Covered recipient · General Payments record
SIDNEY CAROL SPANGLER
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant
General Payments · PY2022–2024
$1,635.58
- Reported across 86 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 | $876.17 | 44 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Novo Nordisk AS | $148.33 | 7 |
| GlaxoSmithKline, LLC. | $92.60 | 5 |
| PFIZER INC. | $75.59 | 4 |
| ABBVIE INC. | $70.05 | 3 |
| Merck Sharp & Dohme Corporation | $62.70 | 3 |
| Exact Sciences Corporation | $57.80 | 3 |
| Vanda Pharmaceuticals Inc. | $53.16 | 2 |
| Gilead Sciences, Inc. | $43.44 | 2 |
| Hologic Sales and Service, LLC | $39.24 | 2 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $38.28 | 2 |
| Lilly USA, LLC | $35.73 | 2 |
| Janssen Pharmaceuticals, Inc | $32.92 | 2 |
| Phathom Pharmaceuticals, Inc. | $27.73 | 1 |
| DEXCOM, INC. | $23.40 | 1 |
| Lundbeck LLC | $21.06 | 1 |
| Otsuka America Pharmaceutical, Inc. | $15.78 | 1 |
| Axsome Therapeutics, Inc. | $15.65 | 1 |
| Xeris Pharmaceuticals, Inc. | $13.11 | 1 |
| Corium, Inc. | $9.60 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (44)
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
- 2022, 2023, 2024
- Source files
- Dataset page · Bulk file · PY2022 , PY2023 , PY2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
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