Covered recipient · General Payments record

THOMAS H SPENCE

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI: 1447221379
CMS profile: 247257
Location: SAINT LOUIS, MO

General Payments · PY2018–2024

$15,691.40

Reported across 904 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,483.82

113 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	$2,483.82	113

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$462.51	22
GlaxoSmithKline, LLC.	$385.18	21
Regeneron Healthcare Solutions, Inc.	$158.74	7
Boehringer Ingelheim Pharmaceuticals, Inc.	$155.12	5
TACTILE SYSTEMS TECHNOLOGY INC	$133.97	4
Amgen Inc.	$120.79	6
HARMONY BIOSCIENCES LLC	$118.94	3
GENZYME CORPORATION	$116.63	4
Insmed, Inc.	$101.15	4
Merck Sharp & Dohme Corporation	$92.52	4
Actelion Pharmaceuticals US, Inc.	$88.13	3
Mylan Specialty L.P.	$81.21	4
Philips Electronics North America Corporation	$70.57	3
ANI Pharmaceuticals, Inc.	$60.35	2
Electromed, Inc.	$56.29	9
ABBVIE INC.	$48.70	2
Axsome Therapeutics, Inc.	$45.00	2
United Therapeutics Corporation	$44.38	2
Ceribell, Inc.	$38.53	1
PFIZER INC.	$37.99	2
3B Medical, Inc.	$31.71	1
Grifols USA, LLC	$22.00	1
Takeda Pharmaceuticals U.S.A., Inc.	$13.41	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,748.60	124
PY2019	$2,095.54	143
PY2020	$2,090.47	131
PY2021	$2,295.53	129
PY2022	$2,494.14	134
PY2023	$2,483.30	130
PY2024	$2,483.82	113

Payment records · PY2024 (113)

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
3B Medical, Inc.	$31.71	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1147571694	CMS
ABBVIE INC.	$24.55	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1106145842	CMS
ABBVIE INC.	$24.15	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1106145844	CMS
Actelion Pharmaceuticals US, Inc.	$29.93	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1078895687	CMS
Actelion Pharmaceuticals US, Inc.	$31.20	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1078895709	CMS
Actelion Pharmaceuticals US, Inc.	$27.00	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1078895695	CMS
Amgen Inc.	$29.50	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1117690510	CMS
Amgen Inc.	$13.98	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1116145320	CMS
Amgen Inc.	$26.61	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1117690512	CMS
Amgen Inc.	$16.51	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1116145326	CMS
Amgen Inc.	$19.98	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1116145334	CMS
Amgen Inc.	$14.21	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1116145340	CMS
ANI Pharmaceuticals, Inc.	$28.78	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1091145038	CMS
ANI Pharmaceuticals, Inc.	$31.57	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1091167958	CMS
AstraZeneca Pharmaceuticals LP	$21.50	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1104484204	CMS
AstraZeneca Pharmaceuticals LP	$24.97	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1105495411	CMS
AstraZeneca Pharmaceuticals LP	$14.66	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1105833965	CMS
AstraZeneca Pharmaceuticals LP	$59.50	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1104516654	CMS
AstraZeneca Pharmaceuticals LP	$17.78	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1105751141	CMS
AstraZeneca Pharmaceuticals LP	$17.59	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1105494833	CMS
AstraZeneca Pharmaceuticals LP	$19.58	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1105483899	CMS
AstraZeneca Pharmaceuticals LP	$14.81	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1105625313	CMS
AstraZeneca Pharmaceuticals LP	$16.15	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1104471454	CMS
AstraZeneca Pharmaceuticals LP	$18.79	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1104353954	CMS
AstraZeneca Pharmaceuticals LP	$14.48	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1104282921	CMS
AstraZeneca Pharmaceuticals LP	$22.46	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1105298801	CMS
AstraZeneca Pharmaceuticals LP	$14.50	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1104384481	CMS
AstraZeneca Pharmaceuticals LP	$16.48	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1105863470	CMS
AstraZeneca Pharmaceuticals LP	$24.60	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1104226293	CMS
AstraZeneca Pharmaceuticals LP	$23.14	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1105710170	CMS
AstraZeneca Pharmaceuticals LP	$16.01	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1105658784	CMS
AstraZeneca Pharmaceuticals LP	$21.53	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1104510072	CMS
AstraZeneca Pharmaceuticals LP	$15.25	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1105268904	CMS
AstraZeneca Pharmaceuticals LP	$22.82	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1105667332	CMS
AstraZeneca Pharmaceuticals LP	$20.18	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1105535372	CMS
AstraZeneca Pharmaceuticals LP	$25.73	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1104498912	CMS
Axsome Therapeutics, Inc.	$21.49	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1148325075	CMS
Axsome Therapeutics, Inc.	$23.51	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1148325077	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$32.21	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1118011365	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.55	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1118011371	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$32.60	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1118011367	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$33.61	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1118011369	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$31.15	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1118011373	CMS
Ceribell, Inc.	$38.53	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1153957410	CMS
Electromed, Inc.	$11.81	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1137914193	CMS
Electromed, Inc.	$7.60	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1137914195	CMS
Electromed, Inc.	$2.20	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1137914197	CMS
Electromed, Inc.	$10.54	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1137914199	CMS
Electromed, Inc.	$4.52	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1137914201	CMS
Electromed, Inc.	$6.12	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1137914203	CMS
Electromed, Inc.	$0.58	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1137914205	CMS
Electromed, Inc.	$11.76	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1137914207	CMS
Electromed, Inc.	$1.16	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1137914209	CMS
GENZYME CORPORATION	$35.57	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1139649540	CMS
GENZYME CORPORATION	$23.22	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1139649520	CMS
GENZYME CORPORATION	$34.16	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1139649546	CMS
GENZYME CORPORATION	$23.68	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1139649562	CMS
GlaxoSmithKline, LLC.	$20.93	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1116717269	CMS
GlaxoSmithKline, LLC.	$20.92	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1116685673	CMS
GlaxoSmithKline, LLC.	$6.74	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1116456175	CMS
GlaxoSmithKline, LLC.	$24.85	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1116191851	CMS
GlaxoSmithKline, LLC.	$19.71	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1116733838	CMS
GlaxoSmithKline, LLC.	$22.74	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1116375900	CMS
GlaxoSmithKline, LLC.	$17.04	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1116728810	CMS
GlaxoSmithKline, LLC.	$18.76	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1115898063	CMS
GlaxoSmithKline, LLC.	$15.14	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1116652019	CMS
GlaxoSmithKline, LLC.	$19.39	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1116574846	CMS
GlaxoSmithKline, LLC.	$20.94	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1116671892	CMS
GlaxoSmithKline, LLC.	$16.68	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1116521292	CMS
GlaxoSmithKline, LLC.	$17.39	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1116665181	CMS
GlaxoSmithKline, LLC.	$21.70	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1116009855	CMS
GlaxoSmithKline, LLC.	$22.46	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1116255921	CMS
GlaxoSmithKline, LLC.	$20.35	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1116676781	CMS
GlaxoSmithKline, LLC.	$6.56	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1116585741	CMS
GlaxoSmithKline, LLC.	$20.75	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1116541430	CMS
GlaxoSmithKline, LLC.	$23.46	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1116665817	CMS
GlaxoSmithKline, LLC.	$19.76	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1116260258	CMS
GlaxoSmithKline, LLC.	$8.91	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1116558035	CMS
Grifols USA, LLC	$22.00	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1124720264	CMS
Harmony Biosciences Llc	$47.98	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1141478642	CMS
HARMONY BIOSCIENCES LLC	$44.22	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1126067226	CMS
HARMONY BIOSCIENCES LLC	$26.74	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1126067228	CMS
Insmed, Inc.	$22.41	02/04/2024	Food and Beverage	Undisputed	01/23/2026	1089577748	CMS
Insmed, Inc.	$27.32	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1089577354	CMS
Insmed, Inc.	$31.38	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1089557314	CMS
Insmed, Inc.	$20.04	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1089572358	CMS
Merck Sharp & Dohme LLC	$31.18	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1141612616	CMS
Merck Sharp & Dohme LLC	$24.97	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1141612618	CMS
Merck Sharp & Dohme LLC	$17.26	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1141843105	CMS
Merck Sharp & Dohme LLC	$19.11	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1141612620	CMS
Mylan Specialty L.P.	$27.06	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1147338390	CMS
Mylan Specialty L.P.	$14.47	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1147353312	CMS
Mylan Specialty L.P.	$22.79	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1147378256	CMS
Mylan Specialty L.P.	$16.89	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1147287964	CMS
PFIZER INC.	$15.52	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1131612282	CMS
PFIZER INC.	$22.47	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1131612286	CMS
Philips North America LLC	$19.05	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1146915162	CMS
Philips North America LLC	$21.43	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1146915158	CMS
Philips North America LLC	$30.09	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1146915160	CMS
Regeneron Healthcare Solutions, Inc.	$33.91	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1114188822	CMS
Regeneron Healthcare Solutions, Inc.	$34.70	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1114188829	CMS
Regeneron Healthcare Solutions, Inc.	$7.52	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1114188836	CMS
Regeneron Healthcare Solutions, Inc.	$6.97	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1114188849	CMS
Regeneron Healthcare Solutions, Inc.	$0.46	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1114188855	CMS
Regeneron Healthcare Solutions, Inc.	$37.59	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1114188862	CMS
Regeneron Healthcare Solutions, Inc.	$37.59	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1114188868	CMS
Tactile Systems Technology Inc	$35.61	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1082375239	CMS
Tactile Systems Technology Inc	$50.86	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1082375237	CMS
Tactile Systems Technology Inc	$26.67	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1082375241	CMS
Tactile Systems Technology Inc	$20.83	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1082375243	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$13.41	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1137680547	CMS
United Therapeutics Corporation	$26.46	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1149451677	CMS
United Therapeutics Corporation	$17.92	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1149472162	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.