Covered recipient · General Payments record
MELISSA A SPENCER-WINKER
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant
General Payments · PY2018–2024
$5,717.56
- Reported across 241 records
- CMS publication 2026-01-23
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How these totals are calculated
- The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
- General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
- Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
- Methodology & Data — sourcing, labeling, and limitations.
By nature of payment
PY2024 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $494.93 | 18 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Galderma Laboratories, L.P. | $143.59 | 3 |
| PFIZER INC. | $65.91 | 2 |
| Acerta Pharma LLC | $59.58 | 3 |
| Incyte Corporation | $50.99 | 2 |
| Regeneron Healthcare Solutions, Inc. | $34.87 | 1 |
| Lilly USA, LLC | $25.09 | 1 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $23.35 | 1 |
| GlaxoSmithKline, LLC. | $22.42 | 1 |
| Janssen Biotech, Inc. | $21.23 | 1 |
| Sumitomo Pharma America, Inc. | $17.82 | 1 |
| Arcutis Biotherapeutics, Inc. | $16.27 | 1 |
| Tempus AI, Inc | $13.81 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (18)
Sorted by paying entity, then date · as published by CMS
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-01-23
- Program years on this page
- 2018, 2021, 2022, 2023, 2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.
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