Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record Methodology

Covered recipient · General Payments record

HANNAH DANIELLE SPIVA

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1154004950
CMS profile
11450477
Location
FARMINGTON, AR

General Payments · PY2024–2025

$638.10

  • Reported across 33 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$614.51

32 records · 0 disputed

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

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $614.51 32

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2024 $23.59 1
PY2025 $614.51 32

Payment records · PY2025 (32)

Ordering applied by this site (paying entity, then date) · record values are shown as CMS published them

Program year 2025 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $27.49 04/23/2025 Food and Beverage Undisputed 06/30/2026 1204381138 CMS
ABBVIE INC. $24.86 05/15/2025 Food and Beverage Undisputed 06/30/2026 1204381142 CMS
ABBVIE INC. $24.86 06/27/2025 Food and Beverage Undisputed 06/30/2026 1204381149 CMS
ABBVIE INC. $23.58 09/09/2025 Food and Beverage Undisputed 06/30/2026 1204381154 CMS
ABBVIE INC. $21.49 11/17/2025 Food and Beverage Undisputed 06/30/2026 1204381158 CMS
ABBVIE INC. $18.10 12/08/2025 Food and Beverage Undisputed 06/30/2026 1204381163 CMS
Amgen Inc. $15.39 03/03/2025 Food and Beverage Undisputed 06/30/2026 1228857534 CMS
Amgen Inc. $14.04 04/07/2025 Food and Beverage Undisputed 06/30/2026 1228857559 CMS
Amgen Inc. $19.43 05/05/2025 Food and Beverage Undisputed 06/30/2026 1228857542 CMS
Amgen Inc. $17.26 12/04/2025 Food and Beverage Undisputed 06/30/2026 1228857553 CMS
AstraZeneca Pharmaceuticals LP $15.05 01/27/2025 Food and Beverage Undisputed 06/30/2026 1242514830 CMS
AstraZeneca Pharmaceuticals LP $14.70 02/03/2025 Food and Beverage Undisputed 06/30/2026 1242517558 CMS
AstraZeneca Pharmaceuticals LP $17.93 03/17/2025 Food and Beverage Undisputed 06/30/2026 1242514522 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.22 10/28/2025 Food and Beverage Undisputed 06/30/2026 1225820375 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.91 10/21/2025 Food and Beverage Undisputed 06/30/2026 1222966975 CMS
Exact Sciences Corporation $17.63 05/30/2025 Food and Beverage Undisputed 06/30/2026 1235270029 CMS
Exact Sciences Corporation $13.49 09/19/2025 Food and Beverage Undisputed 06/30/2026 1235270031 CMS
GlaxoSmithKline, LLC. $17.99 11/21/2025 Food and Beverage Undisputed 06/30/2026 1190554938 CMS
Inspire Medical Systems, Inc. $23.03 06/16/2025 Food and Beverage Undisputed 06/30/2026 1251559614 CMS
Lilly USA, LLC $15.94 04/29/2025 Food and Beverage Undisputed 06/30/2026 1187127901 CMS
Novo Nordisk Inc $18.67 09/22/2025 Food and Beverage Undisputed 06/30/2026 1189081885 CMS
Novo Nordisk Inc $14.22 11/03/2025 Food and Beverage Undisputed 06/30/2026 1188746726 CMS
Otsuka America Pharmaceutical, Inc. $26.70 07/24/2025 Food and Beverage Undisputed 06/30/2026 1227995567 CMS
PFIZER INC. $18.11 02/10/2025 Food and Beverage Undisputed 06/30/2026 1229949893 CMS
PFIZER INC. $15.36 05/13/2025 Food and Beverage Undisputed 06/30/2026 1230092229 CMS
PFIZER INC. $23.09 07/10/2025 Food and Beverage Undisputed 06/30/2026 1230158522 CMS
PFIZER INC. $23.51 09/29/2025 Food and Beverage Undisputed 06/30/2026 1230435343 CMS
PFIZER INC. $15.81 11/09/2025 Food and Beverage Undisputed 06/30/2026 1230644196 CMS
Rhythm Pharmaceuticals, Inc. $22.38 12/10/2025 Food and Beverage Undisputed 06/30/2026 1240098522 CMS
Sumitomo Pharma America, Inc. $17.73 02/24/2025 Food and Beverage Undisputed 06/30/2026 1176803811 CMS
Sumitomo Pharma America, Inc. $14.41 07/15/2025 Food and Beverage Undisputed 06/30/2026 1176803813 CMS
Sumitomo Pharma America, Inc. $17.13 08/25/2025 Food and Beverage Undisputed 06/30/2026 1176803815 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2024, 2025
Source files
Dataset page · Bulk file · PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.