KEIA T SPENCE

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family NORFOLK, VA NPI 1124384656

General Payments — all program years on this page

$1,898.19

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 19
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $1,306.07 across 12 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $1,306.0712

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2021 $17.591
2022 $85.091
2023 $489.445
2024 $1,306.0712

Records — PY2024 (12)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1078241023 Janssen Pharmaceuticals, Inc $135.77 05/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101690314 E.R. Squibb & Sons, L.L.C. $132.69 10/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112766878 ViiV Healthcare Company $103.03 02/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112775686 ViiV Healthcare Company $120.31 11/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112783930 ViiV Healthcare Company $119.23 06/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1112785734 ViiV Healthcare Company $124.69 10/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119173686 Otsuka America Pharmaceutical, Inc. $120.51 02/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119173688 Otsuka America Pharmaceutical, Inc. $124.00 11/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141573359 Merck Sharp & Dohme LLC $124.27 03/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148166977 Inspire Medical Systems, Inc. $44.17 12/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148166979 Inspire Medical Systems, Inc. $67.43 12/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153370921 Dexcom, Inc. $89.97 10/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • 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.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.