Covered recipient · General Payments record
MELANIE SUE SPEARS
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
General Payments · PY2023–2024
$1,289.48
- Reported across 60 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 | $892.05 | 40 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Vanda Pharmaceuticals Inc. | $141.32 | 7 |
| Celgene Corporation | $121.34 | 6 |
| E.R. Squibb & Sons, L.L.C. | $79.91 | 3 |
| Janssen Biotech, Inc. | $50.22 | 2 |
| NOVARTIS PHARMACEUTICALS CORPORATION | $46.63 | 2 |
| Mirati Therapeutics, Inc. | $34.99 | 1 |
| Lilly USA, LLC | $34.07 | 2 |
| Takeda Pharmaceuticals U.S.A., Inc. | $32.03 | 1 |
| TerSera Therapeutics LLC | $31.45 | 2 |
| ABBVIE INC. | $29.03 | 1 |
| Deciphera Pharmaceuticals Inc. | $28.68 | 1 |
| Exelixis Inc. | $26.02 | 1 |
| Regeneron Healthcare Solutions, Inc. | $25.01 | 1 |
| Genentech USA, Inc. | $23.28 | 1 |
| Acerta Pharma LLC | $23.05 | 1 |
| EMD Serono, Inc. | $22.53 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $22.12 | 1 |
| PFIZER INC. | $21.04 | 1 |
| Gilead Sciences, Inc. | $20.92 | 1 |
| JAZZ PHARMACEUTICALS INC. | $20.58 | 1 |
| Astellas Pharma US Inc | $20.41 | 1 |
| GENZYME CORPORATION | $19.12 | 1 |
| TAIHO ONCOLOGY, INC. | $18.30 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (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
- 2026-01-23
- Program years on this page
- 2023, 2024
- Source files
- Dataset page · Bulk file · PY2023 , PY2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
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