Covered recipient · General Payments record

JULIE SPIVACK

NPI: 1316939226
CMS profile: 14469
Location: FAIRFIELD, CT

General Payments · PY2018–2024

$9,852.80

Reported across 563 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,288.73

127 records · 0 disputed

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	$2,270.16	126
Education	$18.57	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$440.76	23
Janssen Biotech, Inc.	$288.41	4
Takeda Pharmaceuticals U.S.A., Inc.	$287.67	18
Celgene Corporation	$155.53	28
Madrigal Pharmaceuticals	$146.68	1
PFIZER INC.	$140.08	10
INTERCEPT PHARMACEUTICALS, INC.	$139.26	7
QOL Medical, LLC	$133.09	5
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$105.91	6
Ardelyx, Inc.	$105.12	5
Ipsen Biopharmaceuticals, Inc	$90.61	4
Gilead Sciences, Inc.	$63.81	4
Lilly USA, LLC	$59.61	4
GENZYME CORPORATION	$35.11	2
Phathom Pharmaceuticals, Inc.	$32.36	2
Celltrion USA Inc.	$18.57	1
Daiichi Sankyo Inc.	$17.20	1
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.88	1
IRONWOOD PHARMACEUTICALS, INC	$14.07	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$891.50	52
PY2019	$1,749.01	95
PY2020	$341.73	23
PY2021	$851.80	53
PY2022	$1,764.90	92
PY2023	$1,965.13	121
PY2024	$2,288.73	127

Payment records · PY2024 (127)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018 2019 2020 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
ABBVIE INC.	$13.84	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1106148711	CMS
ABBVIE INC.	$15.96	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1106148713	CMS
ABBVIE INC.	$16.10	03/02/2024	Food and Beverage	Undisputed	01/23/2026	1106148715	CMS
ABBVIE INC.	$13.16	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1106148717	CMS
ABBVIE INC.	$15.33	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1106148719	CMS
ABBVIE INC.	$25.04	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1106148721	CMS
ABBVIE INC.	$21.34	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1106148723	CMS
ABBVIE INC.	$17.41	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1106148725	CMS
ABBVIE INC.	$25.10	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1106148727	CMS
ABBVIE INC.	$19.78	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1106148729	CMS
ABBVIE INC.	$24.83	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1106148731	CMS
ABBVIE INC.	$16.13	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1106148733	CMS
ABBVIE INC.	$17.96	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1106148735	CMS
ABBVIE INC.	$17.16	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1106148737	CMS
ABBVIE INC.	$17.97	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1106148739	CMS
ABBVIE INC.	$25.78	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1106148741	CMS
ABBVIE INC.	$15.40	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1106148743	CMS
ABBVIE INC.	$17.33	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1106148745	CMS
ABBVIE INC.	$19.03	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1106148747	CMS
ABBVIE INC.	$26.31	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1106148749	CMS
ABBVIE INC.	$24.25	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1106148751	CMS
ABBVIE INC.	$15.04	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1106148753	CMS
ABBVIE INC.	$20.51	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1106148755	CMS
Ardelyx, Inc.	$19.77	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1146709220	CMS
Ardelyx, Inc.	$23.47	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1146709222	CMS
Ardelyx, Inc.	$23.53	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1146709224	CMS
Ardelyx, Inc.	$19.04	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1146709226	CMS
Ardelyx, Inc.	$19.31	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1146709228	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.88	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1117961916	CMS
Celgene Corporation	$0.66	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1101131974	CMS
Celgene Corporation	$17.68	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1101131976	CMS
Celgene Corporation	$0.20	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1101131978	CMS
Celgene Corporation	$0.61	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1101131980	CMS
Celgene Corporation	$0.19	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1101131984	CMS
Celgene Corporation	$0.61	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1101131986	CMS
Celgene Corporation	$16.86	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1101131988	CMS
Celgene Corporation	$0.54	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1101131990	CMS
Celgene Corporation	$18.06	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1101131996	CMS
Celgene Corporation	$0.56	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1101131998	CMS
Celgene Corporation	$0.20	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1101132000	CMS
Celgene Corporation	$0.48	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1101132002	CMS
Celgene Corporation	$0.84	07/05/2024	Food and Beverage	Undisputed	01/23/2026	1101132022	CMS
Celgene Corporation	$0.23	07/05/2024	Food and Beverage	Undisputed	01/23/2026	1101132024	CMS
Celgene Corporation	$20.89	07/05/2024	Food and Beverage	Undisputed	01/23/2026	1101132026	CMS
Celgene Corporation	$0.49	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1101132030	CMS
Celgene Corporation	$16.58	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1101132032	CMS
Celgene Corporation	$0.29	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1101132034	CMS
Celgene Corporation	$0.21	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1101132036	CMS
Celgene Corporation	$0.93	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1101132038	CMS
Celgene Corporation	$19.57	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1101132040	CMS
Celgene Corporation	$0.22	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1101132044	CMS
Celgene Corporation	$0.71	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1101132046	CMS
Celgene Corporation	$17.94	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1101132048	CMS
Celgene Corporation	$0.64	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1101132050	CMS
Celgene Corporation	$0.20	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1101132052	CMS
Celgene Corporation	$0.61	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1101132054	CMS
Celgene Corporation	$18.53	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1101132056	CMS
Celltrion USA Inc.	$18.57	01/23/2024	Education	Undisputed	01/23/2026	1075858575	CMS
Daiichi Sankyo Inc.	$17.20	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1089486000	CMS
GENZYME CORPORATION	$20.17	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1140005996	CMS
GENZYME CORPORATION	$14.94	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1140005998	CMS
Gilead Sciences, Inc.	$15.47	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1133734703	CMS
Gilead Sciences, Inc.	$15.43	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1133734705	CMS
Gilead Sciences, Inc.	$16.72	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1133734707	CMS
Gilead Sciences, Inc.	$16.19	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1133734709	CMS
Intercept Pharmaceuticals, Inc.	$16.93	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1113636246	CMS
Intercept Pharmaceuticals, Inc.	$27.34	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1113636248	CMS
Intercept Pharmaceuticals, Inc.	$23.16	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1113636250	CMS
Intercept Pharmaceuticals, Inc.	$14.08	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1113636252	CMS
Intercept Pharmaceuticals, Inc.	$16.05	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1113636256	CMS
Intercept Pharmaceuticals, Inc.	$22.54	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1113636254	CMS
Intercept Pharmaceuticals, Inc.	$19.16	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1113636258	CMS
Ipsen Biopharmaceuticals, Inc	$24.88	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1091986525	CMS
Ipsen Biopharmaceuticals, Inc	$16.93	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1091986527	CMS
Ipsen Biopharmaceuticals, Inc	$26.19	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1091986531	CMS
Ipsen Biopharmaceuticals, Inc	$22.61	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1091986529	CMS
IRONWOOD PHARMACEUTICALS, INC	$14.07	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1153761808	CMS
Janssen Biotech, Inc.	$22.60	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1078374603	CMS
Janssen Biotech, Inc.	$120.84	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1078374222	CMS
Janssen Biotech, Inc.	$22.09	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1078374654	CMS
Janssen Biotech, Inc.	$122.88	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1078374552	CMS
Lilly USA, LLC	$15.37	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1135086416	CMS
Lilly USA, LLC	$13.73	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1135086418	CMS
Lilly USA, LLC	$14.24	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1135091471	CMS
Lilly USA, LLC	$16.27	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1135086414	CMS
Madrigal Pharmaceuticals	$146.68	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1144183063	CMS
PFIZER INC.	$13.86	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1131184117	CMS
PFIZER INC.	$13.96	03/02/2024	Food and Beverage	Undisputed	01/23/2026	1131278819	CMS
PFIZER INC.	$12.69	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1130901195	CMS
PFIZER INC.	$13.96	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1131323183	CMS
PFIZER INC.	$10.55	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1130920696	CMS
PFIZER INC.	$14.50	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1131742920	CMS
PFIZER INC.	$14.05	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1131942977	CMS
PFIZER INC.	$17.67	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1132100957	CMS
PFIZER INC.	$16.51	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1130992622	CMS
PFIZER INC.	$12.33	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1131015763	CMS
Phathom Pharmaceuticals, Inc.	$16.92	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1151129263	CMS
Phathom Pharmaceuticals, Inc.	$15.44	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1151129265	CMS
QOL Medical, LLC	$18.16	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1147717467	CMS
QOL Medical, LLC	$28.44	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1147717469	CMS
QOL Medical, LLC	$30.15	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1147717471	CMS
QOL Medical, LLC	$26.19	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1147717473	CMS
QOL Medical, LLC	$30.15	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1147717475	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$19.52	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1153680761	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.20	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1153749082	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.04	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1153543854	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.86	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1153584441	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.34	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1153621103	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.95	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1153700525	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$11.30	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1137680743	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$9.79	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1137680745	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$20.74	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1137680747	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.20	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1137680749	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.62	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1137680751	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.43	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1137680753	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$10.46	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1137680755	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$17.75	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1137680757	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$9.78	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1137680759	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.83	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1137680761	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$22.71	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1137680763	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$11.24	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1137680765	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$11.93	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1137680767	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.10	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1137680769	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.03	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1137680771	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$12.89	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1137680773	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$12.72	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1137680775	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.15	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1137680777	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, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.