Jul 19, 2018 $15 SPIRIVA Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
May 24, 2018 $15 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 13, 2018 $15 UTIBRON Food and Beverage SUNOVION PHARMACEUTICALS INC.
Jun 7, 2018 $15 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Aug 29, 2018 $15 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 2, 2018 $15 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Jan 18, 2018 $15 HIZENTRA Education CSL BEHRING
Aug 14, 2018 $14 XOLAIR Food and Beverage GENENTECH USA, INC.
Nov 13, 2018 $14 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Jan 18, 2018 $14 DUPIXENT Food and Beverage GENZYME CORPORATION
Sep 11, 2018 $14 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 18, 2018 $14 HIZENTRA Food and Beverage CSL BEHRING
Jun 28, 2018 $14 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Mar 12, 2018 $13 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Apr 13, 2018 $13 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Apr 13, 2018 $13 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
May 31, 2018 $13 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 18, 2018 $13 DUPIXENT Food and Beverage GENZYME CORPORATION
Apr 12, 2018 $12 DUPIXENT Food and Beverage GENZYME CORPORATION
Apr 2, 2018 $12 CINQAIR Food and Beverage TEVA PHARMACEUTICALS USA, INC.
Jul 9, 2018 $12 CINRYZE Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Jul 9, 2018 $12 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Aug 15, 2018 $11 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 21, 2018 $11 SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Nov 22, 2018 $11 FASENRA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Mar 27, 2018 $11 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
May 7, 2018 $11 AUVI-Q Food and Beverage KALEO, INC.
Jan 24, 2018 $11 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Mar 8, 2018 $11 CINRYZE Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Sep 10, 2018 $11 TAKHZYRO Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Jul 26, 2018 $10 DUPIXENT Food and Beverage GENZYME CORPORATION
Sep 13, 2018 $10 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Dec 19, 2018 $10 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Nov 12, 2018 $10 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Nov 12, 2018 $10 SPIRIVA Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
May 29, 2018 $10 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Feb 22, 2018 $9 DUPIXENT Education REGENERON HEALTHCARE SOLUTIONS, INC.
Aug 9, 2018 $9 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Feb 26, 2018 $8 XOLAIR Food and Beverage GENENTECH USA, INC.
May 9, 2018 $7 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Sep 21, 2018 $6 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 17, 2018 $5 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 21, 2018 $5 XOLAIR Food and Beverage GENENTECH USA, INC.
Jun 13, 2018 $5 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Apr 20, 2018 $4 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 31, 2018 $4 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Feb 13, 2018 $3 QVAR Food and Beverage TEVA PHARMACEUTICALS USA, INC.
May 9, 2018 $3 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Mar 22, 2018 $3 DUPIXENT Food and Beverage GENZYME CORPORATION
Sep 19, 2018 $2 TRELEGY ELLIPTA Food and Beverage GLAXOSMITHKLINE, LLC.
Jun 19, 2018 $2 BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Dec 5, 2018 $2 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Dec 13, 2018 $2 ANORO Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 15, 2018 $2 XOLAIR Food and Beverage GENENTECH USA, INC.
Jun 27, 2018 $2 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Apr 24, 2018 $1 FIRAZYR Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Nov 1, 2018 $1 DUPIXENT Food and Beverage REGENERON HEALTHCARE SOLUTIONS, INC.
Mar 8, 2018 $1 FIRAZYR Food and Beverage SHIRE NORTH AMERICAN GROUP INC
Mar 21, 2018 $1 QVAR Food and Beverage TEVA PHARMACEUTICALS USA, INC.
Mar 19, 2018 $0 STIOLTO RESPIMAT Education BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Mar 27, 2018 $0 STIOLTO RESPIMAT Education BOEHRINGER INGELHEIM 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.