Covered recipient · General Payments record
KRISTINA JILL SPITALE-EFSTRATIS
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
General Payments · PY2021–2025
$5,130.97
- Reported across 238 records
- CMS publication 2026-06-30
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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $969.11 | 37 |
| Education | $56.34 | 3 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Apellis Pharmaceuticals, Inc. | $233.78 | 6 |
| Retrophin, Inc. | $157.38 | 5 |
| GENZYME CORPORATION | $94.66 | 4 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $78.82 | 3 |
| Amgen Inc. | $78.67 | 3 |
| OPKO Pharmaceuticals, LLC | $56.34 | 3 |
| GlaxoSmithKline, LLC. | $54.08 | 3 |
| Novo Nordisk AS | $42.28 | 2 |
| Otsuka America Pharmaceutical, Inc. | $42.22 | 2 |
| ResMed Corp | $27.47 | 1 |
| Regeneron Healthcare Solutions, Inc. | $26.17 | 1 |
| CALLIDITAS THERAPEUTICS US INC. | $25.14 | 1 |
| TACTILE SYSTEMS TECHNOLOGY INC | $24.97 | 1 |
| Avadel CNS Pharmaceuticals, LLC | $21.01 | 1 |
| Aurinia Pharma U.S., Inc. | $18.21 | 1 |
| United Therapeutics Corporation | $15.39 | 1 |
| Relypsa, Inc. | $15.37 | 1 |
| Bayer HealthCare Pharmaceuticals Inc. | $13.49 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (40)
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
- 2026-06-30
- Program years on this page
- 2021, 2022, 2023, 2024, 2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
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