IndustryPayments
Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ANDREA SPENCE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1457001810
CMS profile
11340464
Location
ALLEN PARK, MI

General Payments · PY2021–2024

$1,897.24

  • Reported across 79 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,013.72

52 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.

Related groups: Nurse Practitioner MI All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $853.02 43
Education $160.70 9

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
OPKO Pharmaceuticals, LLC $160.70 9
Ardelyx, Inc. $141.82 9
Fresenius USA Marketing, Inc. $131.83 7
Retrophin, Inc. $112.14 6
NOVARTIS PHARMACEUTICALS CORPORATION $88.10 4
Boehringer Ingelheim Pharmaceuticals, Inc. $80.63 4
CALLIDITAS THERAPEUTICS US INC. $77.33 4
ANI Pharmaceuticals, Inc. $60.82 2
Acerta Pharma LLC $50.21 2
Amgen Inc. $42.32 2
CorMedix Inc. $25.02 1
Lilly USA, LLC $22.69 1
AKEBIA THERAPEUTICS INC $20.11 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $134.26 1
PY2022 $196.06 3
PY2023 $553.20 23
PY2024 $1,013.72 52

Payment records · PY2024 (52)

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

Program year 2024 202120222023 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
AKEBIA THERAPEUTICS INC $20.11 10/07/2024 Food and Beverage Undisputed 01/23/2026 1145830115 CMS
Amgen Inc. $22.80 04/10/2024 Food and Beverage Undisputed 01/23/2026 1117690516 CMS
Amgen Inc. $19.52 08/28/2024 Food and Beverage Undisputed 01/23/2026 1117690518 CMS
ANI Pharmaceuticals, Inc. $27.05 02/28/2024 Food and Beverage Undisputed 01/23/2026 1091159102 CMS
ANI Pharmaceuticals, Inc. $33.77 07/29/2024 Food and Beverage Undisputed 01/23/2026 1091134453 CMS
Ardelyx, Inc. $10.98 01/04/2024 Food and Beverage Undisputed 01/23/2026 1146746529 CMS
Ardelyx, Inc. $16.21 01/04/2024 Food and Beverage Undisputed 01/23/2026 1146746531 CMS
Ardelyx, Inc. $11.71 01/30/2024 Food and Beverage Undisputed 01/23/2026 1146746533 CMS
Ardelyx, Inc. $20.74 02/14/2024 Food and Beverage Undisputed 01/23/2026 1146746535 CMS
Ardelyx, Inc. $8.86 03/06/2024 Food and Beverage Undisputed 01/23/2026 1146746537 CMS
Ardelyx, Inc. $7.91 07/10/2024 Food and Beverage Undisputed 01/23/2026 1146746539 CMS
Ardelyx, Inc. $20.63 09/17/2024 Food and Beverage Undisputed 01/23/2026 1146746541 CMS
Ardelyx, Inc. $21.64 10/15/2024 Food and Beverage Undisputed 01/23/2026 1146746543 CMS
Ardelyx, Inc. $23.14 12/17/2024 Food and Beverage Undisputed 01/23/2026 1146746545 CMS
AstraZeneca Pharmaceuticals LP $22.17 03/19/2024 Food and Beverage Undisputed 01/23/2026 1123305506 CMS
AstraZeneca Pharmaceuticals LP $28.04 07/02/2024 Food and Beverage Undisputed 01/23/2026 1123306008 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.75 03/07/2024 Food and Beverage Undisputed 01/23/2026 1118015272 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.44 03/20/2024 Food and Beverage Undisputed 01/23/2026 1118015270 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.46 08/14/2024 Food and Beverage Undisputed 01/23/2026 1118015268 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.98 11/05/2024 Food and Beverage Undisputed 01/23/2026 1118015274 CMS
CALLIDITAS THERAPEUTICS US INC. $22.34 01/02/2024 Food and Beverage Undisputed 01/23/2026 1141507564 CMS
CALLIDITAS THERAPEUTICS US INC. $20.08 03/06/2024 Food and Beverage Undisputed 01/23/2026 1141510839 CMS
CALLIDITAS THERAPEUTICS US INC. $17.27 05/29/2024 Food and Beverage Undisputed 01/23/2026 1141515987 CMS
CALLIDITAS THERAPEUTICS US INC. $17.64 07/18/2024 Food and Beverage Undisputed 01/23/2026 1141518759 CMS
CorMedix Inc. $25.02 05/15/2024 Food and Beverage Undisputed 01/23/2026 1082023219 CMS
Fresenius USA Marketing, Inc. $18.30 01/24/2024 Food and Beverage Undisputed 01/23/2026 1154196632 CMS
Fresenius USA Marketing, Inc. $15.34 02/27/2024 Food and Beverage Undisputed 01/23/2026 1154196628 CMS
Fresenius USA Marketing, Inc. $19.79 05/07/2024 Food and Beverage Undisputed 01/23/2026 1154196638 CMS
Fresenius USA Marketing, Inc. $17.21 07/09/2024 Food and Beverage Undisputed 01/23/2026 1154196630 CMS
Fresenius USA Marketing, Inc. $19.06 08/13/2024 Food and Beverage Undisputed 01/23/2026 1154196636 CMS
Fresenius USA Marketing, Inc. $23.38 10/16/2024 Food and Beverage Undisputed 01/23/2026 1154196640 CMS
Fresenius USA Marketing, Inc. $18.75 11/19/2024 Food and Beverage Undisputed 01/23/2026 1154196634 CMS
Lilly USA, LLC $22.69 08/23/2024 Food and Beverage Undisputed 01/23/2026 1135509819 CMS
Novartis Pharmaceuticals Corporation $26.21 01/31/2024 Food and Beverage Undisputed 01/23/2026 1087319705 CMS
Novartis Pharmaceuticals Corporation $18.00 03/26/2024 Food and Beverage Undisputed 01/23/2026 1087319709 CMS
Novartis Pharmaceuticals Corporation $21.94 09/28/2024 Food and Beverage Undisputed 01/23/2026 1087319713 CMS
Novartis Pharmaceuticals Corporation $21.95 11/20/2024 Food and Beverage Undisputed 01/23/2026 1087319715 CMS
OPKO Pharmaceuticals, LLC $18.56 02/21/2024 Education Undisputed 01/23/2026 1112854332 CMS
OPKO Pharmaceuticals, LLC $14.63 03/14/2024 Education Undisputed 01/23/2026 1112854335 CMS
OPKO Pharmaceuticals, LLC $19.01 03/28/2024 Education Undisputed 01/23/2026 1112854339 CMS
OPKO Pharmaceuticals, LLC $19.73 05/01/2024 Education Undisputed 01/23/2026 1112854343 CMS
OPKO Pharmaceuticals, LLC $19.96 08/02/2024 Education Undisputed 01/23/2026 1112854347 CMS
OPKO Pharmaceuticals, LLC $18.41 09/04/2024 Education Undisputed 01/23/2026 1112854350 CMS
OPKO Pharmaceuticals, LLC $11.43 09/25/2024 Education Undisputed 01/23/2026 1112854352 CMS
OPKO Pharmaceuticals, LLC $18.78 10/06/2024 Education Undisputed 01/23/2026 1112854354 CMS
OPKO Pharmaceuticals, LLC $20.19 12/04/2024 Education Undisputed 01/23/2026 1112854356 CMS
Travere Therapeutics, Inc. $17.54 03/28/2024 Food and Beverage Undisputed 01/23/2026 1149906418 CMS
Travere Therapeutics, Inc. $16.58 06/13/2024 Food and Beverage Undisputed 01/23/2026 1149906414 CMS
Travere Therapeutics, Inc. $23.20 06/25/2024 Food and Beverage Undisputed 01/23/2026 1149906426 CMS
Travere Therapeutics, Inc. $21.84 08/07/2024 Food and Beverage Undisputed 01/23/2026 1149906422 CMS
Travere Therapeutics, Inc. $4.92 10/30/2024 Food and Beverage Undisputed 01/23/2026 1149885434 CMS
Travere Therapeutics, Inc. $28.06 10/30/2024 Food and Beverage Undisputed 01/23/2026 1149906430 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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