STEFANIE A SPENCE

Nursing Service Providers|Registered Nurse DECATUR, AL NPI 1487046751

General Payments — all program years on this page

$1,337.91

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 67
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $740.60 across 34 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $740.6034

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2021 $115.656
2022 $213.8912
2023 $267.7715
2024 $740.6034

Records — PY2024 (34)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1086295266 Bayer Healthcare Pharmaceuticals Inc. $16.17 11/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086307069 Bayer Healthcare Pharmaceuticals Inc. $15.04 10/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086368115 Bayer Healthcare Pharmaceuticals Inc. $14.88 04/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1087307585 Novartis Pharmaceuticals Corporation $28.87 02/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1087307589 Novartis Pharmaceuticals Corporation $25.71 04/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104342748 AstraZeneca Pharmaceuticals LP $21.17 05/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104423381 AstraZeneca Pharmaceuticals LP $16.22 06/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104593786 AstraZeneca Pharmaceuticals LP $19.27 03/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104608492 AstraZeneca Pharmaceuticals LP $17.17 07/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1104707519 AstraZeneca Pharmaceuticals LP $17.31 01/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105892666 AstraZeneca Pharmaceuticals LP $20.82 02/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118027543 Boehringer Ingelheim Pharmaceuticals, Inc. $18.57 08/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118027545 Boehringer Ingelheim Pharmaceuticals, Inc. $18.71 11/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118027547 Boehringer Ingelheim Pharmaceuticals, Inc. $21.16 07/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118027549 Boehringer Ingelheim Pharmaceuticals, Inc. $21.16 08/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118027551 Boehringer Ingelheim Pharmaceuticals, Inc. $25.01 10/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118027553 Boehringer Ingelheim Pharmaceuticals, Inc. $29.19 05/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118283677 Baxter Healthcare $24.89 10/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118283681 Baxter Healthcare $40.44 10/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118283685 Baxter Healthcare $18.67 10/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118283690 Baxter Healthcare $30.07 10/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118283694 Baxter Healthcare $52.53 10/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118283697 Baxter Healthcare $20.46 10/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119190900 Otsuka America Pharmaceutical, Inc. $13.24 04/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1124042309 Vifor Pharma, Inc. $15.70 05/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135944914 Lilly USA, LLC $14.04 10/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135966286 Lilly USA, LLC $22.81 02/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141512495 CALLIDITAS THERAPEUTICS US INC. $20.94 03/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141518269 CALLIDITAS THERAPEUTICS US INC. $22.37 07/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141519925 CALLIDITAS THERAPEUTICS US INC. $22.42 08/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141522607 CALLIDITAS THERAPEUTICS US INC. $17.71 09/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141525852 CALLIDITAS THERAPEUTICS US INC. $18.25 10/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146746549 Ardelyx, Inc. $17.97 02/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146746551 Ardelyx, Inc. $21.66 06/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • 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.

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.