SUSAN HART SPENCE
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant LEXINGTON, KY NPI 1497537336
Browse related groups: Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant KY Astellas Pharma US Inc All categories
General Payments — all program years on this page
$1,333.36
- Category: General Payments
- Program years: PY2024
- Record count: 56
- As of (CMS publication): 2026-01-23
Latest program year (PY2024): $1,333.36 across 56 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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $1,148.38 | 54 |
| Education | $184.98 | 2 |
By paying entity
Latest program year (PY2024) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| Astellas Pharma US Inc | $349.70 | 6 |
| ABBVIE INC. | $232.62 | 17 |
| Sumitomo Pharma America, Inc. | $135.20 | 7 |
| Biogen, Inc. | $107.96 | 1 |
| IRONWOOD PHARMACEUTICALS, INC | $105.57 | 5 |
| Ardelyx, Inc. | $96.91 | 5 |
| Exeltis, USA Inc. | $63.91 | 4 |
| Sage Therapeutics, Inc. | $52.87 | 2 |
| Lilly USA, LLC | $39.05 | 2 |
| Innovation Technologies Inc | $28.78 | 1 |
| BAXTER HEALTHCARE | $25.23 | 1 |
| VIVUS LLC | $24.11 | 1 |
| Kerecis Limited | $21.35 | 1 |
| Gynesonics, Inc. | $18.50 | 1 |
| Exact Sciences Corporation | $16.64 | 1 |
| Novo Nordisk AS | $14.96 | 1 |
By program year
| Program year | Amount | Records |
|---|---|---|
| 2024 | $1,333.36 | 56 |
Records — PY2024 (56)
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.