Covered recipient · General Payments record
ARIEL H SPENCER
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family
General Payments · PY2021–2022
$608.73
- Reported across 38 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
PY2022 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $166.18 | 10 |
By paying entity
PY2022 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| ITI, Inc. | $70.96 | 4 |
| Neurocrine BioSciences, Inc. | $36.64 | 2 |
| Otsuka America Pharmaceutical, Inc. | $18.00 | 1 |
| Takeda Pharmaceuticals U.S.A., Inc. | $14.53 | 1 |
| Janssen Pharmaceuticals, Inc | $14.32 | 1 |
| Noven Therapeutics, LLC | $11.73 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2022 (10)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| ITI, Inc. | $19.22 | 01/06/2022 | Food and Beverage | Undisputed | 06/30/2026 | 945948291 | CMS |
| ITI, Inc. | $15.49 | 02/08/2022 | Food and Beverage | Undisputed | 06/30/2026 | 945948293 | CMS |
| ITI, Inc. | $18.05 | 02/24/2022 | Food and Beverage | Undisputed | 06/30/2026 | 945948295 | CMS |
| ITI, Inc. | $18.20 | 03/10/2022 | Food and Beverage | Undisputed | 06/30/2026 | 945948297 | CMS |
| Janssen Pharmaceuticals, Inc | $14.32 | 02/22/2022 | Food and Beverage | Undisputed | 06/30/2026 | 886561793 | CMS |
| Neurocrine Biosciences, Inc. | $18.32 | 01/04/2022 | Food and Beverage | Undisputed | 06/30/2026 | 963375527 | CMS |
| Neurocrine Biosciences, Inc. | $18.32 | 02/03/2022 | Food and Beverage | Undisputed | 06/30/2026 | 963375531 | CMS |
| Noven Therapeutics, LLC | $11.73 | 01/27/2022 | Food and Beverage | Undisputed | 06/30/2026 | 922679839 | CMS |
| Otsuka America Pharmaceutical, Inc. | $18.00 | 02/17/2022 | Food and Beverage | Undisputed | 06/30/2026 | 929476113 | CMS |
| Takeda Pharmaceuticals U.S.A., Inc. | $14.53 | 02/15/2022 | Food and Beverage | Undisputed | 06/30/2026 | 956193613 | 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
- Source files
- Dataset page · Bulk file · PY2021 , PY2022
- Generated from
- OP_DTL_GNRL_PGYR2022_P06302026_06032026.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.